Exploring Behavioral Typologies to Inform COVID-19 Health Campaigns: A Person-Centered Approach

Abstract

As the United States continues to be ravaged by COVID-19, it becomes increasingly important to implement effective public health campaigns to improve personal behaviors that help control the spread of the virus. To design effective campaigns, research is needed to understand the current mitigation intentions of the general public, diversity in those intentions, and theoretical predictors of them. COVID-19 campaigns will be particularly challenging because mitigation involves myriad, diverse behaviors. This study takes a person-centered approach to investigate data from a survey (N = 976) of Pennsylvania adults. Latent class analysis revealed five classes of mitigation: one marked by complete adherence with health recommendations (34% of the sample), one by complete refusal (9% of the sample), and three by a mixture of adherence and refusal. Statistically significant covariates of class membership included relatively positive injunctive norms, risk due to essential workers in the household, personal knowledge of someone who became infected with COVID-19, and belief that COVID-19 was a leaked biological weapon. Additionally, trait reactance was associated with non-adherence while health mavenism was associated with adherence. These findings may be used to good effect by local healthcare providers and institutions, and also inform broader policy-making decisions regarding public health campaigns to mitigate COVID-19.

Acknowledgments

The authors thank the members of the D4A Action Research Group: Dee Bagshaw, Clinical & Translational Science Institute, Nita Bharti, Dept. of Biology and the Huck Institutes of the Life Sciences, Cyndi Flanagan, Clinical Research Center, Matthew Ferrari, Dept. of Biology & Huck Institutes of the Life Sciences, Thomas Gates, Social Science Research Institute, Margeaux Gray, Dept. of Biobehavioral Health, Suresh Kuchipudi, Animal Diagnostic Lab, Vivek Kapur, Dept. of Animal Science and the Huck Institutes of Life Sciences, Stephanie Lanza, Dept. of Biobehavioral Health and the Prevention Research Center, James Marden, Dept. of Biology & Huck Institutes of the Life Sciences, Susan McHale, Dept. of Human Development and Family Studies and the Social Science Research Institute, Glenda Palmer, Social Science Research Institute, Andrew Read, Depts. of Biology and Entomology, and the Huck Institutes of the Life Sciences, Connie Rogers, Dept. of Nutritional Sciences and the Huck Institutes of the Life Sciences, and Charima Young, The Penn State Office of Government and Community Relations.

Declaration of interest statement

The authors report no conflicts of interest. Members of the Data4Action Research Group include leaders in each funding source. Those leaders participated in developing the project concept and methodologies and study design. They were not involved in analysis, interpretation of the data, initial writing, or the decision to submit the report for publication.

Additional information

Funding

Data4Action Research Group is supported by the Penn State's Social Science Research Institute, Huck Institute of the Life Sciences, Clinical and Translational Science Institute, Clinical Research Center and the Office of the Provost.