Abstract

The COVID-19 pandemic poses a significant threat to people’s lives. Compliance with preventive behaviors, recommended by public health authorities, is essential for infection control. In the remission stage, one year after the initial COVID-19 outbreak in China, we advanced a moderated parallel mediation model of the link between risk perception and compliance with preventive behaviors as well as a serial mediation model of the link between optimism and compliance with preventive behaviors, explaining the roles of various psychosocial factors in these associations. In January 2021, 200 participants under 50 years of age, located in 80 Chinese cities, participated in an online survey assessing risk perception, compliance with preventive behaviors, fear, anxiety, political trust, government dependency, and dispositional optimism. The results showed that the effect of risk perception on compliance with preventive behaviors was mediated by political trust and fear, and was moderated by government dependency. Anxiety and fear serially mediated the effect of optimism on compliance with preventive behaviors. Our study provided implications for future research to reduce negative emotions, strengthen confidence in the government, and sustain moderate government dependency accompanied by individual self-efficacy.

Highlights

  • Coronavirus Disease-2019 (COVID-19), a serious new infectious disease, was officially identified by the World Health Organization (WHO) as a pandemic in March 2020 [1]

  • Using PROCESS Model 4, we found that the indirect effect of risk perception on compliance with preventive behaviors via political trust was significant

  • 6, we found that only the indirect effect of optimism on compliance with preventive behaviors found that only indirect effect of optimism on compliance with behaviors via anxiety and the fear was significant

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Summary

Introduction

Coronavirus Disease-2019 (COVID-19), a serious new infectious disease, was officially identified by the World Health Organization (WHO) as a pandemic in March 2020 [1]. The National Health Commission of the People’s Republic of China issued COVID-19 Prevention and Treatment. Guidelines for personal preventive health behavior [2]. Citizens’ adherence to guidelines for preventive behaviors recommended by the government is important at all times and can be impacted by a cluster of cognitive and psychosocial factors. Since the COVID-19 outbreak began in December 2019, the pandemic has been a threat to mental health in China. With the preliminary remission of the pandemic, from midFebruary to April 2020, literature has reported several changes in the psychological health conditions of Chinese participants. During the preliminary remission period, Zhu et al [3]

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