How COVID-19 illness perceptions and individual shocks are associated with trust during the COVID-19 pandemic in Australia, France, Germany, and South Africa

Marie-Hélène Broihanne, Daria Plotkina, Stefanie Kleimeier, Anja S. Göritz and Arvid O.I. Hoffmann

Health Policy, 2025, vol. 151, issue C

Abstract: The COVID-19 pandemic jeopardized individuals’ health and economic stability, and the associated shocks might have decreased individuals’ trust. In this paper, we study the relationship between subjective perceptions of the pandemic and individuals’ institutional and interpersonal trust (e.g., trust towards the government or health representatives), while considering objective health and economic shocks due to the pandemic as drivers. We collected data across Australia, France, Germany, and South Africa during a later stage of the COVID-19 pandemic (i.e., from mid-April to early-June 2021) when individuals had time to personally experience the pandemic and its effects. COVID-19 illness perception was associated with lower institutional and interpersonal trust. The health shock of having experienced COVID-19 was associated with higher interpersonal trust, while economic shocks were associated with lower institutional trust when they were due to the pandemic. The results suggest that public policy interventions in a later stage of a pandemic should consider objective economic and health outcomes as well as subjective ones, such as individual's perceptions. Authorities should communicate in a way that helps concerned people understand that they can take control of their health and the possibility of infection, and reassure them that health measures such as vaccination can help prevent the spread of the virus.

Keywords: Covid-19; Employment; Illness perception; Institutional trust; Interpersonal trust; Pandemic (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:151:y:2025:i:c:s016885102400188x

DOI: 10.1016/j.healthpol.2024.105178

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