Influence of trust on two different risk perceptions as an affective and cognitive dimension during Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak in South Korea: serial cross-sectional surveys
Identifieur interne : 000172 ( Main/Exploration ); précédent : 000171; suivant : 000173Influence of trust on two different risk perceptions as an affective and cognitive dimension during Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak in South Korea: serial cross-sectional surveys
Auteurs : Won Mo Jang [Corée du Sud] ; Un-Na Kim [Corée du Sud] ; Deok Hyun Jang [Corée du Sud] ; Hyemin Jung [Corée du Sud] ; Sanghyun Cho [Corée du Sud] ; Sang Jun Eun [Corée du Sud] ; Jin Yong Lee [Corée du Sud]Source :
- BMJ Open [ 2044-6055 ] ; 2020.
Abstract
This study aimed to assess the affective and cognitive risk perceptions in the general population of Middle East respiratory syndrome (MERS) during the 2015 MERS coronavirus (MERS-CoV) outbreak in South Korea and the influencing factors.
Serial cross-sectional design with four consecutive surveys.
Nationwide general population in South Korea.
Overall 4010 respondents (aged 19 years and over) from the general population during the MERS-CoV epidemic were included.
The main outcome measures were (1) affective risk perception, (2) cognitive risk perception, and (3) trust in the government. Multivariate logistic regression models were used to identify factors (demographic, socioeconomic, area and political orientation) associated with risk perceptions.
Both affective and cognitive risk perceptions decreased as the MERS-CoV epidemic progressed. Proportions of affective risk perception were higher in all surveys and slowly decreased compared with cognitive risk perception over time. Females (adjusted OR (aOR) 1.72–2.00; 95% CI 1.14 to 2.86) and lower self-reported household economic status respondents were more likely to perceive the affective risk. The older the adults, the higher the affective risk perception, but the lower the cognitive risk perception compared with younger adults. The respondents who had low trust in the government had higher affective (aOR 2.19–3.11; 95 CI 1.44 to 4.67) and cognitive (aOR 3.55–5.41; 95 CI 1.44 to 9.01) risk perceptions.
This study suggests that even if cognitive risk perception is dissolved, affective risk perception can continue during MERS-CoV epidemic. Risk perception associating factors (ie, gender, age and self-reported household economic status) appear to be noticeably different between affective and cognitive dimensions. It also indicates that trust in the government influences affective risk perception and cognitive risk perception. There is a need for further efforts to understand the mechanism regarding the general public’s risk perception for effective risk communication.
Url:
DOI: 10.1136/bmjopen-2019-033026
PubMed: 32139484
PubMed Central: 7059523
Affiliations:
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<author><name sortKey="Jang, Deok Hyun" sort="Jang, Deok Hyun" uniqKey="Jang D" first="Deok Hyun" last="Jang">Deok Hyun Jang</name>
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<author><name sortKey="Jung, Hyemin" sort="Jung, Hyemin" uniqKey="Jung H" first="Hyemin" last="Jung">Hyemin Jung</name>
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<author><name sortKey="Cho, Sanghyun" sort="Cho, Sanghyun" uniqKey="Cho S" first="Sanghyun" last="Cho">Sanghyun Cho</name>
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<author><name sortKey="Eun, Sang Jun" sort="Eun, Sang Jun" uniqKey="Eun S" first="Sang Jun" last="Eun">Sang Jun Eun</name>
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</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Lee, Jin Yong" sort="Lee, Jin Yong" uniqKey="Lee J" first="Jin Yong" last="Lee">Jin Yong Lee</name>
<affiliation wicri:level="1"><nlm:aff id="aff3"><institution content-type="department">Department of Health Policy and Management</institution>
,<institution>Seoul National University College of Medicine</institution>
,<addr-line content-type="city">Seoul</addr-line>
,<country>South Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<affiliation wicri:level="1"><nlm:aff id="aff6"><institution content-type="department">Department of Public Health and Community Medicine</institution>
,<institution>Seoul Metropolitan Government – Seoul National University Boramae Medical Center</institution>
,<addr-line content-type="city">Seoul</addr-line>
,<country>South Korea</country>
</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<front><div type="abstract" xml:lang="en"><sec><title>Objectives</title>
<p>This study aimed to assess the affective and cognitive risk perceptions in the general population of Middle East respiratory syndrome (MERS) during the 2015 MERS coronavirus (MERS-CoV) outbreak in South Korea and the influencing factors.</p>
</sec>
<sec><title>Design</title>
<p>Serial cross-sectional design with four consecutive surveys.</p>
</sec>
<sec><title>Setting</title>
<p>Nationwide general population in South Korea.</p>
</sec>
<sec><title>Participants</title>
<p>Overall 4010 respondents (aged 19 years and over) from the general population during the MERS-CoV epidemic were included.</p>
</sec>
<sec><title>Primary and secondary outcome measures</title>
<p>The main outcome measures were (1) affective risk perception, (2) cognitive risk perception, and (3) trust in the government. Multivariate logistic regression models were used to identify factors (demographic, socioeconomic, area and political orientation) associated with risk perceptions.</p>
</sec>
<sec><title>Results</title>
<p>Both affective and cognitive risk perceptions decreased as the MERS-CoV epidemic progressed. Proportions of affective risk perception were higher in all surveys and slowly decreased compared with cognitive risk perception over time. Females (adjusted OR (aOR) 1.72–2.00; 95% CI 1.14 to 2.86) and lower self-reported household economic status respondents were more likely to perceive the affective risk. The older the adults, the higher the affective risk perception, but the lower the cognitive risk perception compared with younger adults. The respondents who had low trust in the government had higher affective (aOR 2.19–3.11; 95 CI 1.44 to 4.67) and cognitive (aOR 3.55–5.41; 95 CI 1.44 to 9.01) risk perceptions.</p>
</sec>
<sec><title>Conclusions</title>
<p>This study suggests that even if cognitive risk perception is dissolved, affective risk perception can continue during MERS-CoV epidemic. Risk perception associating factors (ie, gender, age and self-reported household economic status) appear to be noticeably different between affective and cognitive dimensions. It also indicates that trust in the government influences affective risk perception and cognitive risk perception. There is a need for further efforts to understand the mechanism regarding the general public’s risk perception for effective risk communication.</p>
</sec>
</div>
</front>
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<name sortKey="Cho, Sanghyun" sort="Cho, Sanghyun" uniqKey="Cho S" first="Sanghyun" last="Cho">Sanghyun Cho</name>
<name sortKey="Eun, Sang Jun" sort="Eun, Sang Jun" uniqKey="Eun S" first="Sang Jun" last="Eun">Sang Jun Eun</name>
<name sortKey="Jang, Deok Hyun" sort="Jang, Deok Hyun" uniqKey="Jang D" first="Deok Hyun" last="Jang">Deok Hyun Jang</name>
<name sortKey="Jung, Hyemin" sort="Jung, Hyemin" uniqKey="Jung H" first="Hyemin" last="Jung">Hyemin Jung</name>
<name sortKey="Jung, Hyemin" sort="Jung, Hyemin" uniqKey="Jung H" first="Hyemin" last="Jung">Hyemin Jung</name>
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