Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, Policy Innovation and Evaluation Research Unit (PIRU), London, UK.
Eur J Public Health. 2023 Dec 9;33(6):1155-1162. doi: 10.1093/eurpub/ckad148.
To control the spread of coronavirus disease 2019 (COVID-19), governments are increasingly relying on the public to voluntarily manage risk. Effectiveness is likely to rely in part on how much the public trusts the Government's response. We examined the English public's trust in the Conservative Government to control the spread of COVID-19 after the initial 'crisis' period.
We analyzed eight rounds of a longitudinal survey of 1899 smartphone users aged 18-79 in England between October 2020 and December 2021. We fitted a random-effects logit model to identify personal characteristics and opinions associated with trust in the Conservative Government to control the spread of COVID-19.
Trust was lowest in January 2021 (28%) and highest in March 2021 (44%). Being older, having lower educational attainment and aligning with the Conservative Party were predictors of higher levels of trust. Conversely, being less deprived, reporting that Government communications were not clear and considering that the measures taken by the Government went too far or not far enough were predictors of being less likely to report a great deal or a fair amount of trust in the Government to control the pandemic.
Trust in the Government's response was found to be low throughout the study. Our findings suggest that there may be scope to avoid losing trust by aligning Government actions more closely with scientific advice and public opinion, and through clearer public health messaging. However, it remains unclear whether and how higher trust in the Government's response would increase compliance with Government advice.
为了控制 2019 年冠状病毒病(COVID-19)的传播,各国政府越来越依赖公众自愿管理风险。有效性可能部分取决于公众对政府应对措施的信任程度。我们研究了英国公众在最初的“危机”时期之后对保守党政府控制 COVID-19 传播的信任。
我们分析了 2020 年 10 月至 2021 年 12 月期间,在英格兰对 1899 名年龄在 18 至 79 岁之间的智能手机用户进行的 8 轮纵向调查。我们拟合了一个随机效应逻辑模型,以确定与信任保守党政府控制 COVID-19 传播相关的个人特征和意见。
信任度在 2021 年 1 月最低(28%),在 2021 年 3 月最高(44%)。年龄较大、受教育程度较低和与保守党结盟是信任度较高的预测因素。相反,较少贫困、报告政府沟通不清楚以及认为政府采取的措施走得太远或不够远是不太可能报告对政府控制大流行有很大或相当程度信任的预测因素。
在整个研究过程中,对政府反应的信任度被发现很低。我们的研究结果表明,通过更紧密地将政府行动与科学建议和公众意见保持一致,并通过更清晰的公共卫生信息传递,可能有机会避免失去信任。然而,目前尚不清楚是否以及如何提高对政府反应的信任会增加对政府建议的遵守。