Interaction between Health and Financial Status on Coping Behaviors during the COVID-19 Pandemic

Int J Environ Res Public Health. 2022 Oct 19;19(20):13498. doi: 10.3390/ijerph192013498.

Abstract

Background: The year 2022 started with protests against COVID-19 restrictions throughout North America. These events manifest the fact that some segments of the population are not compliant with the preventive measures of COVID-19, and the reasons of the disobedience against public health regulation remain unclear. The current paper examined the joint effect of financial and health status on people's likelihood of pursuing active coping efforts (i.e., following preventive measures) and giving up coping with the COVID-19 pandemic.

Method: We conducted a large-scale survey study in China (N = 3834) in May 2020.

Results: Our results showed that people with low financial status were less likely to manifest active coping behavior and more likely to give up coping with the pandemic. People's self-confidence in coping with the pandemic mediated this effect. We showed that one's health status could interact with their financial status in a way that healthy people with low financial status would have less confidence in their coping abilities and thus become less likely to pursue active coping efforts and more likely to give up coping with the pandemic.

Conclusions: Our results call for policymakers to find more effective solutions for noncompliant groups so that they can abide by the general guidelines in the COVID-19 context and other social crises that may emerge in the future. We suggest that governments should concentrate their support efforts on healthy populations of low financial segments to prevent COVID-19 and other infectious diseases in the future from spreading further.

Keywords: COVID-19; confidence; financial status; pandemic; shift-and-persist.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • COVID-19* / epidemiology
  • Humans
  • Pandemics / prevention & control
  • SARS-CoV-2
  • Surveys and Questionnaires

Grants and funding

This research was funded by the “Research on Public Risk Perception, Behavior Rules and Countermeasures under Major Public Health Emergencies”, an emerging (crossover) major project of Philosophy and Social Sciences in Zhejiang Province in 2021 (Project No.: 21XXJC04ZD). Fang Wan also acknowledged the Asper Internal Research Grant for the support of this research.