Association Between Trust in Government and Practice of Preventive Measures During the COVID-19 Pandemic in Japan

• DOI: 10.1007/s11606-021-06959-3
• Publication Date: 2021-06-22T18:05:59Z
• Authors: Hiroshi Gotanda; Atsushi Miyawaki; Takahiro Tabuchi; Yusuke Tsugawa
• Keywords: Social distance; Contact tracing; Pandemic

Research suggests that preventive measures are critical to reducing the spread of coronavirus disease 2019 (COVID-19), but evidence regarding association between trust in government and practice is limited. To examine whether against COVID-19 differs by one's level government. A cross-sectional analysis using Japan Society Internet Survey (JACSIS) conducted August September 2020. nationally representative sample Japanese individuals aged 15 through 79 years. The primary outcome was composite score for measures, defined as percentage an individual reported be practicing (out nine measures: social distancing, wearing masks, avoiding closed spaces, crowded close contact settings, hand washing, touching face, respiratory hygiene, surface disinfection). secondary outcomes were (1) support stay-at-home requests, (2) use a contact-tracing app, (3) receipt influenza vaccine previous season. Our included total 25,482 individuals. After adjusting potential confounders, we found with high likely more frequently compared those low (adjusted scores, 83.8% high- vs. 79.5% low-trust individuals; adjusted difference, +4.3 points [pp]; 95% CI, +2.4 +6.2pp; P<0.001). We also associated higher likelihoods High intensity among at national level. findings may provide useful information develop design effective public health interventions.