Improving compliance with physical distancing across religious cultures in Israel

Abstract Background Physical distancing contains the corona virus, but compliance with physical distancing across religious minorities in Israel has been shown to be relatively poorer than in the majority population. This study tests the power of messages as drivers of willingness to comply with phy...

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Autores principales: Gillie Gabay, Attila Gere, Lior Naamati-Schneider, Howard Moskowitz, Mahdi Tarabieh
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/fd9e00d573ef4a92a14e2cfc3af0ad43
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spelling oai:doaj.org-article:fd9e00d573ef4a92a14e2cfc3af0ad432021-11-28T12:08:35ZImproving compliance with physical distancing across religious cultures in Israel10.1186/s13584-021-00501-w2045-4015https://doaj.org/article/fd9e00d573ef4a92a14e2cfc3af0ad432021-11-01T00:00:00Zhttps://doi.org/10.1186/s13584-021-00501-whttps://doaj.org/toc/2045-4015Abstract Background Physical distancing contains the corona virus, but compliance with physical distancing across religious minorities in Israel has been shown to be relatively poorer than in the majority population. This study tests the power of messages as drivers of willingness to comply with physical distancing across religious minorities in Israel during the first wave of the COVID-19 from March till June 2020. Methods 896 Israeli Muslims, Druze, Bedouins, Jewish Orthodox, Christians, and Jewish Seculars participated in this conjoint-based experimental design. The size of the total sample and of the subgroups is consistent with the suggested size in conjoint analysis studies, particularly when aiming at stability of coefficients rather than stability of means. The dependent variable was ‘willingness to comply’. Independent variables were known contributors to compliance: perceived risk, practices of physical distancing, ways to assure compliance, and the agent communicating the policy. Results A regression analysis indicated minor differences in the power of messages across groups despite dramatic cultural differences amongst them. We identified three distinct mindsets that transcend religious cultures from the responses of the study subjects to various messages and named them “pandemic observers,” “obedient followers,” and “sensitive interpreters.” Compliance of "Pandemic Observers" (n = 306) may be improved by messages such as, “Dangerous virus spreading wildly” and “Health experts suggest what to do but the government is reactive rather than proactive” (β = 14, p < .005). Compliance of "Obedient Followers" (n = 242) may be driven by the messages “Socialize and work only from home, using the internet, e.g. zoom/Skype” and “Everyone should stay 2 m. (6 ft.) apart” (β = 16, p < .0050). Compliance of "Sensitive Interpreters" (n = 249) may be improved by messages such as, “Only people who are 60 and over are to be allowed to buy groceries during first 2 h from opening” and by using the media to publicize the official health policy (β = 8; p < .005). Conclusions Mindset-assignment reflects how people think rather than their religious affiliation. A personal viewpoint identifier was developed to predict mindset-assignment and enable health authorities to enhance compliance through mindset-tailored messages for members of each mindset segment. We recommend that health authorities and policy makers consider these different personality types, which range across religious minorities and emphasize the messages that each type responds to in developing and implementing a communication plan to improve physical distancing as an important public health measure.Gillie GabayAttila GereLior Naamati-SchneiderHoward MoskowitzMahdi TarabiehBMCarticleComplianceCOVID-19EpidemiologyHealth policyMessagingPhysical distancingMedicine (General)R5-920Public aspects of medicineRA1-1270ENIsrael Journal of Health Policy Research, Vol 10, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Compliance
COVID-19
Epidemiology
Health policy
Messaging
Physical distancing
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle Compliance
COVID-19
Epidemiology
Health policy
Messaging
Physical distancing
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Gillie Gabay
Attila Gere
Lior Naamati-Schneider
Howard Moskowitz
Mahdi Tarabieh
Improving compliance with physical distancing across religious cultures in Israel
description Abstract Background Physical distancing contains the corona virus, but compliance with physical distancing across religious minorities in Israel has been shown to be relatively poorer than in the majority population. This study tests the power of messages as drivers of willingness to comply with physical distancing across religious minorities in Israel during the first wave of the COVID-19 from March till June 2020. Methods 896 Israeli Muslims, Druze, Bedouins, Jewish Orthodox, Christians, and Jewish Seculars participated in this conjoint-based experimental design. The size of the total sample and of the subgroups is consistent with the suggested size in conjoint analysis studies, particularly when aiming at stability of coefficients rather than stability of means. The dependent variable was ‘willingness to comply’. Independent variables were known contributors to compliance: perceived risk, practices of physical distancing, ways to assure compliance, and the agent communicating the policy. Results A regression analysis indicated minor differences in the power of messages across groups despite dramatic cultural differences amongst them. We identified three distinct mindsets that transcend religious cultures from the responses of the study subjects to various messages and named them “pandemic observers,” “obedient followers,” and “sensitive interpreters.” Compliance of "Pandemic Observers" (n = 306) may be improved by messages such as, “Dangerous virus spreading wildly” and “Health experts suggest what to do but the government is reactive rather than proactive” (β = 14, p < .005). Compliance of "Obedient Followers" (n = 242) may be driven by the messages “Socialize and work only from home, using the internet, e.g. zoom/Skype” and “Everyone should stay 2 m. (6 ft.) apart” (β = 16, p < .0050). Compliance of "Sensitive Interpreters" (n = 249) may be improved by messages such as, “Only people who are 60 and over are to be allowed to buy groceries during first 2 h from opening” and by using the media to publicize the official health policy (β = 8; p < .005). Conclusions Mindset-assignment reflects how people think rather than their religious affiliation. A personal viewpoint identifier was developed to predict mindset-assignment and enable health authorities to enhance compliance through mindset-tailored messages for members of each mindset segment. We recommend that health authorities and policy makers consider these different personality types, which range across religious minorities and emphasize the messages that each type responds to in developing and implementing a communication plan to improve physical distancing as an important public health measure.
format article
author Gillie Gabay
Attila Gere
Lior Naamati-Schneider
Howard Moskowitz
Mahdi Tarabieh
author_facet Gillie Gabay
Attila Gere
Lior Naamati-Schneider
Howard Moskowitz
Mahdi Tarabieh
author_sort Gillie Gabay
title Improving compliance with physical distancing across religious cultures in Israel
title_short Improving compliance with physical distancing across religious cultures in Israel
title_full Improving compliance with physical distancing across religious cultures in Israel
title_fullStr Improving compliance with physical distancing across religious cultures in Israel
title_full_unstemmed Improving compliance with physical distancing across religious cultures in Israel
title_sort improving compliance with physical distancing across religious cultures in israel
publisher BMC
publishDate 2021
url https://doaj.org/article/fd9e00d573ef4a92a14e2cfc3af0ad43
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AT liornaamatischneider improvingcompliancewithphysicaldistancingacrossreligiousculturesinisrael
AT howardmoskowitz improvingcompliancewithphysicaldistancingacrossreligiousculturesinisrael
AT mahditarabieh improvingcompliancewithphysicaldistancingacrossreligiousculturesinisrael
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