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Justice beliefs and cultural values predict support for COVID-19 vaccination and quarantine behavioral mandates: a multilevel cross-national study

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Abstract

Understanding how individual beliefs and societal values influence support for measures to prevent SARS-CoV-2 transmission is vital to developing and implementing effective prevention policies. Using both Just World Theory and Cultural Dimensions Theory, the present study considered how individual-level justice beliefs and country-level social values predict support for vaccination and quarantine policy mandates to reduce SARS-CoV-2 transmission. Data from an international survey of adults from 46 countries (N = 6424) were used to evaluate how individual-level beliefs about justice for self and others, as well as national values—that is, power distance, individualism, masculinity, uncertainty avoidance, long-term orientation, and indulgence—influence support for vaccination and quarantine behavioral mandates. Multilevel modeling revealed that support for vaccination and quarantine mandates were positively associated with individual-level beliefs about justice for self, and negatively associated with country-level uncertainty avoidance. Significant cross-level interactions revealed that beliefs about justice for self were associated more strongly with support for mandatory vaccination in countries high in individualism, whereas beliefs about justice for others were more strongly associated with support for vaccination and quarantine mandates in countries high in long-term orientation. Beliefs about justice and cultural values can independently and also interactively influence support for evidence-based practices to reduce SARS-CoV-2 transmission, such as vaccination and quarantine. Understanding these multilevel influences may inform efforts to develop and implement effective prevention policies in varied national contexts.

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... However, a statewise study in the US (60) and another multi-country study (63) both found the same results as our EU findings, when considering vaccination with at least one dose (our Y1) around the same time we measured it-individualism was a positive influence on vaccination rate, at least at the beginning of the campaign. On this individualism-collectivism divide, the literature provides less surprising evidence (especially from the first few months of the pandemic) when it comes to compliance with and support for protective measures, where higher national level individualism was found to be negatively related (64) and higher collectivism-positively (65,66). Following logically, in terms of other COVID-19 outcomes such as cases and deaths, more individualistic cultures were found to have higher numbers of both (67, 68). ...
... Our results certainly tell this story for EU countries, and, to a lesser degree for all 61 relatively wealthy nations we included in the analysis (however, this index was not a significant factor for OECD vaccination). There is some support in the literature to our finding of a positive influence of uncertainty avoidance on vaccine uptake (63), while its relation to other COVID-19 outcomes and NPIs is less clear (64,70,71). Furthermore, the long-term orientation covariate provided another set of surprising results, as one would think countries high on this national culture trait are invested in ensuring the future wellbeing of the nation and its people. ...
... Although the effect in our results was quite small, in relative terms, we see a definite negative relation between this index and vaccination. This counter-intuitive finding though goes hand in hand with existing evidence that long-term orientation is associated with lower support for NPIs and higher COVID-19 cases and deaths (64,69,70). Power distance, or the acceptance of the unequal distribution of power, showed a somewhat consistent negative effect throughout the vaccination effort, especially noticeable in the EU-only part of the analysis. ...
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Introduction In relatively wealthy countries, substantial between-country variability in COVID-19 vaccination coverage occurred. We aimed to identify influential national-level determinants of COVID-19 vaccine uptake at different COVID-19 pandemic stages in such countries. Methods We considered over 50 macro-level demographic, healthcare resource, disease burden, political, socio-economic, labor, cultural, life-style indicators as explanatory factors and coverage with at least one dose by June 2021, completed initial vaccination protocols by December 2021, and booster doses by June 2022 as outcomes. Overall, we included 61 European or Organisation for Economic Co-operation and Development (OECD) countries. We performed 100 multiple imputations correcting for missing data and partial least squares regression for each imputed dataset. Regression estimates for the original covariates were pooled over the 100 results obtained for each outcome. Specific analyses focusing only on European Union (EU) or OECD countries were also conducted. Results Higher stringency of countermeasures, and proportionately more older adults, female and urban area residents, were each strongly and consistently associated with higher vaccination rates. Surprisingly, socio-economic indicators such as gross domestic product (GDP), democracy, and education had limited explanatory power. Overall and in the OECD, greater perceived corruption related strongly to lower vaccine uptake. In the OECD, social media played a noticeable positive role. In the EU, right-wing government ideology exhibited a consistently negative association, while cultural differences had strong overall influence. Conclusion Relationships between country-level factors and COVID-19 vaccination uptake depended on immunization stage and country reference group. Important determinants include stringency, population age, gender and urbanization, corruption, government ideology and cultural context.
... Nudelman et al. (2021) found that BJW-self was negatively associated with depression across three countries. Lucas et al. (2022) in a study comprising participants from 46 countries found that BJW-self is more strongly associated with support for mandatory vaccination in countries that value individualism, whereas BJW-other is more strongly associated with support for mandatory vaccination in countries high on the national value of long-term orientation. Ours is the first study to test time-sensitive effects of BJW on mental health and well-being variables, while also accounting for potential cross-national variability in BJW and in health and well-being outcomes. ...
... persi stent Id= doi: 10. 34894/ PX5IVZ. Note that the BJW measures reported for this study at T1 were also employed inLucas et al. (2022).Content courtesy of Springer Nature, terms of use apply. Rights reserved. ...
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Belief in a just world (BJW) is well established as a coping resource, particularly for those times when the world is experienced as uncertain, unpredictable, and uncontrollable. The early days of the COVID-19 pandemic was such a time, and therefore provided an opportunity to test the boundary conditions of BJW theorizing. Here, we make a new methodological contribution, testing (a) cross-lagged panel effects of BJW on mental health and well-being variables and (b) whether these effects generalized cross-nationally. Drawing from data collected in early-mid 2020 by the PsyCorona Project (N = 2574 from 30 countries), BJW-self and BJW-other longitudinally predicted positive social/mental health, well-being, and hope, and these findings generalized across countries. We discuss the theoretical and applied implications of BJW as a coping resource in a time of crisis.
... In a survey study in Italy, libertarian morality (valuing individual freedom) decreased support for a COVID-19 vaccination mandate 207 . Another survey study across 46 countries revealed that attitudes toward mandatory vaccination relate to justice and cultural values 208 . Support for mandatory vaccination can change over time; for instance, by adapting to new information about the burden of disease or vaccine effectiveness. ...
... The complex interactions of variables merit study in assessing vaccine hesitancy and other prevention policies. (Lucas et al. 2022). ...
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COVID-19 presents a variety of ethical challenges in a set of arenas, arenas not always considered in past pandemics. These challenges include issues related to autonomy, distributive ethics, and the establishment of policies of equity and justice. Methods are a literature review based on regular editing of an online textbook during the COVID-19 outbreak and a literature review using key ethical terms. Patients are confronted with new issues related to autonomy. Providers need to expand their concepts of ethical issues to include decisions based on proportionality and public health ethics. The public health sector needs to assess the beneficence of alternative modes of disease control. The research community needs to redefine the concept of informed consent in emergent conditions. All elements of the medical spectrum—physicians, scientists, and the community-at-large including the pharmaceutical industry—need to consider the multifaceted methods for preventing future pandemics. This will require giving particular emphasis to public health funding and ending the documented discrimination that exists in the provision of proven therapies. The developing world is especially at risk for most of the ethical issues, especially those related to equity and justice. The ethical issues associated with the COVID-19 outbreak are not unique but provide a diverse set of issues that apply to patients, providers, social groups, and investigators. The further study of such issues can help with preventing future outbreaks.
... Anchoring on the game theory, they expounded on the idea that tight groups cooperate much faster when under threat and therefore have higher survival rates than loose groups [36]. Atalay and Solmazer [37] found that cultural values orientation predicted mobility reduction in retail and recreation during the COVID-19 pandemic, while Lucas et al. [38] found that cultural values were associated with support for vaccination and quarantine prevention policies. ...
... In the context of group living, values give the group members an intersubjective understanding of the social world and what matters in life, as they supply the standards that help evaluate different social situations and make one's experiences meaningful (Chiu et al., 2010). As recent research has shown, values priorities of the normative culture were associated with the degree of endorsement of vaccination, the extent of effectiveness of quarantine measures and the overall tendencies in spread and mortality from COVID-19 in different societies during the pandemic (Endress, 2022;Lucas et al., 2022). Societal values have also recently been linked to the economic evidence to explain the role of cultural factors in variations in economic performance (Beugelsdijk & Maseland, 2010;Shostya et al., 2023). ...
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A value is an important concept for social scientists due to values’ links to behavior, emotion, motivation, and identity. This domain is one of the best-researched and methodologically diverse fields in cognitive anthropology, psychology and sociology. Studying entities such as values is also important for understanding the role of culture in the macro-level dynamics of human societies. Armed conflict is one striking instance that casts into a sharper relief the aspects of values’ engagement in identity processes that ordinarily are less visible. Carrying threats of impending death and destruction, war conditions modify social ecologies of groups and affect individual perception, cognition and behavior. Within the Terror Management theoretical framework, the concept of sacred values is often mentioned in the discussion of a response to life threats or death salience. In our study we focus on exploration of personal values, cultural values, and sacred values to investigate their connections with perceived similarity with the group, identity fusion, and the likelihood of group-serving behavior during the war in Ukraine. The results of the quantitative study conducted in Spring 2023 provide evidence that the sacred values are strongly connected to identity fusion and their endorsement increases the likelihood of engaging in self-sacrificial behavior. We show that during the war, the Ukrainian values priorities highlight freedom and sovereignty of Ukraine on both individual and collective levels. This study intends to contribute to the larger literature on the sacred values and seeks to provide deeper understanding of social behavior and social perception in war-time context.
... Sekar et al. (2022) also argue that the national cultural dimension explains about 66% of the variance in the initiative and found that low power distance, low masculinity, and high uncertainty avoidance were associated with the increased initiative against the pandemic. Lucas et al. (2022) found that cultural values were associated with support for vaccination and quarantine prevention policies, and they observed a relationship between beliefs in justice and national values (i.e., power distance, individualism, masculinity, uncertainty avoidance, long-term orientation, and indulgence), illustrating that the impact of belief in justice on mandates supporting COVID-19 behavior may depend on national context. For example, in countries with high levels of uncertainty avoidance, people will naturally avoid social gatherings, suggesting that coercive policies may be unnecessary. ...
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Chapter
Measurement is important for research practices in social sciences and is part and parcel of an efficient investigation in any social context. Measuring abstract cognitive entities such as social knowledge and beliefs that characterize the collective culture has its nuances. In this chapter I address the issue of measuring shared collective knowledge and belief systems. I begin by outlining the theoretical assumptions behind measuring collective constructs in cognitive anthropology and go over the principles of computing inter-informant agreement (consensus) present in the ethnographic data. I then transition to the discussion of cultural models as an instantiation of intersubjectively shared collective beliefs. Finally, I lay out several strategies that can be useful for field researchers to extract and explore cultural models by means of quantitative methods.
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Background: Coronavirus disease 2019 (COVID-19) is a rapidly emerging disease that has been classified a pandemic by the World Health Organization (WHO). To support WHO with their recommendations on quarantine, we conducted a rapid review on the effectiveness of quarantine during severe coronavirus outbreaks. Objectives: We conducted a rapid review to assess the effects of quarantine (alone or in combination with other measures) of individuals who had contact with confirmed cases of COVID-19, who travelled from countries with a declared outbreak, or who live in regions with high transmission of the disease. Search methods: An information specialist searched PubMed, Ovid MEDLINE, WHO Global Index Medicus, Embase, and CINAHL on 12 February 2020 and updated the search on 12 March 2020. WHO provided records from daily searches in Chinese databases up to 16 March 2020. Selection criteria: Cohort studies, case-control-studies, case series, time series, interrupted time series, and mathematical modelling studies that assessed the effect of any type of quarantine to control COVID-19. We also included studies on SARS (severe acute respiratory syndrome) and MERS (Middle East respiratory syndrome) as indirect evidence for the current coronavirus outbreak. Data collection and analysis: Two review authors independently screened 30% of records; a single review author screened the remaining 70%. Two review authors screened all potentially relevant full-text publications independently. One review author extracted data and assessed evidence quality with GRADE and a second review author checked the assessment. We rated the certainty of evidence for the four primary outcomes: incidence, onward transmission, mortality, and resource use. Main results: We included 29 studies; 10 modelling studies on COVID-19, four observational studies and 15 modelling studies on SARS and MERS. Because of the diverse methods of measurement and analysis across the outcomes of interest, we could not conduct a meta-analysis and conducted a narrative synthesis. Due to the type of evidence found for this review, GRADE rates the certainty of the evidence as low to very low. Modeling studies consistently reported a benefit of the simulated quarantine measures, for example, quarantine of people exposed to confirmed or suspected cases averted 44% to 81% incident cases and 31% to 63% of deaths compared to no measures based on different scenarios (incident cases: 4 modelling studies on COVID-19, SARS; mortality: 2 modelling studies on COVID-19, SARS, low-certainty evidence). Very low-certainty evidence suggests that the earlier quarantine measures are implemented, the greater the cost savings (2 modelling studies on SARS). Very low-certainty evidence indicated that the effect of quarantine of travellers from a country with a declared outbreak on reducing incidence and deaths was small (2 modelling studies on SARS). When the models combined quarantine with other prevention and control measures, including school closures, travel restrictions and social distancing, the models demonstrated a larger effect on the reduction of new cases, transmissions and deaths than individual measures alone (incident cases: 4 modelling studies on COVID-19; onward transmission: 2 modelling studies on COVID-19; mortality: 2 modelling studies on COVID-19; low-certainty evidence). Studies on SARS and MERS were consistent with findings from the studies on COVID-19. Authors' conclusions: Current evidence for COVID-19 is limited to modelling studies that make parameter assumptions based on the current, fragmented knowledge. Findings consistently indicate that quarantine is important in reducing incidence and mortality during the COVID-19 pandemic. Early implementation of quarantine and combining quarantine with other public health measures is important to ensure effectiveness. In order to maintain the best possible balance of measures, decision makers must constantly monitor the outbreak situation and the impact of the measures implemented. Testing in representative samples in different settings could help assess the true prevalence of infection, and would reduce uncertainty of modelling assumptions. This review was commissioned by WHO and supported by Danube-University-Krems.
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Over the past 50+ years researchers have dedicated considerable effort towards studying the belief in a just world (BJW). A significant development in the field was the introduction of the bidimensional model, which indicates differential outcomes for the belief in a just world for the self (BJW-self) when contrasted with the belief in a just world for others (BJW-general). Theorizing and research on BJW-general is well-established. However, the distinction between the two spheres, and specifically the unique characteristics and correlates of BJW-self, are not yet widely acknowledged by researchers. Therefore, we present a review of the BJW-self literature, in three parts. First, we outline the fundamental tenants of justice motive theory and the chronology of BJW-self research. Second, we discuss the notable relationships that have emerged from this literature, in particular the links between BJW-self and wellbeing, coping with negative life events, prosocial behaviours, and a positive future orientation. Finally, we suggest avenues for future research and theoretical advance.
Chapter
The “belief in a just world” refers to those more or less articulated assumptions which underlie the way people orient themselves to their environment. These assumptions have a functional component which is tied to the image of a manageable and predictable world. These are central to the ability to engage in long-term goal-directed activity. In order to plan, work for, and obtain things they want, and avoid those which are frightening or painful, people must assume that there are manageable procedures which are effective in producing the desired end states (Erikson, 1950; Merton, 1957).
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Simple slopes, regions of significance, and confidence bands are commonly used to evaluate interactions in multiple linear regression (MLR) models, and the use of these techniques has recently been extended to multilevel or hierarchical linear modeling (HLM) and latent curve analysis (LCA). However, conducting these tests and plotting the conditional relations is often a tedious and error-prone task. This article provides an overview of methods used to probe interaction effects and describes a unified collection of freely available online resources that researchers can use to obtain significance tests for simple slopes, compute regions of significance, and obtain confidence bands for simple slopes across the range of the moderator in the MLR, HLM, and LCA contexts. Plotting capabilities are also provided.
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the fundamental problem of cross-cultural psychology, I believe, is that it needs two paradigms: one for psychological processes, and one for the cultural environment in which these take place / the first operates at the level of individuals and groups; the second, at the level of societies or at least of social systems as most of us will be sufficiently familiar with the individual-level paradigm, I will try to demonstrate what can be done with a social-system-level paradigm and will illustrate how cultural differences among societies can be expressed into cultural variables available model for expressing cultural differences into variables / culture's consequences: differences in work-related values among national samples / four dimensions of national cultures / cultural biases in the researchers' mind: the Chinese Value Survey / Confucian Work Dynamism as a fifth dimension / the proof of the pudding (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Time frame and justice motive: future perspective moderates the adaptive function of general belief in a just world
  • T Lucas
  • CE Drolet
  • P Strelan
  • JC Karremans
  • RM Sutton