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Risk perception and reappraisal during the COVID-19 pandemic in southeast Alaska: Self-identified determinants of risk and protective health behaviors

Author

Listed:
  • van Doren, Taylor P.
  • Brown, Ryan A.
  • Izenberg, Max
  • Simmons, Callie
  • Heintz, Ron
  • Busch, Lisa

Abstract

Social and cultural context shapes how communities perceive health, well-being, and risk. Risk reappraisal can occur over time as a product of new information and improved understanding. We investigate risk perception and protective behaviors in Lingít Aaní (Southeast Alaska) during the first year of the COVID-19 pandemic. Surveys were circulated at two time points: (1) April–June 2020, before COVID-19 reached epidemic levels in the region, and (2) November 2020–February 2021. Ordinary least squares (OLS) regression models were used to analyze how demographic characteristics of the respondent population were related to risk perception. OLS models were again used to predict how individuals engaged in protective behaviors while controlling for risk perceptions. Controlling for demographic characteristics, risk perception increased as age increased for perceived risk of getting sick and dying from COVID-19, males perceived lower risk in general for all tested variables, and Alaska Native respondents perceived higher risk than non-Alaska Native respondents. Controlling for risk perception, results for protective behaviors were mixed; however, the strongest association identified was that knowing someone with a positive COVID-19 diagnosis increased protective behaviors. Between the two time points, risk perceptions increased significantly for variables related to oneself, others, and community members becoming infected with COVID-19. Protective behaviors like traveling less than normal, buying more cleaning products, and engaging in more subsistence gathering significantly increased. Identifying patterns of risk perception and protective behaviors, and especially how they change over time, are critical to developing place-specific public health recommendations, action, and preparedness plans against future infectious threats.

Suggested Citation

  • van Doren, Taylor P. & Brown, Ryan A. & Izenberg, Max & Simmons, Callie & Heintz, Ron & Busch, Lisa, 2024. "Risk perception and reappraisal during the COVID-19 pandemic in southeast Alaska: Self-identified determinants of risk and protective health behaviors," Social Science & Medicine, Elsevier, vol. 361(C).
    • Handle: RePEc:eee:socmed:v:361:y:2024:i:c:s0277953624008323
    DOI: 10.1016/j.socscimed.2024.117378
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    1. Sarah Dryhurst & Claudia R. Schneider & John Kerr & Alexandra L. J. Freeman & Gabriel Recchia & Anne Marthe van der Bles & David Spiegelhalter & Sander van der Linden, 2020. "Risk perceptions of COVID-19 around the world," Journal of Risk Research, Taylor & Francis Journals, vol. 23(7-8), pages 994-1006, August.
    2. van Doren, Taylor P. & Zajdman, Deborah & Brown, Ryan A. & Gandhi, Priya & Heintz, Ron & Busch, Lisa & Simmons, Callie & Paddock, Raymond, 2023. "Risk perception, adaptation, and resilience during the COVID-19 pandemic in Southeast Alaska Natives," Social Science & Medicine, Elsevier, vol. 317(C).
    3. Eichelberger, Laura & Hansen, Amanda & Cochran, Patricia & Fried, Ruby & Hahn, Micah, 2023. "“In the beginning, I said I wouldn't get it.”: Hesitant adoption of the COVID-19 vaccine in remote Alaska between November 2020 and 2021," Social Science & Medicine, Elsevier, vol. 334(C).
    4. Julie A. Beans & Bobby Saunkeah & R. Brian Woodbury & Terry S. Ketchum & Paul G. Spicer & Vanessa Y. Hiratsuka, 2019. "Community Protections in American Indian and Alaska Native Participatory Research—A Scoping Review," Social Sciences, MDPI, vol. 8(4), pages 1-18, April.
    5. Claudia R. Schneider & Sarah Dryhurst & John Kerr & Alexandra L. J. Freeman & Gabriel Recchia & David Spiegelhalter & Sander van der Linden, 2021. "COVID-19 risk perception: a longitudinal analysis of its predictors and associations with health protective behaviours in the United Kingdom," Journal of Risk Research, Taylor & Francis Journals, vol. 24(3-4), pages 294-313, April.
    6. Vanessa Y. Hiratsuka & Julie A. Beans & Renee F. Robinson & Jennifer L. Shaw & Ileen Sylvester & Denise A. Dillard, 2017. "Self-Determination in Health Research: An Alaska Native Example of Tribal Ownership and Research Regulation," IJERPH, MDPI, vol. 14(11), pages 1-11, October.
    7. Vaughan, E. & Tinker, T., 2009. "Effective health risk communication about pandemic influenza for vulnerable populations," American Journal of Public Health, American Public Health Association, vol. 99(S2), pages 324-332.
    8. Rebecca Adkins Fletcher, 2017. "The social life of health behaviors: The political economy and cultural context of health practices," Economic Anthropology, Wiley Blackwell, vol. 4(2), pages 213-224, June.
    9. James Flynn & Paul Slovic & C. K. Mertz, 1994. "Gender, Race, and Perception of Environmental Health Risks," Risk Analysis, John Wiley & Sons, vol. 14(6), pages 1101-1108, December.
    10. Yin Paradies, 2016. "Colonisation, racism and indigenous health," Journal of Population Research, Springer, vol. 33(1), pages 83-96, March.
    11. Paul Slovic & Baruch Fischhoff & Sarah Lichtenstein, 1982. "Why Study Risk Perception?," Risk Analysis, John Wiley & Sons, vol. 2(2), pages 83-93, June.
    12. Jesper Akesson & Sam Ashworth-Hayes & Robert Hahn & Robert Metcalfe & Itzhak Rasooly, 2022. "Fatalism, beliefs, and behaviors during the COVID-19 pandemic," Journal of Risk and Uncertainty, Springer, vol. 64(2), pages 147-190, April.
    13. Yin Paradies, 2016. "Erratum to: Colonisation, racism and indigenous health," Journal of Population Research, Springer, vol. 33(2), pages 197-197, June.
    14. Svenn-Erik Mamelund, 2003. "Spanish Influenza Mortality of Ethnic Minorities in Norway 1918–1919," European Journal of Population, Springer;European Association for Population Studies, vol. 19(1), pages 83-102, March.
    15. Loewenstein, George & Mather, Jane, 1990. "Dynamic Processes in Risk Perception," Journal of Risk and Uncertainty, Springer, vol. 3(2), pages 155-175, June.
    16. Qin, Hua & Sanders, Christine & Prasetyo, Yanu & Syukron, Muh. & Prentice, Elizabeth, 2021. "Exploring the dynamic relationships between risk perception and behavior in response to the Coronavirus Disease 2019 (COVID-19) outbreak," Social Science & Medicine, Elsevier, vol. 285(C).
    17. Laura Colautti & Alice Cancer & Sara Magenes & Alessandro Antonietti & Paola Iannello, 2022. "Risk-Perception Change Associated with COVID-19 Vaccine’s Side Effects: The Role of Individual Differences," IJERPH, MDPI, vol. 19(3), pages 1-14, January.
    18. M. Kate Bundorf & Jill DeMatteis & Grant Miller & Maria Polyakova & Jialu L. Streeter & Jonathan Wivagg, 2021. "Risk Perceptions and Protective Behaviors: Evidence from COVID-19 Pandemic," NBER Working Papers 28741, National Bureau of Economic Research, Inc.
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