PDF(Pubmed)
Abstract：
BACKGROUND: Tools for assessing a country\'s capacity in the face of public health emergencies must be reviewed, as they were not predictive of the COVID-19 pandemic. Social cohesion and risk communication, which are related to trust in government and trust in others, may have influenced adherence to government measures and mortality rates due to COVID-19.
OBJECTIVE: To analyse the association between indicators of social cohesion and risk communication and COVID-19 outcomes in 213 countries.
RESULTS: Social cohesion and risk communication, in their dimensions (public trust in politicians, trust in others, social safety nets, and equal distribution of resources index), were associated with lower excess mortality due to COVID-19. The number of COVID-19-related disorder events and government transparency were associated with higher excess mortality due to COVID-19. The lower the percentage of unemployed people, the higher the excess mortality due to COVID-19. Most of the social cohesion and risk communication variables were associated with better vaccination indicators, except for social capital and engaged society, which had no statistically significant association. The greater the gender equality, the better the vaccination indicators, such as the number of people who received all doses.
CONCLUSIONS: Public trust in politicians, trust in others, equal distribution of resources and government that cares about the most vulnerable, starting with the implementation of programs, such as cash transfers and combating food insecurity, were factors that reduced the excess mortality due to COVID-19. Countries, especially those with limited resources and marked by social, economic, and health inequalities, must invest in strengthening social cohesion and risk communication, which are robust strategies to better cope with future pandemics.
OBJECTIVE: To analyse the association between indicators of social cohesion and risk communication and COVID-19 outcomes in 213 countries.
RESULTS: Social cohesion and risk communication, in their dimensions (public trust in politicians, trust in others, social safety nets, and equal distribution of resources index), were associated with lower excess mortality due to COVID-19. The number of COVID-19-related disorder events and government transparency were associated with higher excess mortality due to COVID-19. The lower the percentage of unemployed people, the higher the excess mortality due to COVID-19. Most of the social cohesion and risk communication variables were associated with better vaccination indicators, except for social capital and engaged society, which had no statistically significant association. The greater the gender equality, the better the vaccination indicators, such as the number of people who received all doses.
CONCLUSIONS: Public trust in politicians, trust in others, equal distribution of resources and government that cares about the most vulnerable, starting with the implementation of programs, such as cash transfers and combating food insecurity, were factors that reduced the excess mortality due to COVID-19. Countries, especially those with limited resources and marked by social, economic, and health inequalities, must invest in strengthening social cohesion and risk communication, which are robust strategies to better cope with future pandemics.
摘要：
背景：必须审查评估一个国家面对突发公共卫生事件能力的工具，因为它们不能预测COVID-19大流行。社会凝聚力和风险沟通，这与对政府的信任和对他人的信任有关，可能影响了对政府措施的遵守和COVID-19导致的死亡率。
目的：分析213个国家的社会凝聚力和风险沟通指标与COVID-19结果之间的关系。
结果：社会凝聚力和风险沟通，在他们的维度(公众对政客的信任，相信别人,社会安全网,和资源平均分配指数)，与COVID-19导致的超额死亡率较低相关。与COVID-19相关的疾病事件数量和政府透明度与COVID-19导致的更高的超额死亡率相关。失业人口的比例越低，COVID-19导致的超额死亡率越高。大多数社会凝聚力和风险沟通变量与更好的疫苗接种指标相关，除了社会资本和参与社会，没有统计学上显著的关联。性别平等越大，疫苗接种指标越好，例如接受所有剂量的人数。
结论：公众对政客的信任，相信别人,平等分配资源和关心最弱势群体的政府，从实施方案开始，例如现金转移和打击粮食不安全，是降低COVID-19导致的超额死亡率的因素。国家,特别是那些资源有限，以社会为标志的人，经济,和健康不平等，必须投资于加强社会凝聚力和风险沟通，这是更好地应对未来大流行的有力策略。
目的：分析213个国家的社会凝聚力和风险沟通指标与COVID-19结果之间的关系。
结果：社会凝聚力和风险沟通，在他们的维度(公众对政客的信任，相信别人,社会安全网,和资源平均分配指数)，与COVID-19导致的超额死亡率较低相关。与COVID-19相关的疾病事件数量和政府透明度与COVID-19导致的更高的超额死亡率相关。失业人口的比例越低，COVID-19导致的超额死亡率越高。大多数社会凝聚力和风险沟通变量与更好的疫苗接种指标相关，除了社会资本和参与社会，没有统计学上显著的关联。性别平等越大，疫苗接种指标越好，例如接受所有剂量的人数。
结论：公众对政客的信任，相信别人,平等分配资源和关心最弱势群体的政府，从实施方案开始，例如现金转移和打击粮食不安全，是降低COVID-19导致的超额死亡率的因素。国家,特别是那些资源有限，以社会为标志的人，经济,和健康不平等，必须投资于加强社会凝聚力和风险沟通，这是更好地应对未来大流行的有力策略。
