Analyzing Risk Communication, Trust, Risk Perception, Negative Emotions, and Behavioral Coping Strategies During the COVID-19 Pandemic in China Using a Structural Equation Model.
Risk communication and the degree of trust are major factors that affect the public's behavioral coping strategies and play an important role in emergency risk management. However, the internal formation mechanism involved in the public's psychological behavior remains unclear. This study aimed to investigate the association among risk communication, trust, risk perception, negative emotions, and behavioral coping strategies during the coronavirus disease 2019 (COVID-19) pandemic, and to identify and quantify the factors that influence public behavior.
We launched an online survey through social media from April to July 2020 in China. Relevant data were elicited using a self-designed questionnaire that mainly examined respondent characteristics, risk communication, trust, risk perception, negative emotions, protective coping behavior, and excessive coping behavior in the context of the COVID-19 pandemic. A total of 735 valid responses were obtained. A structural equation model was then used to explore relationship pathways among the components.
The higher the degree of risk communication (β = -0.10, p < 0.05) and trust (β = -0.22, p < 0.001), the lower the public risk perception. Risk communication and trust had a direct effect on public behavioral coping strategies during the COVID-19 pandemic. The higher the level of risk communication (β = 0.14, p < 0.001) or trust (β = 0.48, p < 0.001), the more likely it was that this would encourage the public to adopt protective coping behaviors, while the public was less likely to engage in excessive coping behaviors as the degree of trust increased (β = -0.12, p < 0.01). Risk perception influenced by poor risk communication and trust generated negative emotions (β = 0.31, p < 0.001), and such negative emotions further positively influenced public behavioral coping strategies (whether protective [β = 0.09, p < 0.05] or excessive [β = 0.24, p < 0.001] behaviors).
Risk communication, trust, risk perception, and negative emotions were significantly directly or indirectly related to public behavior. The findings provide useful information for emergency risk management and a theoretical basis for follow-up research on public coping behavior during the COVID-19 pandemic.
Gu J
，He R
，Wu X
，Tao J
，Ye W
，Wu C
... -
《Frontiers in Public Health》
Exploring the influence of Chinese online patient trust on telemedicine behavior: insights into perceived risk and behavior intention.
As a supplement to medical services, telemedicine is of great significance to alleviate the shortage of health resources in China. Based on the traditional consumer behavior measurement model the Technology Acceptance Mode/Theory of Planned Behavior (TAM/TPB), this paper divides online patient trust into six dimensions: perceived risk, personal trust tendency, doctors' credibility, hospitals' credibility, websites' credibility, and system guarantee. On this basis, a structural equation model (SEM) was used to explore the influence of each dimension of online patient trust on online patient intention, behavior choice, and pre-factors. A total of 582 valid questionnaires were distributed to selected patients with experience in using mobile healthcare services in the vicinity of hospitals and communities, as well as to users who shared their experiences in the discussion forums of mobile healthcare websites. The results show that online patient trust has a significant positive impact on telemedicine behavior intention selection, with a standardized path coefficient being as high as 0.866. Doctors' credibility, system guarantee, and website credibility have significant positive effects on online patient trust, with standardized path coefficients of 0.401, 0.260, and 0.226, respectively. Hospital trustworthiness and personal trust propensity have no significant effect on online patient trust. Perceived risk has a significant negative effect on online patient trust, with a standardized path coefficient of -0.118. The research findings suggest that health departments and mobile healthcare providers can enhance mobile healthcare services by considering the patients' perspectives, elevate their online trust levels, and foster a deeper understanding, safety consciousness, and confidence in telehealth services. On this basis, it can be concluded that only the participation of government, medical subjects, and online patients can effectively reduce perceived risks, improve perceived characteristics of online patients, enhance online patient trust, and promote the real willingness and behavior choice for online medical services, effectively improving the positive role of telemedicine in increasing health benefits to people.
Liu C
，Wang J
，Chen R
，Zhou W
... -
《-》
Seemingly bounded knowledge, trust, and public acceptance: How does citizen's environmental knowledge affect facility siting?
Understanding the mechanism of public perception and behavior towards environmental goods provision is essential for effective sustainable governance. This paper studies how citizens' self-reported environmental knowledge affects their trust in public service providers and subsequently their decisions about accepting the provision of a pollution management facility in their neighborhood. Utilizing unique survey data on the siting of a facility for waste incineration in Guangzhou, China, we find that the public's perceived environmental knowledge damages their trust in the operator, which lowers their acceptance of the facility siting, while damage to their trust in the government is negligible. In addition, we find that citizens' preferences for the type of information disclosed and the channels used for disclosure can affect public trust and thus acceptance of the facility siting. Therefore, policy suggestions for urban planning for sustainability are that the urban planner and policy maker can mitigate the negative consequences of bounded environmental knowledge by ensuring there is appropriate information disclosure. This study broadens our understanding of public recognition and acceptance of environmental goods provision and provides practical suggestions for sustainable development.
Zhang H
，Zhou L
，Liu N
，Zhang L
... -
《-》
ResearchGate
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钛学术
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