Partisanship, health behavior, and policy attitudes in the early stages of the COVID-19 pandemic

PLoS One. 2021 Apr 7;16(4):e0249596. doi: 10.1371/journal.pone.0249596. eCollection 2021.

Abstract

Objective: To study the U.S. public's health behaviors, attitudes, and policy opinions about COVID-19 in the earliest weeks of the national health crisis (March 20-23, 2020).

Method: We designed and fielded an original representative survey of 3,000 American adults between March 20-23, 2020 to collect data on a battery of 38 health-related behaviors, government policy preferences on COVID-19 response and worries about the pandemic. We test for partisan differences COVID-19 related policy attitudes and behaviors, measured in three different ways: party affiliation, intended 2020 Presidential vote, and self-placed ideological positioning. Our multivariate approach adjusts for a wide range of individual demographic and geographic characteristics that might confound the relationship between partisanship and health behaviors, attitudes, and preferences.

Results: We find that partisanship-measured as party identification, support for President Trump, or left-right ideological positioning-explains differences in Americans across a wide range of health behaviors and policy preferences. We find no consistent evidence that controlling for individual news consumption, the local policy environment, and local pandemic-related deaths erases the observed partisan differences in health behaviors, beliefs, and attitudes. In further analyses, we use a LASSO regression approach to select predictors, and find that a partisanship indicator is the most commonly selected predictor across the 38 dependent variables that we study.

Conclusion: Our analysis of individual self-reported behavior, attitudes, and policy preferences in response to COVID-19 reveals that partisanship played a central role in shaping individual responses in the earliest months of the COVID-19 pandemic. These results indicate that partisan differences in responding to a national public health emergency were entrenched from the earliest days of the pandemic.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Female
  • Health Behavior*
  • Humans
  • Male
  • Pandemics / prevention & control*
  • Policy*
  • Public Health*
  • SARS-CoV-2*
  • United States / epidemiology

Grants and funding

SKG, SWG, TBP: National Science Foundation (Award # 2026737), https://nsf.gov TBP: the Cornell Center for the Social Sciences (No grant number), https://socialsciences.cornell.edu The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.