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Compliance with Health Recommendations and Vaccine Hesitancy During the COVID Pandemic in Nine Countries

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Abstract

Longitudinal data from the Parenting Across Cultures study of children, mothers, and fathers in 12 cultural groups in nine countries (China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand, and the USA; N = 1331 families) were used to understand predictors of compliance with COVID-19 mitigation strategies and vaccine hesitancy. Confidence in government responses to the COVID pandemic was also examined as a potential moderator of links between pre-COVID risk factors and compliance with COVID mitigation strategies and vaccine hesitancy. Greater confidence in government responses to the COVID pandemic was associated with greater compliance with COVID mitigation strategies and less vaccine hesitancy across cultures and reporters. Pre-COVID financial strain and family stress were less consistent predictors of compliance with COVID mitigation strategies and vaccine hesitancy than confidence in government responses to the pandemic. Findings suggest the importance of bolstering confidence in government responses to future human ecosystem disruptions, perhaps through consistent, clear, non-partisan messaging and transparency in acknowledging limitations and admitting mistakes to inspire compliance with government and public health recommendations.

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Funding

This research has been funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development grant RO1-HD054805 and Fogarty International Center grant RO3-TW008141. This research also was supported by National Institute on Drug Abuse (NIDA) Grant P30 DA023026, the Intramural Research Program of the NIH/NICHD, USA, and an International Research Fellowship at the Institute for Fiscal Studies, London, UK, funded by the European Research Council under the Horizon 2020 research and innovation programme (grant agreement No 695300-HKADeC-ERC-2015-AdG).

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Correspondence to Jennifer E. Lansford.

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Ethics Approval

The study was approved by the appropriate institutional review boards at universities in each of the participating countries. The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments.

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All adult participants provided written informed consent for their participation; children provided assent.

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The authors declare no competing interests.

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Lansford, J.E., Rothenberg, W.A., Yotanyamaneewong, S. et al. Compliance with Health Recommendations and Vaccine Hesitancy During the COVID Pandemic in Nine Countries. Prev Sci 25, 230–244 (2024). https://doi.org/10.1007/s11121-022-01399-9

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  • DOI: https://doi.org/10.1007/s11121-022-01399-9

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