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Politicization of COVID-19 health-protective behaviors in the United States: Longitudinal and cross-national evidence

Abstract:
During the initial phase of the COVID-19 pandemic, U.S. conservative politicians and the media downplayed the risk of both contracting COVID-19 and the effectiveness of recommended health behaviors. Health behavior theories suggest perceived vulnerability to a health threat and perceived effectiveness of recommended health-protective behaviors determine motivation to follow recommendations. Accordingly, we predicted that-as a result of politicization of the pandemic-politically conservative Americans would be less likely to enact recommended health-protective behaviors. In two longitudinal studies of U.S. residents, political conservatism was inversely associated with perceived health risk and adoption of health-protective behaviors over time. The effects of political orientation on health-protective behaviors were mediated by perceived risk of infection, perceived severity of infection, and perceived effectiveness of the health-protective behaviors. In a global cross-national analysis, effects were stronger in the U.S. (N = 10,923) than in an international sample (total N = 51,986), highlighting the increased and overt politicization of health behaviors in the U.S.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1371/journal.pone.0256740
Publication website:
https://pure.uva.nl/ws/files/114705972/journal.pone.0256740.pdf

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Author
ORCID:
0000-0003-2767-2838
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Role:
Author
ORCID:
0000-0002-3457-194X
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Role:
Author
ORCID:
0000-0002-1671-3561
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Role:
Author
ORCID:
0000-0001-8089-3256
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Role:
Author
ORCID:
0000-0002-1573-2437


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Funder identifier:
10.13039/100012025
Grant:
VCDSF/75-71015
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Funder identifier:
10.13039/501100004587
Grant:
COV20/00086
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Funder identifier:
10.13039/501100001721
More from this funder
Funder identifier:
10.13039/501100008530


Publisher:
Public Library of Science
Journal:
PLoS ONE More from this journal
Volume:
16
Issue:
10
Pages:
e0256740-e0256740
Publication date:
2021-10-20
DOI:
EISSN:
1932-6203
ISSN:
1932-6203


Language:
English
Keywords:
Pubs id:
1322126
Local pid:
pubs:1322126
Source identifiers:
W3207235368
Deposit date:
2026-05-01
ARK identifier:
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