Factors Influencing Americans’ Preventive Behaviours during the COVID-19 Pandemic: Lessons for Strategic Health and Risk Communicators

Sung In Choi (PhD student), Yan Jin, and Mark Badham. (forthcoming). “Factors Influencing Americans’ Preventive Behaviours during the COVID-19 Pandemic: Lessons for Strategic Health and Risk Communicators.” Strategic Communication in a Global Crisis: National and International Responses to the COVID-19 Pandemic (Eds. R. Tench, J. Meng, and A. Moreno-Fernández), Routledge.

Abstract: This chapter examines factors influencing Americans’ preventive behaviours, including their COVID-19 vaccination intentions, in response to the U.S. Government’s strategic communication about COVID-19 guidelines. This chapter draws on the theory of planned behaviour to shed light on three factors that can help strategic health and risk communicators predict future behaviours during a pandemic: attitude toward a recommended vaccine, social norms (i.e., the likelihood that individuals will follow others’ opinions about recommended behaviour), and self-efficacy (i.e., individuals’ confidence in their own ability to follow recommended behaviour). Based on an online survey of American adults in October-November 2020, the study found, first, that a relatively high proportion of Americans were adopting government-recommended behaviours to prevent infection and spread of the virus. Second, Americans who follow the government’s recommended behaviours tend to have higher vaccination intentions. Third, younger Americans are more likely to be influenced by social norms to adopt recommended behaviours. Fourth, younger Americans have higher levels of self-efficacy than older Americans. Finally, Americans with higher education levels tend to have higher self-efficacy to follow recommended actions, thus leading to higher levels of preventive behaviours. These findings have important implications for strategic health and risk communicators, particularly when attempting to persuade the public to follow government health recommendations during a public health crisis.