Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
BMC Public Health. 2021 Dec 8;21(1):2232. doi: 10.1186/s12889-021-12316-0.
Mobility restriction is the most effective measure to control the spread of infectious disease at its early stage, especially if a cure and vaccine are not available. When control of the coronavirus disease 2019 (COVID-19) required strong precautionary measures, lockdowns were necessarily implemented in countries around the globe. Public health risk communication about the justification and scope of a lockdown was challenging as it involved a conflict between solidarity and individual liberty and a trade-off between various values across groups with different socioeconomic statuses. In the study, we examined public responses to the government-announced "circuit breaker" (a local term for lockdown) at four-time points in Singapore: (1) entry, (2) extension, (3) exit of lockdown 'phase 1' and (4) entry of lockdown 'phase 2'.
We randomly collected 100 comments from the relevant articles on new organisations' Facebook and Instagram pages and conducted preliminary coding. Later, additional random 20 comments were collected to check the data saturation. Content analysis was focused on identifying themes that emerged from the responses across the four-time points.
At the entry, public support for the lockdown was prevalent; yet most responses were abstract with uncertainty. At six weeks of lockdown, initial public responses with uncertainty turned into salient narratives of their lived experiences and hardship with lockdown and unmasking of societal weaknesses caused by COVID-19. At the entry to phase 2, responses were centred on social-economic impact, disparity, and lockdown burnout with the contested notion of continuing solidarity. A temporal pattern was seen in the rationalisation of the lockdown experience from trust, anxiety, attribution of pandemic and lockdown, blaming of non-compliant behaviours, and confusion.
The findings indicated a temporal evolution of public responses from solidarity, attribution of the sustained pandemic, increasing ambiguity towards strong precautionary measures, concerns about economic hardship and mental well-being to worsened social vulnerability, where the government's restrictive policies were questioned with anxiety and confusion. Public health risk communication in response to COVID-19 should be transparent and address health equity and social justice to enhance individual and collective responsibility in protecting the public from the pandemic.
在传染病的早期阶段,行动限制是控制其传播最有效的措施,特别是在没有治愈方法和疫苗的情况下。在控制 2019 年冠状病毒病(COVID-19)需要采取强有力的预防措施时,全球各国都不得不实施封锁。由于公共卫生风险沟通涉及团结与个人自由之间的冲突,以及不同社会经济地位群体之间各种价值观的权衡取舍,因此对封锁的理由和范围进行沟通极具挑战性。在这项研究中,我们在新加坡四个时间点(1)进入封锁期,(2)延长封锁期,(3)解除封锁期第 1 阶段,(4)进入封锁期第 2 阶段),检查了公众对政府宣布的“断路器”(封锁的本地术语)的反应。
我们从新组织的 Facebook 和 Instagram 页面上的相关文章中随机收集了 100 条评论,并进行了初步编码。之后,又收集了另外 20 条随机评论以检查数据是否饱和。内容分析侧重于识别四个时间点的反应中出现的主题。
在进入封锁期时,公众对封锁的支持普遍存在;但是大多数反应都是抽象的,带有不确定性。封锁六周后,最初对不确定性的公众反应变成了对封锁期间生活经历和困难的突出叙述,以及 COVID-19 暴露的社会弱点。进入第二阶段时,反应集中在社会经济影响,差距和封锁疲劳以及继续团结的争议概念上。可以看到时间上的模式,即从信任,焦虑,大流行和封锁的归因,对不遵守行为的指责以及困惑中对封锁经历进行合理化。
研究结果表明,公众的反应从团结,持续大流行的归因,对强有力的预防措施的日益模糊,对经济困难和心理健康的关注,到社会弱势的恶化,政府的限制性政策因焦虑和困惑而受到质疑。针对 COVID-19 的公共卫生风险沟通应透明,并解决健康公平和社会正义问题,以增强个人和集体对保护公众免受大流行的责任。