Brazilian Health Regulatory Agency - Anvisa, Setor de Indústrias, Trecho 5, Área Especial 57, Brasília, 71205-050, DF, Brazil.
Faculty of Health Sciences, University of Brasília - UnB, Campos Univ. Darcy Ribeiro, Asa Norte, Brasília, 70910-900, DF, Brazil.
BMC Public Health. 2024 Jun 14;24(1):1598. doi: 10.1186/s12889-024-19076-7.
Tools for assessing a country's capacity in the face of public health emergencies must be reviewed, as they were not predictive of the COVID-19 pandemic. Social cohesion and risk communication, which are related to trust in government and trust in others, may have influenced adherence to government measures and mortality rates due to COVID-19.
To analyse the association between indicators of social cohesion and risk communication and COVID-19 outcomes in 213 countries.
Social cohesion and risk communication, in their dimensions (public trust in politicians, trust in others, social safety nets, and equal distribution of resources index), were associated with lower excess mortality due to COVID-19. The number of COVID-19-related disorder events and government transparency were associated with higher excess mortality due to COVID-19. The lower the percentage of unemployed people, the higher the excess mortality due to COVID-19. Most of the social cohesion and risk communication variables were associated with better vaccination indicators, except for social capital and engaged society, which had no statistically significant association. The greater the gender equality, the better the vaccination indicators, such as the number of people who received all doses.
Public trust in politicians, trust in others, equal distribution of resources and government that cares about the most vulnerable, starting with the implementation of programs, such as cash transfers and combating food insecurity, were factors that reduced the excess mortality due to COVID-19. Countries, especially those with limited resources and marked by social, economic, and health inequalities, must invest in strengthening social cohesion and risk communication, which are robust strategies to better cope with future pandemics.
应对突发公共卫生事件的国家能力评估工具必须进行审查，因为这些工具未能预测到 COVID-19 大流行。社会凝聚力和风险沟通与对政府的信任和对他人的信任有关，可能会影响对政府措施的遵守和 COVID-19 死亡率。
分析 213 个国家的社会凝聚力和风险沟通指标与 COVID-19 结果之间的关联。
社会凝聚力和风险沟通及其维度（公众对政治家的信任、对他人的信任、社会安全网和资源分配均等指数）与 COVID-19 超额死亡率降低有关。与 COVID-19 相关的骚乱事件数量和政府透明度与 COVID-19 超额死亡率升高有关。失业人数百分比越低，COVID-19 超额死亡率越高。大多数社会凝聚力和风险沟通变量与更好的疫苗接种指标相关，除了社会资本和参与社会，它们没有统计学意义上的关联。性别平等程度越高，疫苗接种指标越好，例如接种所有剂量的人数。
公众对政治家的信任、对他人的信任、资源均等分配以及关心最弱势群体的政府，从实施现金转移和打击粮食不安全等计划开始，都是降低 COVID-19 超额死亡率的因素。各国，特别是资源有限且存在社会、经济和健康不平等的国家，必须投资于加强社会凝聚力和风险沟通，这是更好应对未来大流行的有力策略。
