Department of Agricultural Economics, University of Nebraska-Lincoln, Lincoln, Nebraska, United States of America.
Department of Agriculture, Arkansas Tech University, Russellville, Arkansas, United States of America.
PLoS One. 2023 Sep 14;18(9):e0286712. doi: 10.1371/journal.pone.0286712. eCollection 2023.
The COVID-19 pandemic, like other crises, has had direct and indirect impacts on individuals, many of which have been negative. While a large body of research has examined the impacts of COVID-19 on people's lives, there is little evidence about how COVID-19 affects decision-making broadly. Emotional responses to COVID-19-related stressors, such as illness and income loss, provide a pathway for these stressors to affect decision-making. In this study, we examine linkages between exposure to COVID-19-related stressors-focusing on temporally specific local case counts and loss of income due to the pandemic-and decisions to access information about antimicrobial resistance (AMR), another critically important health issue. COVID-19 constitutes a natural experiment in that people's exposure to stressors does not result from those individuals' current decisions. Using a nationally representative survey with 1223 respondents in December 2020, we linked the temporally specific COVID-19 cases and income loss experienced by participants to an increased likelihood of feeling hopeless. Higher feelings of hopelessness led to a higher probability of avoiding information about AMR. A mediation analysis confirms that emotional responses to COVID-19 stressors significantly increase information avoidance about an unrelated, but important health issue. Our results suggest that large-scale crises, like COVID-19 and climate change, may diminish action on other important health issues facing humanity.
新冠疫情大流行与其他危机一样,对个人产生了直接和间接的影响,其中许多影响是负面的。虽然大量研究已经考察了新冠疫情对人们生活的影响,但关于新冠疫情如何广泛影响决策的证据很少。对与新冠相关压力源(如疾病和收入损失)的情绪反应为这些压力源影响决策提供了途径。在这项研究中,我们考察了与接触新冠相关压力源(重点是特定时间的本地病例数和因疫情导致的收入损失)之间的联系,以及获取有关抗菌素耐药性(AMR)信息的决策,这是另一个至关重要的健康问题。新冠疫情构成了一个自然实验,因为人们接触压力源并不是由于他们当前的决策。我们使用了一项具有代表性的全国性调查,该调查于 2020 年 12 月对 1223 名受访者进行了调查,将参与者经历的特定时间的新冠病例和收入损失与感到绝望的可能性增加联系起来。更高的绝望感导致避免有关 AMR 信息的可能性更高。中介分析证实,对新冠压力源的情绪反应显著增加了对一个不相关但重要的健康问题的信息回避。我们的研究结果表明,像新冠疫情和气候变化这样的大规模危机可能会减少人类面临的其他重要健康问题的行动。