Wright Liam, Steptoe Andrew, Fancourt Daisy
Department of Behavioural Science and Health, University College London, 1-19 Torrington Place, London WC1E 7HB, United Kingdom.
Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 7HB, United Kingdom.
Lancet Reg Health Eur. 2021 May;4:100061. doi: 10.1016/j.lanepe.2021.100061. Epub 2021 Feb 26.
In the absence of a vaccine, governments have focused on social distancing, self-isolation, and increased hygiene procedures to reduce the transmission of SARS-CoV-2 (COVID-19). Compliance with these measures requires voluntary cooperation from citizens. Yet, compliance is not complete. Existing research on the predictors of compliance is almost exclusively based on cross-sectional data, raising the possibility of reverse causality and confounding.
Using data from the UCL COVID-19 Social Study, a large weekly online panel of UK adults from first three months of lockdown in the UK (n = 51,600), we tested whether within-person changes in confidence in government, mental wellbeing, social experiences and awareness of COVID-19 were longitudinally related to self-reported compliance levels with guidelines from authorities using random intercept cross-lagged panel models.
We found evidence of a small longitudinal association between increased confidence in government to tackle the pandemic and higher self-reported compliance, but little evidence that factors such as mental health and wellbeing, worries about future adversities, and social isolation and loneliness were related to later compliance. We found higher self-reported compliance was longitudinally related to higher depressive symptoms. We found that low compliance was related to lower leisure engagement, providing care, and working outside the home.
Our results suggest that to effectively manage the pandemic, governments should ensure that confidence is maintained.
Nuffield Foundation, Wellcome Trust and the MARCH Mental Health Network. MARCH is funded by the Cross-Disciplinary Mental Health Network Plus initiative supported by UK Research and Innovation.
在没有疫苗的情况下，各国政府专注于保持社交距离、自我隔离以及加强卫生措施，以减少严重急性呼吸综合征冠状病毒2（COVID-19）的传播。遵守这些措施需要公民的自愿合作。然而，遵守情况并不理想。现有的关于遵守情况预测因素的研究几乎完全基于横断面数据，这增加了反向因果关系和混杂因素的可能性。
利用伦敦大学学院COVID-19社会研究的数据，该研究是对英国封锁前三个月的英国成年人进行的一个大型每周在线小组调查（n = 51,600），我们使用随机截距交叉滞后面板模型，测试了政府信心、心理健康、社会经历以及对COVID-19的认知在个体内部的变化是否与自我报告的遵守当局指导方针的水平存在纵向关联。
我们发现，对政府应对疫情信心的增强与自我报告的更高遵守率之间存在微弱的纵向关联，但几乎没有证据表明心理健康和幸福感、对未来逆境的担忧以及社会隔离和孤独等因素与后期的遵守情况有关。我们发现，自我报告的更高遵守率与更高的抑郁症状存在纵向关联。我们发现，低遵守率与较低的休闲参与度、提供照料以及外出工作有关。
我们的结果表明，为了有效应对疫情，政府应确保维持公众信心。
纳菲尔德基金会、惠康信托基金会和MARCH心理健康网络。MARCH由英国研究与创新支持的跨学科心理健康网络升级版倡议资助。
