Abstract

In response to the mounting threat of COVID-19, we added questions to an ongoing food preference study held at Louisiana State University from March 3-12 of 2020. We asked 356 participants: (1) In your opinion, how likely is it that the spread of COVID-19 (the coronavirus) will cause a public health crisis in the United States? (2) How concerned are you that you will contract COVID-19 by attending events on campus? Participants’ estimates of an impending national health crisis increased significantly during the study’s second week (March 9-12) while concern about personally contracting COVID-19 from attending campus events increased only marginally during the study’s final days. We find those expressing a higher likelihood of an impending national crisis were more concerned about contracting COVID-19 by attending campus events, suggesting a possible transmission from perceptions of national-level events to perceived personal vulnerability via local exposure. However, about 30% of participants perceived that COVID-19 would likely cause a public health crisis yet did not express concern about contracting COVID-19 from event attendance. These participants were significantly more likely to be younger students who agreed to participate in response to recruitment using same-day flyer distribution. Women expressed a higher likelihood of an emerging national health crisis, although they were not more concerned than men that attending campus events would result in virus contraction. Other groups (e.g., white, students younger than 25, highest income group) displayed similar concern about a national-level crisis, yet were significantly less concerned about contracting COVID-19 from attending campus events than others. Also, participants randomly assigned to information emphasizing the national impacts of food waste expressed significantly greater concern of contracting COVID-19 by attending campus events. These results provide some initial insight about how people perceived national and personal risks in the early stages of the COVID-19 crisis in Louisiana.

Highlights

  • Individual perceptions of personal and national threats posed by COVID-19 shaped initial response to the pandemic

  • We identified several significant associations with personal characteristics that have no precedent in the extant literature, e.g., participants who were trying to eat a healthier diet were significantly negatively associated with National Likelihood, and those who reported any level of past recycling behavior were more likely to express concern about getting COVID-19 from attending campus events

  • We found a persistent group of about 30% of participants who, for the entire study period regardless of the increase of the confirmed cases nationwide and locally, do not translate their perceived likelihood of a national public health crisis into personal vulnerability from attending campus events (National, not Local)

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Summary

Introduction

Individual perceptions of personal and national threats posed by COVID-19 shaped initial response to the pandemic. Individual perceptions of personal and national threats posed by COVID-19 have undoubtedly shaped initial public response to and the speed and geographical diffusion of the most disruptive public health crises in the past century [1]. Individual perception of infection risk is a critical parameter in epidemiological prediction models [3], but such perceptions may not be regularly collected despite their potential effect on individual and public health officials’ response times during critical action windows. A single-day delay in COVID-19 response times across Chinese provinces during early 2020 significantly increased the newly confirmed case rate by 2.2%, which translated to an average of 497 more confirmed cases per 10,000 population per square kilometer [4]. Rapid response relies upon broad-based compliance by populations, which stems from the perceived risk of the evolving phenomenon among individuals

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