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
Objectives 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.Design Serial cross-sectional design with four conse...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/3/e033026.full |
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| author | Sang Jun Eun Won Mo Jang Hyemin Jung Jin Yong Lee Un-Na Kim Deok Hyun Jang Sanghyun Cho |
| author_facet | Sang Jun Eun Won Mo Jang Hyemin Jung Jin Yong Lee Un-Na Kim Deok Hyun Jang Sanghyun Cho |
| author_sort | Sang Jun Eun |
| collection | DOAJ |
| description | Objectives 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.Design Serial cross-sectional design with four consecutive surveys.Setting Nationwide general population in South Korea.Participants Overall 4010 respondents (aged 19 years and over) from the general population during the MERS-CoV epidemic were included.Primary and secondary outcome measures 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.Results 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.Conclusions 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. |
| format | Article |
| id | doaj-art-e95cee20e63e4f6eb46bab25f06826cc |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-e95cee20e63e4f6eb46bab25f06826cc2024-12-06T02:15:09ZengBMJ Publishing GroupBMJ Open2044-60552020-03-0110310.1136/bmjopen-2019-033026Influence 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 surveysSang Jun Eun0Won Mo Jang1Hyemin Jung2Jin Yong Lee3Un-Na Kim4Deok Hyun Jang5Sanghyun Cho65 Department of Preventive Medicine, Chungnam National University College of Medicine, Daejeon, South Korea5 Health Review and Assessment Committee, Health Insurance Review & Assessment Service, Wonju, South Korea6 Deaprtment of Health Policy and Management, Seoul National University College of Medicine, Seoul, South Korea7 Department of Public Health and Community Medicine, Seoul Metropolitan Government – Seoul National University Boramae Medical Center, Seoul, South Korea2 Division of Suicide Prevention Policy, Ministry of Health and Welfare, Sejong, South Korea4 Research Analytics and Communications, Gallup Korea, Seoul, South Korea3 Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, South KoreaObjectives 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.Design Serial cross-sectional design with four consecutive surveys.Setting Nationwide general population in South Korea.Participants Overall 4010 respondents (aged 19 years and over) from the general population during the MERS-CoV epidemic were included.Primary and secondary outcome measures 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.Results 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.Conclusions 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.https://bmjopen.bmj.com/content/10/3/e033026.full |
| spellingShingle | Sang Jun Eun Won Mo Jang Hyemin Jung Jin Yong Lee Un-Na Kim Deok Hyun Jang Sanghyun Cho 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 BMJ Open |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/10/3/e033026.full |
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