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A worldwide assessment of changes in adherence to COVID-19 protective behaviours and hypothesized pandemic fatigue

Author

Listed:
  • Anna Petherick

    (University of Oxford)

  • Rafael Goldszmidt

    (Getulio Vargas Foundation (FGV))

  • Eduardo B. Andrade

    (Getulio Vargas Foundation (FGV))

  • Rodrigo Furst

    (Getulio Vargas Foundation (FGV))

  • Thomas Hale

    (University of Oxford)

  • Annalena Pott

    (University of Oxford)

  • Andrew Wood

    (University of Oxford)

Abstract

As the COVID-19 pandemic lingers, the possibility of ‘pandemic fatigue’ has raised worldwide concerns. Here, we examine whether there was a gradual reduction in adherence to protective behaviours against COVID-19 from March through December 2020, as hypothesized in expectations of fatigue. We considered self-report behaviours from representative samples of the populations of 14 countries (N = 238,797), as well as mobility and policy data for 124 countries. Our results show that changes in adherence were empirically meaningful and geographically widespread. While a low-cost and habituating behaviour (mask wearing) exhibited a linear rise in adherence, high-cost and sensitizing behaviours (physical distancing) declined, but this decline decelerated over time, with small rebounds seen in later months. Reductions in adherence to physical distancing showed little difference across societal groups, but were less intense in countries with high interpersonal trust. Alternative underlying mechanisms and policy implications are discussed.

Suggested Citation

  • Anna Petherick & Rafael Goldszmidt & Eduardo B. Andrade & Rodrigo Furst & Thomas Hale & Annalena Pott & Andrew Wood, 2021. "A worldwide assessment of changes in adherence to COVID-19 protective behaviours and hypothesized pandemic fatigue," Nature Human Behaviour, Nature, vol. 5(9), pages 1145-1160, September.
    • Handle: RePEc:nat:nathum:v:5:y:2021:i:9:d:10.1038_s41562-021-01181-x
    DOI: 10.1038/s41562-021-01181-x
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    as
    1. Durante, Ruben & Guiso, Luigi & Gulino, Giorgio, 2021. "Asocial capital: Civic culture and social distancing during COVID-19," Journal of Public Economics, Elsevier, vol. 194(C).
    2. Bargain, Olivier & Aminjonov, Ulugbek, 2020. "Trust and compliance to public health policies in times of COVID-19," Journal of Public Economics, Elsevier, vol. 192(C).
    3. 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.
    4. Oreffice, Sonia & Quintana-Domeque, Climent, 2021. "Gender inequality in COVID-19 times: evidence from UK prolific participants," Journal of Demographic Economics, Cambridge University Press, vol. 87(2), pages 261-287, June.
    5. Zachary Barnett-Howell & Ahmed Mushfiq Mobarak, 2020. "The Benefits and Costs of Social Distancing in Rich and Poor Countries," Papers 2004.04867, arXiv.org.
    6. Simon Mongey & Laura Pilossoph & Alexander Weinberg, 2021. "Which workers bear the burden of social distancing?," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 19(3), pages 509-526, September.
    7. Melissa K Andrew & Arnold B Mitnitski & Kenneth Rockwood, 2008. "Social Vulnerability, Frailty and Mortality in Elderly People," PLOS ONE, Public Library of Science, vol. 3(5), pages 1-8, May.
    8. Ho Fai Chan & Martin Brumpton & Alison Macintyre & Jefferson Arapoc & David A Savage & Ahmed Skali & David Stadelmann & Benno Torgler, 2020. "How confidence in health care systems affects mobility and compliance during the COVID-19 pandemic," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-18, October.
    9. Ho Fai Chan & Ahmed Skali & David Savage & David Stadelmann & Benno Torgler, 2020. "Risk Attitudes and Human Mobility during the COVID-19 Pandemic," Papers 2006.06078, arXiv.org.
    10. Widya Paramita & Rokhima Rostiani & Sari Winahjoe & Amin Wibowo & Risa Virgosita & Handini Audita, 2021. "Explaining the Voluntary Compliance to COVID-19 Measures: An Extrapolation on the Gender Perspective," Global Journal of Flexible Systems Management, Springer;Global Institute of Flexible Systems Management, vol. 22(1), pages 1-18, June.
    11. Katrin Schmelz, 2021. "Enforcement may crowd out voluntary support for COVID-19 policies, especially where trust in government is weak and in a liberal society," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 118(1), pages 2016385118-, January.
    12. Elgar, Frank J. & Stefaniak, Anna & Wohl, Michael J.A., 2020. "The trouble with trust: Time-series analysis of social capital, income inequality, and COVID-19 deaths in 84 countries," Social Science & Medicine, Elsevier, vol. 263(C).
    13. Peter D. Lunn & Cameron A. Belton & Ciarán Lavin & Féidhlim P. McGowan & Shane Timmons & Deirdre A. Robertson, 2020. "Using behavioral science to help fight the Coronavirus," Journal of Behavioral Public Administration, Center for Experimental and Behavioral Public Administration, vol. 3(1).
    14. Ho Fai Chan & Jordan Moon & David A. Savage & Ahmed Skali & Benno Torgler & Stephen Whyte, 2020. "Can Psychological Traits Explain Mobility Behavior during the COVID-19 Pandemic?," CREMA Working Paper Series 2020-08, Center for Research in Economics, Management and the Arts (CREMA).
    15. Martin Larsen & Jacob Nyrup & Michael Bang Petersen, 2020. "Do Survey Estimates of the Public’s Compliance with COVID-19 Regulations Suffer from Social Desirability Bias?," Journal of Behavioral Public Administration, Center for Experimental and Behavioral Public Administration, vol. 3(2).
    16. Ondřej Kácha & Kai Ruggeri, 2019. "Nudging intrinsic motivation in environmental risk and social policy," Journal of Risk Research, Taylor & Francis Journals, vol. 22(5), pages 581-592, May.
    17. Volpp, Kevin G. & Loewenstein, George, 2020. "What is a habit? Diverse mechanisms that can produce sustained behavior change," Organizational Behavior and Human Decision Processes, Elsevier, vol. 161(S), pages 36-38.
    18. Colin J. Worby & Hsiao-Han Chang, 2020. "Face mask use in the general population and optimal resource allocation during the COVID-19 pandemic," Nature Communications, Nature, vol. 11(1), pages 1-9, December.
    19. Hofmann, Eva & Voracek, Martin & Bock, Christine & Kirchler, Erich, 2017. "Tax compliance across sociodemographic categories: Meta-analyses of survey studies in 111 countries," Journal of Economic Psychology, Elsevier, vol. 62(C), pages 63-71.
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    2. Martin-Lapoirie, Dylan & McColl, Kathleen & Gallopel-Morvan, Karine & Arwidson, Pierre & Raude, Jocelyn, 2024. "Health protective behaviours during the COVID-19 pandemic: Risk adaptation or habituation?," Social Science & Medicine, Elsevier, vol. 342(C).
    3. Kolotylo-Kulkarni, Malgorzata & Marakas, George M. & Xia, Weidong, 2024. "Understanding protective behavior and vaccination adoption among US individuals during the COVID-19 pandemic: A four-wave longitudinal study," Journal of Business Research, Elsevier, vol. 179(C).
    4. Lau Lilleholt & Ingo Zettler & Cornelia Betsch & Robert Böhm, 2023. "Development and validation of the pandemic fatigue scale," Nature Communications, Nature, vol. 14(1), pages 1-19, December.
    5. Contreras, Sebastian & Oróstica, Karen Y. & Daza-Sanchez, Anamaria & Wagner, Joel & Dönges, Philipp & Medina-Ortiz, David & Jara, Matias & Verdugo, Ricardo & Conca, Carlos & Priesemann, Viola & Oliver, 2023. "Model-based assessment of sampling protocols for infectious disease genomic surveillance," Chaos, Solitons & Fractals, Elsevier, vol. 167(C).
    6. Martijn J. Burger & Ruut Veenhoven, 2023. "Editorial: Special Issue on Subjective Well-being and Mental Health in the Early Days of COVID-19," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(1), pages 1-8, February.
    7. Fang, Ximeng & Freyer, Timo & Ho, Chui-Yee & Chen, Zihua & Goette, Lorenz, 2022. "Prosociality predicts individual behavior and collective outcomes in the COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 308(C).
    8. Szczuka, Zofia & Siwa, Maria & Abraham, Charles & Baban, Adriana & Brooks, Sydney & Cipolletta, Sabrina & Danso, Ebrima & Dombrowski, Stephan U. & Gan, Yiqun & Gaspar, Tania & Gaspar de Matos, Margari, 2023. "Handwashing adherence during the COVID-19 pandemic: A longitudinal study based on protection motivation theory," Social Science & Medicine, Elsevier, vol. 317(C).
    9. Justin Sulik & Ophelia Deroy & Guillaume Dezecache & Martha Newson & Yi Zhao & Marwa El Zein & Bahar Tunçgenç, 2021. "Facing the pandemic with trust in science," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-10, December.
    10. Yong Ge & Wen-Bin Zhang & Xilin Wu & Corrine W. Ruktanonchai & Haiyan Liu & Jianghao Wang & Yongze Song & Mengxiao Liu & Wei Yan & Juan Yang & Eimear Cleary & Sarchil H. Qader & Fatumah Atuhaire & Nic, 2022. "Untangling the changing impact of non-pharmaceutical interventions and vaccination on European COVID-19 trajectories," Nature Communications, Nature, vol. 13(1), pages 1-9, December.
    11. Wei, Di & Wang, Yuan & Jiang, Yuxiao & Guan, Xueqing & Lu, Yi, 2024. "Deciphering the effect of user-generated content on park visitation: A comparative study of nine Chinese cities in the Pearl River Delta," Land Use Policy, Elsevier, vol. 144(C).

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