Unwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicine

Abstract Background We investigated if people’s response to the official recommendations during the COVID-19 pandemic is associated with conspiracy beliefs related to COVID-19, a distrust in the sources providing information on COVID-19, and an endorsement of complementary and alternative medicine (...

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Main Authors: Anna Soveri, Linda C. Karlsson, Jan Antfolk, Mikael Lindfelt, Stephan Lewandowsky
Format: Article
Language:English
Published: BMC 2021-04-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-021-10643-w
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author Anna Soveri
Linda C. Karlsson
Jan Antfolk
Mikael Lindfelt
Stephan Lewandowsky
author_facet Anna Soveri
Linda C. Karlsson
Jan Antfolk
Mikael Lindfelt
Stephan Lewandowsky
author_sort Anna Soveri
collection DOAJ
description Abstract Background We investigated if people’s response to the official recommendations during the COVID-19 pandemic is associated with conspiracy beliefs related to COVID-19, a distrust in the sources providing information on COVID-19, and an endorsement of complementary and alternative medicine (CAM). Methods The sample consisted of 1325 Finnish adults who filled out an online survey marketed on Facebook. Structural regression analysis was used to investigate whether: 1) conspiracy beliefs, a distrust in information sources, and endorsement of CAM predict people’s response to the non-pharmaceutical interventions (NPIs) implemented by the government during the COVID-19 pandemic, and 2) conspiracy beliefs, a distrust in information sources, and endorsement of CAM are related to people’s willingness to take a COVID-19 vaccine. Results Individuals with more conspiracy beliefs and a lower trust in information sources were less likely to have a positive response to the NPIs. Individuals with less trust in information sources and more endorsement of CAM were more unwilling to take a COVID-19 vaccine. Distrust in information sources was the strongest and most consistent predictor in all models. Our analyses also revealed that some of the people who respond negatively to the NPIs also have a lower likelihood to take the vaccine. This association was partly related to a lower trust in information sources. Conclusions Distrusting the establishment to provide accurate information, believing in conspiracy theories, and endorsing treatments and substances that are not part of conventional medicine, are all associated with a more negative response to the official guidelines during COVID-19. How people respond to the guidelines, however, is more strongly and consistently related to the degree of trust they feel in the information sources, than to their tendency to hold conspiracy beliefs or endorse CAM. These findings highlight the need for governments and health authorities to create communication strategies that build public trust.
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spelling doaj.art-7560f485f4e042819213c21fef77c6d22022-12-21T23:45:24ZengBMCBMC Public Health1471-24582021-04-0121111210.1186/s12889-021-10643-wUnwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicineAnna Soveri0Linda C. Karlsson1Jan Antfolk2Mikael Lindfelt3Stephan Lewandowsky4Institute of Clinical Medicine, University of TurkuDepartment of Psychology, Åbo Akademi UniversityDepartment of Psychology, Åbo Akademi UniversityDepartment of Theological Ethics, Åbo Akademi UniversitySchool of Psychological Science, University of BristolAbstract Background We investigated if people’s response to the official recommendations during the COVID-19 pandemic is associated with conspiracy beliefs related to COVID-19, a distrust in the sources providing information on COVID-19, and an endorsement of complementary and alternative medicine (CAM). Methods The sample consisted of 1325 Finnish adults who filled out an online survey marketed on Facebook. Structural regression analysis was used to investigate whether: 1) conspiracy beliefs, a distrust in information sources, and endorsement of CAM predict people’s response to the non-pharmaceutical interventions (NPIs) implemented by the government during the COVID-19 pandemic, and 2) conspiracy beliefs, a distrust in information sources, and endorsement of CAM are related to people’s willingness to take a COVID-19 vaccine. Results Individuals with more conspiracy beliefs and a lower trust in information sources were less likely to have a positive response to the NPIs. Individuals with less trust in information sources and more endorsement of CAM were more unwilling to take a COVID-19 vaccine. Distrust in information sources was the strongest and most consistent predictor in all models. Our analyses also revealed that some of the people who respond negatively to the NPIs also have a lower likelihood to take the vaccine. This association was partly related to a lower trust in information sources. Conclusions Distrusting the establishment to provide accurate information, believing in conspiracy theories, and endorsing treatments and substances that are not part of conventional medicine, are all associated with a more negative response to the official guidelines during COVID-19. How people respond to the guidelines, however, is more strongly and consistently related to the degree of trust they feel in the information sources, than to their tendency to hold conspiracy beliefs or endorse CAM. These findings highlight the need for governments and health authorities to create communication strategies that build public trust.https://doi.org/10.1186/s12889-021-10643-wCOVID-19Vaccine attitudesNon-pharmaceutical interventionsNPIConspiracyComplementary and alternative medicine
spellingShingle Anna Soveri
Linda C. Karlsson
Jan Antfolk
Mikael Lindfelt
Stephan Lewandowsky
Unwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicine
BMC Public Health
COVID-19
Vaccine attitudes
Non-pharmaceutical interventions
NPI
Conspiracy
Complementary and alternative medicine
title Unwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicine
title_full Unwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicine
title_fullStr Unwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicine
title_full_unstemmed Unwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicine
title_short Unwillingness to engage in behaviors that protect against COVID-19: the role of conspiracy beliefs, trust, and endorsement of complementary and alternative medicine
title_sort unwillingness to engage in behaviors that protect against covid 19 the role of conspiracy beliefs trust and endorsement of complementary and alternative medicine
topic COVID-19
Vaccine attitudes
Non-pharmaceutical interventions
NPI
Conspiracy
Complementary and alternative medicine
url https://doi.org/10.1186/s12889-021-10643-w
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