Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America.
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America.
Prev Med. 2022 Jul;160:107098. doi: 10.1016/j.ypmed.2022.107098. Epub 2022 May 26.
Mask wearing and social distancing have been essential public health guidelines throughout the COVID-19 pandemic, but faced resistance from skeptical subgroups in the United States, including Republicans and evangelicals. We examined the effects of participation in ideologically heterogeneous civic associations on attitudes toward public health measures during the COVID-19 pandemic, particularly among partisan and religious subgroups most resistant to public health guidelines. We analyzed panel survey data from a nationally representative cohort of 1222 U.S. adults collected in April, July, and November 2020, and July/August 2021. Data on the importance of social distancing and mask wearing were collected in November 2020. Evangelicals and Republicans who participated in ideologically diverse civic associations were more likely to support mask wearing compared to those participating in ideologically homogenous associations (difference in predicted policy support on a 0-1 scale: 0.084, p ≤ .05 and 0.020, p ≤ .05, respectively). Evangelicals in ideologically diverse associations were also more likely to support social distancing compared to those in ideologically homogenous associations (0.089, p ≤ .05). Participation in civic associations with ideologically heterogeneous members was associated with greater support for public health measures among skeptical subgroups. Encouraging exposure to diverse ideologies may bolster support for public health measures to mitigate COVID-19.
佩戴口罩和保持社交距离一直是 COVID-19 大流行期间的重要公共卫生准则，但在美国却遭到包括共和党人和福音派在内的一些持怀疑态度的亚群体的抵制。我们研究了参与意识形态异质公民协会对 COVID-19 大流行期间公众对公共卫生措施的态度的影响，特别是针对最抵制公共卫生准则的党派和宗教亚群体。我们分析了 2020 年 4 月、7 月和 11 月以及 2021 年 7 月/8 月从一个由 1222 名美国成年人组成的全国代表性队列中收集的小组调查数据。2020 年 11 月收集了关于社交距离和佩戴口罩重要性的数据。与参加意识形态同质协会的福音派和共和党人相比，参加意识形态异质公民协会的福音派和共和党人更有可能支持佩戴口罩（在 0-1 尺度上预测政策支持的差异：0.084，p≤.05 和 0.020，p≤.05，分别）。与参加意识形态同质协会的福音派相比，参加意识形态异质协会的福音派也更有可能支持保持社交距离（0.089，p≤.05）。与参加意识形态同质协会的福音派相比，参加意识形态异质成员的公民协会的参与与对公共卫生措施的更大支持相关。鼓励接触不同的意识形态可能会增强对公共卫生措施的支持，以减轻 COVID-19 的影响。
