Hiroshi Gotanda|Atsushi Miyawaki|Takahiro Tabuchi|Yusuke Tsugawa
Association Between Trust in Government and Practice of Preventive Measures During the COVID-19 Pandemic in Japan
Cedars-Sinai Medical Center|The University of Tokyo|Osaka International Cancer Institute|University of California, Los Angeles
research suggests preventive measures critical reducing spread coronavirus disease 2019 covid19 evidence regarding association trust government practice preventive measures limited examine whether practice preventive measures covid19 differs ones level trust government crosssectional analysis using japan covid19 society internet survey jacsis conducted august september 2020 nationally representative sample japanese individuals aged 15 79 years primary outcome composite score covid19 preventive measures defined percentage preventive measures individual reported practicing nine measures social distancing wearing masks avoiding closed spaces avoiding crowded spaces avoiding close contact settings hand washing avoiding touching ones face respiratory hygiene surface disinfection secondary outcomes 1 support stayathome requests 2 use contacttracing app 3 receipt influenza vaccine previous season analysis included total 25482 individuals adjusting potential confounders found individuals high trust government likely practice preventive measures frequently compared low trust adjusted composite scores 838 high vs 795 lowtrust individuals adjusted difference 43 percentage points pp 95 ci 24 62pp p0001 also found high trust government associated higher likelihoods support stayathome requests use contacttracing app receipt influenza vaccine previous season high trust government associated higher intensity practicing covid19 preventive measures among japanese individuals national level findings may provide useful information develop design effective public health interventions