Institute of History and Ethics in Medicine, School of Medicine, Technical University of Munich, Munich, Germany.
Department of Political Science, Centre for the Study of Contemporary Solidarity, University of Vienna, Vienna, Austria.
Front Public Health. 2022 Apr 14;10:829904. doi: 10.3389/fpubh.2022.829904. eCollection 2022.
Since the beginning of the COVID-19 pandemic, research has explored various aspects of face mask use. While most of the research explores their effectiveness to prevent the spread of the virus, a growing body of literature has found that using face masks also has social meaning. But what social meaning does it have, and how does this meaning express itself in people's practice? Based on 413 qualitative interviews with residents in five European countries (Austria, Belgium, Germany, Ireland, and Switzerland), we found that the meanings of face masks have changed drastically during the first months of the pandemic. While in spring 2020 people wearing them had to fear stigmatization, in autumn of 2020 not wearing masks was more likely to be stigmatized. Throughout the first year of the pandemic, we found that mask wearing had multiple and partly seemingly contradictory meanings for people. They were perceived as obstacles for non-verbal communication, but also a way to affirm friendships and maintain social contacts. They also signaled specific moral or political stances on the side of face mask wearers and non-wearers alike, expressed their belonging to certain communities, or articulated concern. In sum, our findings show how face masks serve as scripts for people to navigate their lives during the COVID-19 pandemic. We conclude that public and political discussions concerning face masks should include not only evidence on the epidemiological and infectiological effects of face masks, but also on their social meanings and their social effects.
自 COVID-19 大流行开始以来,研究已经探讨了口罩使用的各个方面。虽然大多数研究都探讨了它们预防病毒传播的有效性,但越来越多的文献发现,使用口罩也具有社会意义。但是,它具有什么社会意义,以及这种意义如何在人们的实践中表现出来?基于对五个欧洲国家(奥地利、比利时、德国、爱尔兰和瑞士)的 413 名居民的定性访谈,我们发现,在大流行的头几个月里,口罩的含义发生了巨大变化。虽然 2020 年春天戴口罩的人担心会受到污名化,但 2020 年秋天不戴口罩更有可能受到污名化。在大流行的第一年中,我们发现口罩对人们来说具有多种且部分看似矛盾的含义。它们被视为非言语交流的障碍,但也是肯定友谊和保持社交联系的一种方式。它们还表明了口罩佩戴者和不佩戴者在道德或政治立场上的特定立场,表达了他们对特定社区的归属感,或表达了关注。总之,我们的研究结果表明,口罩如何成为人们在 COVID-19 大流行期间生活的脚本。我们得出的结论是,有关口罩的公共和政治讨论不仅应包括有关口罩在流行病学和传染病学方面的影响的证据,还应包括其社会意义及其社会影响。