Predictors of the Public’s Aversion to Patients Infected with COVID-19 in China: The Mediating Role of Negative Physiology
Abstract
:1. Introduction
2. Theoretical Review
2.1. Prevention Measures and Public Psychology
2.2. Social Media Usage and Risk Communication
2.3. Negative Physiology and Public Aversion
3. Materials and Methods
3.1. Measures
3.2. Setting and Participants
4. Results and Analysis
4.1. Multivariate Normality and Common Method Biases Test
4.2. Constructs Measurement
4.3. Hypothesized Paths Test
4.4. Mediation Effects Test
5. Discussion
5.1. Scientific and Rational Risk Communication during the Epidemic
5.2. Strict Gate-Keeping of Information Related to the Epidemic on Social Media
5.3. Prevention and Protection of Individual Life during the Epidemic
5.4. Limitations and Suggestions for Future Research
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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n% | n% | ||||
---|---|---|---|---|---|
Age Group (yrs) | Occupation Type | ||||
<18 | 15 | 0.8 | Farmers | 81 | 4.3 |
18–29 | 702 | 37.7 | Health professionals | 173 | 9.3 |
30–39 | 417 | 22.4 | Students | 494 | 26.5 |
40–49 | 325 | 17.4 | Officers | 523 | 28.1 |
50–59 | 150 | 8.1 | Industrial workers | 257 | 13.8 |
>59 | 254 | 13.6 | Self-employed person | 40 | 2.1 |
Gender | Others | 295 | 15.8 | ||
Male | 882 | 47.3 | Educational level | ||
Female | 981 | 52.7 | Secondary school and below | 638 | 34.2 |
Average monthly income (RMB) | High school | 661 | 35.5 | ||
<2000 | 736 | 39.5 | University | 564 | 30.3 |
2001–5000 | 427 | 22.9 | Location of current workplace | ||
5001–10,000 | 503 | 27.0 | Urban | 1362 | 73.1 |
>10,000 | 197 | 10.6 | Rural | 501 | 26.9 |
Social Media Usage: | Skewness | Kurtosis | SFL |
---|---|---|---|
Cronbach’s α = 0.906; CR = 0.905; AVE = 0.615 | |||
1. I spent a lot of time thinking about the COVID-19 content on WeChat. | −0.537 | 0.368 | 0.702 |
2. I want to use WeChat more to learn about COVID-19. | −0.476 | 0.435 | 0.689 |
3. I have been following COVID-19 content on WeChat to ease worries about daily life. | −0.872 | −0.754 | 0.676 |
4. I tried to reduce the frequency of using WeChat to learn about COVID-19 but without success. * | −0.682 | 1.262 | 0.595 |
5. I would be troubled if I was banned from using WeChat to get information about COVID-19. | −0.987 | 0.563 | 0.698 |
6. Paying attention to information about COVID-19 on WeChat too often has some negative effects on my life. | −0.343 | 0.122 | 0.643 |
Prevention measures: | |||
Cronbach’s α = 0.937; CR = 0.940; AVE = 0.636 | |||
7. Use separate towels | −0.834 | 0.643 | 0.657 |
8. Wash hands frequently | −0.643 | 0.427 | 0.746 |
9. Use separate cutlery | −0.564 | 0.993 | 0.703 |
10. Sleep in separate rooms | −0.911 | 0.754 | 0.689 |
11. Wear a mask on all occasions | −0.654 | 0.219 | 0.767 |
12. Compliant with all household prevention measures | −0.766 | 0.315 | 0.728 |
13. Do not go out of the house to socialize | −0.544 | 0.536 | 0.732 |
14. Do not attend important events | −0.348 | 0.369 | 0.745 |
15. Do not allow visitors into the home | −0.175 | 0.743 | 0.71 |
16. Compliant with all community protective measures | −0.765 | 1.572 | 0.724 |
Risk communication: | |||
Cronbach’s α = 0.838; CR = 0.839; AVE = 0.597 | |||
17. Friends close to me say it is very dangerous to get COVID-19. | −0.623 | 0.264 | 0.689 |
18. I have seen frequent media coverage of COVID-19 risks. | 0.347 | 0.854 | 0.725 |
19. The risk information of COVID-19 is often circulated in my community (or wechat group). | −0.436 | 0.643 | 0.717 |
Negative physiology: | |||
Cronbach’s α = 0.944; CR = 0.948; AVE = 0.696 | |||
20. perception of boredom | −0.762 | 0.352 | 0.709 |
21. perception of isolation | −0.434 | 1.056 | 0.735 |
22. perception of frustration | −0.452 | 0.985 | 0.688 |
23. perception of annoyance | −0.562 | 0.346 | 0.645 |
24. perception of worry | −0.786 | 0.762 | 0.721 |
25. perception of loneliness | −0.923 | 0.851 | 0.733 |
26. perception of helpless | −0.658 | 0.363 | 0.714 |
27. perception of anger | −0.348 | 0.738 | 0.693 |
28. perception of nervousness | −0.873 | 0.564 | 0.722 |
29. perception of sadness | −0.345 | −0.373 | 0.758 |
Stigma: | |||
Cronbach’s α = 0.808; CR = 0.811; AVE = 0.502 | |||
30. Patients infected with COVID-19 are, in a way, repulsive. * | 0.965 | 2.632 | 0.556 |
31. I fear that the people being infected may cause harm to others. * | 1.194 | 1.735 | 0.544 |
32. I will try to keep a distance from people being infected. | −0.763 | 0.747 | 0.636 |
33. People being infected can be troublesome. * | −0.887 | 0.962 | 0.598 |
34. People being infected have increased the pressure on social governance. | −0.374 | 0.371 | 0.606 |
35. When I know of someone being infected, I try to stay away from him/her. | 0.478 | 0.262 | 0.641 |
36. People being infected cause inconvenience to the daily lives of others. | −0.369 | 0.743 | 0.659 |
37. I’m afraid of being alone with a person being infected. | −0.863 | 0.632 | 0.707 |
38. People being infected are understandably ostracized and alienated by others. | −0.473 | 0.367 | 0.612 |
39. When I meet people who have been to the affected areas, I try to keep them at arm’s length. | −0.84 | 0.744 | 0.694 |
Disgust: | |||
Cronbach’s α = 0.712; CR = 0.714; AVE = 0.598 | |||
40. I feel sick when someone infected with COVID-19 invades my personal space. * | −0.983 | 1.073 | 0.587 |
41. I wash my hands after shaking hands with someone who is infected, even if his/her hands are clean. | 0.493 | 0.463 | 0.711 |
42. I would hate to be in a confined space such as an elevator where someone being infected has stayed, even if the space has been disinfected. | −0.839 | 0.637 | 0.686 |
43. If I were told that I was the spacetime companion of someone being infected, I might be alienated from healthy people. | −0.495 | 0.983 | 0.604 |
44. I would be concerned if I had been in face-to-face contact with someone being infected. | −0.874 | 0.463 | 0.736 |
45. If my cook turns out to be infected, I would be disturbed. * | −1.263 | 2.254 | 0.523 |
Avoidance: | |||
Cronbach’s α = 0.839; CR = 0.843; AVE = 0.532 | |||
46. I will keep a physical distance from those infected with COVID-19. | 0.841 | 0.036 | 0.643 |
47. If any of my colleagues are infected with novel Coronavirus, I will try to avoid them. * | −0.943 | 1.986 | 0.576 |
48. I will try to avoid people being infected. * | 1.073 | 1.542 | 0.552 |
49. I would take offense at some of the behavior of people being infected. | 0.368 | 0.357 | 0.602 |
50. I would be annoyed by some of the behavior of people being infected. | 0.763 | 0.263 | 0.612 |
51. I would find it very difficult to be in close contact with someone being infected. | −0.538 | 0.643 | 0.657 |
52. I would feel overwhelmed if I had to talk to someone being infected. | −0.726 | 0.821 | 0.635 |
Variable | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
---|---|---|---|---|---|---|---|
1. Social media usage | / | ||||||
2. Prevention measures | 0.092 | / | |||||
3. Risk communication | 0.650 *** | 0.157 * | / | ||||
4. Negative physiology | 0.530 *** | −0.497 *** | 0.602 *** | / | |||
5. Stigma | 0.197 * | −0.167 * | 0.183 * | 0.74 *** | / | ||
6. Disgust | 0.087 | −0.139 * | 0.167 * | 0.652 *** | 0.510 ** | / | |
7. Avoidance | 0.079 | −0.161 * | 0.075 | 0.603 *** | 0.266 ** | 0.312 ** | / |
L 0.5% | L 2.5% | L 5% | Estimate | U 5% | U 2.5% | U 0.5% | |
---|---|---|---|---|---|---|---|
SMU to ST via NP | 0.281 | 0.297 | 0.313 | 0.370 | 0.427 | 0.443 | 0.459 |
SMU to DI via NP | 0.297 | 0.329 | 0.365 | 0.448 | 0.531 | 0.567 | 0.599 |
SMU to AV via NP | 0.164 | 0.183 | 0.225 | 0.296 | 0.367 | 0.409 | 0.428 |
PCM to ST via NP | −0.353 | −0.299 | −0.240 | −0.178 | −0.116 | −0.057 | −0.003 |
PCM to DI via NP | −0.379 | −0.307 | −0.252 | −0.193 | −0.134 | −0.079 | −0.007 |
PCM to AV via NP | −0.328 | −0.284 | −0.222 | −0.165 | −0.108 | −0.046 | −0.002 |
RC to ST via NP | 0.098 | 0.111 | 0.130 | 0.154 | 0.178 | 0.197 | 0.210 |
RC to DI via NP | 0.104 | 0.146 | 0.173 | 0.220 | 0.267 | 0.294 | 0.336 |
RC to AV via NP | 0.106 | 0.127 | 0.151 | 0.205 | 0.259 | 0.283 | 0.304 |
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Zhang, K.; Han, B.; Meng, R.; Hou, J.; Chen, L. Predictors of the Public’s Aversion to Patients Infected with COVID-19 in China: The Mediating Role of Negative Physiology. Healthcare 2022, 10, 1813. https://doi.org/10.3390/healthcare10101813
Zhang K, Han B, Meng R, Hou J, Chen L. Predictors of the Public’s Aversion to Patients Infected with COVID-19 in China: The Mediating Role of Negative Physiology. Healthcare. 2022; 10(10):1813. https://doi.org/10.3390/healthcare10101813
Chicago/Turabian StyleZhang, Ke, Boya Han, Ran Meng, Jiayi Hou, and Long Chen. 2022. "Predictors of the Public’s Aversion to Patients Infected with COVID-19 in China: The Mediating Role of Negative Physiology" Healthcare 10, no. 10: 1813. https://doi.org/10.3390/healthcare10101813