期刊
SOCIAL SCIENCE & MEDICINE
卷 268, 期 -, 页码 -出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.socscimed.2020.113370
关键词
-
资金
- Swiss National Science Foundation (SNF) [10FI14_170409, 10FI14_170402/2]
- Jacobs Foundation (JF)
- SNF
- JF
- Swiss Federal Office of Public Health
- Department of Education of the Canton of Zurich
- Swiss State Secretariat of Migration
- Julius Bar Foundation
- Visana Plus Foundation
Adolescents and young adults show low compliance with public health measures during the COVID-19 pandemic, especially in hygiene-related measures. Research found that males, individuals with higher education and SES, nonmigrants, and individuals with antisocial potential were more likely to exhibit non-compliance behaviors. Trust in authorities and moral obligation were identified as key factors in promoting compliance among young adults.
Rationale: Adolescents and young adults were identified internationally as a group with potentially low compliance rates with public health measures aimed at curbing the spread of coronavirus disease 2019 (COVID-19). Although non-compliance research during pandemics has typically focused on concurrent correlates, less is known about how prior social and psychological risk factors are associated with non-compliance during pandemics. Objective: This paper leverages a prospective-longitudinal cohort study with data before and during the pandemic to describe patterns of non-compliance with COVID-19 related public health measures in young adults and to identify which characteristics increase the risk of non-compliance. Methods: Data came from an ongoing cohort study in Zurich, Switzerland (n=737). Non-compliance with public health measures and concurrent correlates were measured at age 22. Antecedent sociodemographic, social, and psychological factors were measured at ages 15-20. Young adults generally complied with COVID-19 public health measures, although non-compliance with some measures (e.g., cleaning/disinfecting mobile phones, standing 1.5-2 meters apart) was relatively higher. Results: Non-compliance, especially with hygiene-related measures, was more prevalent in males, and in individuals with higher education, higher SES, and a nonmigrant background. Non-compliance was higher in young adults who had previously scored high on indicators of antisocial potential, including low acceptance of moral rules, pre-pandemic legal cynicism, low shame/guilt, low self-control, engagement in delinquent behaviors, and association with delinquent peers. Young adults with low trust, including in the government's measures for fighting the virus, also complied less. Conclusions: In order to increase voluntary compliance with COVID-19 measures, public health campaigns should implement strategies that foster moral obligation and trust in authorities, or leverage trustworthy individuals in the community to disseminate information. For young adults with low self-control, self-monitoring, environmental restructuring, or nudging may increase compliance. Long-term investments into integrating youth with antisocial potential into society may decrease rule-breaking behaviors, including during pandemics when compliance saves lives.
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