Casey Bernard H
SOCial ECONomic RESearch, London, UK.
SOCial ECONomic RESearch, Frankfurt, Germany.
Discov Soc Sci Health. 2023;3(1):6. doi: 10.1007/s44155-023-00035-3. Epub 2023 Mar 20.
Social trustbetween governments and people and between individuals-and trust in science were proposed as prerequisites for tackling covid. Others suggested less democratic societies were more able to impose strict rules stopping the virus. These propositions were tested for a group of mainly advanced countries. The dependent variable is cumulated deaths from covid. Findings are broken down between (a) OECD member countries, (b) these and countries having cooperation agreements with it, and (c) all these plus China. They are also broken down by time-between (a) the period before the appearance of "new variants" in late 2020 and (b) the period from then until end September 2021. The best, most parsimonious, models explain nearly half of the changes in the level of deaths. Trust in government improves outcomes, as does interpersonal trust. Vaccine antipathy does not play a role. Also, there is little indication that authoritarian regimes performed better than higher trust societies. In the first period, increasing wealth inequality-indicating a more divided society-is related to higher death rates. Hospital bed availability is important then, but not thereafter. Furthermore, as the pandemic persisted, the importance of pre-existing levels of social trust declined. The paper warns that institutions and cultures cannot easily be transferred from one country to another. Nor would all transfers be desired. It also suggests that some other lessons of what contributed to better outcomes under covid might be relevant for the monkeypox virus-its successor public health emergency.
政府与民众之间以及个人之间的社会信任,还有对科学的信任,被认为是应对新冠疫情的先决条件。其他人则认为,民主程度较低的社会更有能力实施严格的规则来阻止病毒传播。对一组主要的发达国家进行了这些命题的检验。因变量是新冠累计死亡人数。研究结果按以下方式细分:(a) 经合组织成员国,(b) 这些国家以及与之有合作协议的国家,(c) 所有这些国家再加上中国。研究结果也按时间细分:(a) 2020年末“新变种”出现之前的时期,(b) 从那时起到2021年9月底的时期。最佳、最简洁的模型解释了近一半的死亡人数变化情况。对政府的信任能改善结果,人际信任也是如此。疫苗反感不起作用。此外,几乎没有迹象表明威权政权比信任度较高的社会表现更好。在第一个时期,财富不平等加剧(表明社会更加分化)与更高的死亡率相关。那时医院床位的可用性很重要,但之后就不重要了。此外,随着疫情持续,先前社会信任水平的重要性下降了。该论文警告说,制度和文化不能轻易从一个国家移植到另一个国家。也并非所有的移植都是人们所希望的。它还表明,在新冠疫情期间促成更好结果的一些其他经验教训可能与猴痘病毒(其后续的公共卫生紧急事件)相关。