Department of Management and Engineering, Division of Economics, Linköping University, Linköping, Sweden.
National Center for Health Care Priority Setting, The Department of Health, Medicine and Caring Sciences (HMV), Linköping University, Linköping, Sweden.
Med Decis Making. 2022 Aug;42(6):776-782. doi: 10.1177/0272989X221079354. Epub 2022 Feb 16.
Given the flood of health-related information stirred up by the coronavirus disease 2019 (COVID-19) pandemic, it is important to understand the factors that influence people to engage in protective public health measures so that medical communication can be tailored to be effective. Following the idea that people have a general inclination toward health care utilization, which is either more passive (i.e., medical minimizer) or more aggressive (i.e., medical maximizer), we assess if this inclination extends to being more or less willing to engage in protective public health behavior. We investigate the effect of individual differences in medical minimizing and medical maximizing orientation on COVID-19-related protective behaviors and attitudes. We used the validated Medical Maximizer-Minimizer Scale (MMS) and surveyed a diverse opt-in sample of the Swedish population ( = 806). Our results show that the MMS significantly predicts a wide range of self-reported behaviors and attitudes in relation to COVID-19. Participants with a stronger minimization orientation were significantly less likely to practice social distancing, follow hygiene recommendations, and be supportive of strict COVID-19 policies. Participants with a stronger maximization orientation had a larger discrepancy between perceived own risk and others getting infected. Thus, they perceived themselves as being less at risk for getting infected compared to the average person. Our findings imply that the MMS can be effectively used to predict who is more or less reluctant to follow public health recommendations.: D70 E71 I12 I18.
鉴于 2019 年冠状病毒病(COVID-19)大流行引发的大量与健康相关的信息,了解影响人们采取保护公众健康措施的因素非常重要,以便对医学交流进行针对性调整以提高其效果。鉴于人们普遍倾向于利用医疗保健,这种倾向要么更为消极(即医疗最小化者),要么更为积极(即医疗最大化者),我们评估这种倾向是否会延伸到更愿意或更不愿意采取保护公众健康的行为。我们调查了医疗最小化和医疗最大化倾向的个体差异对 COVID-19 相关保护行为和态度的影响。我们使用经过验证的医疗最大化-最小化量表(MMS)对瑞典多样化的参与式人群样本(n=806)进行了调查。研究结果表明,MMS 显著预测了与 COVID-19 相关的广泛的自我报告行为和态度。具有更强最小化倾向的参与者更不可能采取社交距离措施、遵守卫生建议以及支持严格的 COVID-19 政策。具有更强最大化倾向的参与者对自身感染风险与他人感染风险的感知差距较大。因此,他们认为自己感染的风险比一般人低。研究结果表明,MMS 可有效地用于预测谁更不愿意遵守公共卫生建议。