The role of collectivism, liberty, COVID fatigue, and fatalism in public support for the zero-COVID policy and relaxing restrictions in China

• Published in: BMC public health Vol. 24; no. 1; p. 873
• Main Author: Wang, Xiao
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 21.03.2024; BioMed Central; BMC
• Subjects: Analysis; Attitudes; Behavior; Care and treatment; Causes of; China; China - epidemiology; Collectivism; Constrictions; COVID fatigue; COVID-19; COVID-19 - epidemiology; COVID-19 - prevention & control; COVID-19 diagnostic tests; Cultural values; Fatalism; Fatigue; Freedom; Health policy; Humans; Individualism; Infections; Medical policy; Medical research; Pandemics; Policies; Policy support; Prevention; Public health; Public Policy; Surveys; China; United States > US; COVID-19; Cultural values; Policy support; Fatalism; COVID fatigue; China
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-024-18331-1

China was the last country in the world to relax COVID-19 restrictions. A successful public health policy requires public support. This analysis examined the factors associated with Chinese support for zero-COVID and relaxing COVID-19 restrictions in China. Two online surveys were conducted among Chinese participants in mainland China on June 10-13 (N = 460) and December 2, 2022 (N = 450). These two samples were similar based on the participants' demographics. The results revealed that the perceived health consequences of a COVID-19 policy, perceived norms of approving a COVID-19 policy, and hope positively predicted the participants' support for the COVID-19 policy. The results further showed that collectivism and fatalism positively predicted support for zero-COVID and negatively predicted support for relaxing restrictions. COVID fatigue was negatively associated with support for zero-COVID and positively associated with support for relaxing restrictions. Liberty positively predicted support for relaxing restrictions in June and negatively predicted zero-COVID in December 2023. It did not positively or negatively predict support for the policy adopted by the government. Collectivism, liberty, COVID fatigue, and fatalistic beliefs are important considerations connected to public support for a COVID-19 policy. The role of liberty was more nuanced and depended on the survey's time and whether the government adopted the policy.