Evidence map›Paper›PMID 33832446›Full record

ArticleBMC public health2021

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

Anna Soveri, Linda C Karlsson, Jan Antfolk, Mikael Lindfelt, Stephan Lewandowsky

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 3 pooled it
57.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 3 syntheses or guidelines pooled it, 164 citations in OpenAlex.

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  9. Communicating and complying with COVID-19 actions in northernmost Finland.International journal of circumpolar health · 2024
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Anna SoveriInstitute of Clinical Medicine, University of Turku, Turku, Finland. anjoso@utu.fi.ORCID 0000-0002-1443-6097
Linda C KarlssonDepartment of Psychology, Åbo Akademi University, Turku, Finland.
Jan AntfolkDepartment of Psychology, Åbo Akademi University, Turku, Finland.
Mikael LindfeltDepartment of Theological Ethics, Åbo Akademi University, Turku, Finland.
Stephan LewandowskySchool of Psychological Science, University of Bristol, Bristol, UK.
Åbo Akademi University · FIThe University of Western Australia · AUUniversity of Turku · FI

Funding

Academy of Finland 316004Academy of Finland 316726
6 · The paper itself

Abstract

backgroundWe 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).

methodsThe 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.

resultsIndividuals 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.

conclusionsDistrusting 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.

Indexed as

COVID-19Health Knowledge, Attitudes, PracticePatient Acceptance of Health CareAdolescentAdultAgedComplementary TherapiesCOVID-19 VaccinesFemaleFinlandHumansMaleMiddle AgedTrustVaccinationYoung AdultCOVID-19 VaccinesCAMComplementary and alternative medicineConspiracyCOVID-19Non-pharmaceutical interventionsNPITrustVaccine attitudes

Identifiers

PMID33832446
PMCPMC8027965
OpenAlexW3136402352

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.