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随着 COVID-19 成为长期威胁,公众对健康法规的遵从性正在瓦解:重复横断面研究。

Public conformism with health regulation is crumbling as COVID-19 becomes a chronic threat: Repeated Cross-sectional Studies.

机构信息

Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Ramat-Aviv, P.O.B. 39040, 6997801, Tel Aviv, Israel.

National Center for Trauma and Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel-HaShomer, Israel.

出版信息

Isr J Health Policy Res. 2023 Feb 3;12(1):7. doi: 10.1186/s13584-023-00555-y.

Abstract

BACKGROUND

The purpose of this study is to analyze the long terms trends in public attitudes toward the COVID-19 pandemic and compliance with self-quarantine regulations.

METHODS

Repeated cross-sectional studies looking into data collected from nationally representative samples (N = 2568) of the adult population in Israel at five points in time representing the five morbidity waves of the COVID-19 pandemic. This study examined public trust in Israeli health regulations, levels of public panic, feelings of personal worry, and compliance with health regulations, specifically self-quarantine.

RESULTS

Public trust in health regulations in January 2022 is at an all-time low (25%) compared to the maximum value of nearly 75% measured in March 2020. While reported worry is steadily reducing, the perception of public panic is increasing. In earlier rounds, public compliance with self-quarantine was reported close to 100%; however, it has dropped to 38% by January 2022 when compensation is not assumed. Regression analysis suggests that trust is a major predictor of compliance with health regulations.

CONCLUSIONS

The "fifth wave" of the COVID-19 pandemic brought about an all-time low in public trust in health regulations. The Israeli public, normally a highly compliant one, is showing signs of crumbling conformity.

摘要

背景

本研究旨在分析公众对 COVID-19 大流行的态度和对自我隔离规定的遵守情况的长期趋势。

方法

本研究采用重复横断面研究方法,对以色列全国代表性样本(N=2568)在 COVID-19 大流行的五个发病波次中的五个时间点收集的数据进行分析。本研究考察了公众对以色列卫生法规的信任度、公众恐慌程度、个人担忧感以及对卫生法规(特别是自我隔离)的遵守情况。

结果

与 2020 年 3 月接近 75%的最高值相比,2022 年 1 月公众对卫生法规的信任度处于历史最低点(25%)。虽然报告的担忧感在稳步下降,但公众恐慌感却在上升。在早期阶段,报告的自我隔离遵守率接近 100%;然而,当没有补偿时,这一比例在 2022 年 1 月降至 38%。回归分析表明,信任是遵守卫生法规的主要预测因素。

结论

COVID-19 大流行的“第五波”导致公众对卫生法规的信任度降至历史最低点。以色列公众通常非常遵守规定,但现在开始出现违反规定的迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e588/9896836/85244482cd13/13584_2023_555_Fig1_HTML.jpg

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