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1.
Proc Natl Acad Sci U S A ; 120(18): e2209731120, 2023 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-37098059

RESUMO

Bribery, a grand global challenge, often occurs across national jurisdictions. Behavioral research studying bribery to inform anticorruption interventions, however, has merely examined bribery within single nations. Here, we report online experiments and provide insights into crossnational bribery. We ran a pilot study (across three nations) and a large, incentivized experiment using a bribery game played across 18 nations (N = 5,582, total number of incentivized decisions = 346,084). The results show that people offer disproportionally more bribes to interaction partners from nations with a high (vs. low) reputation for foreign bribery, measured by macrolevel indicators of corruption perceptions. People widely share nation-specific expectations about a nation's bribery acceptance levels. However, these nation-specific expectations negatively correlate with actual bribe acceptance levels, suggesting shared yet inaccurate stereotypes about bribery tendencies. Moreover, the interaction partner's national background (more than one's own national background) drives people's decision to offer or accept a bribe-a finding we label conditional bribery.

2.
Annu Rev Psychol ; 75: 341-378, 2024 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-37906949

RESUMO

Social norms are the glue that holds society together, yet our knowledge of them remains heavily intellectually siloed. This article provides an interdisciplinary review of the emerging field of norm dynamics by integrating research across the social sciences through a cultural-evolutionary lens. After reviewing key distinctions in theory and method, we discuss research on norm psychology-the neural and cognitive underpinnings of social norm learning and acquisition. We then overview how norms emerge and spread through intergenerational transmission, social networks, and group-level ecological and historical factors. Next, we discuss multilevel factors that lead norms to persist, change, or erode over time. We also consider cultural mismatches that can arise when a changing environment leads once-beneficial norms to become maladaptive. Finally, we discuss potential future research directions and the implications of norm dynamics for theory and policy.


Assuntos
Evolução Cultural , Normas Sociais , Humanos , Aprendizagem , Rede Social
3.
Proc Natl Acad Sci U S A ; 119(29): e2118770119, 2022 07 19.
Artigo em Inglês | MEDLINE | ID: mdl-35858296

RESUMO

The theory that health behaviors spread through social groups implies that efforts to control COVID-19 through vaccination will succeed if people believe that others in their groups are getting vaccinated. But "others" can refer to many groups, including one's family, neighbors, fellow city or state dwellers, or copartisans. One challenge to examining these understudied distinctions is that many factors may confound observed relationships between perceived social norms (what people believe others do) and intended behaviors (what people themselves will do), as there are plausible common causes for both. We address these issues using survey data collected in the United States during late fall 2020 (n = 824) and spring 2021 (n = 996) and a matched design that approximates pair-randomized experiments. We find a strong relationship between perceived vaccination social norms and vaccination intentions when controlling for real risk factors (e.g., age), as well as dimensions known to predict COVID-19 preventive behaviors (e.g., trust in scientists). The strength of the relationship declines as the queried social group grows larger and more heterogeneous. The relationship for copartisans is second in magnitude to that of family and friends among Republicans but undetectable for Democrats. Sensitivity analysis shows that these relationships could be explained away only by an unmeasured variable with large effects (odds ratios between 2 and 15) on social norms perceptions and vaccination intentions. In addition, a prediction from the "false consensus" view that intentions cause perceived social norms is not supported. We discuss the implications for public health policy and understanding social norms.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Intenção , Normas Sociais , Vacinação , COVID-19/prevenção & controle , Humanos , Estados Unidos , Vacinação/psicologia
4.
Proc Natl Acad Sci U S A ; 119(31): e2120138119, 2022 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-35901207

RESUMO

Social norms have long been recognized as an important factor in curtailing antisocial behavior, and stricter prosocial norms are commonly associated with increased prosocial behavior. In this study, we provide evidence that very strict prosocial norms can have a perverse negative relationship with prosocial behavior. In laboratory experiments conducted in 10 countries across 5 continents, we measured the level of honest behavior and elicited injunctive norms of honesty. We find that individuals who hold very strict norms (i.e., those who perceive a small lie to be as socially unacceptable as a large lie) are more likely to lie to the maximal extent possible. This finding is consistent with a simple behavioral rationale. If the perceived norm does not differentiate between the severity of a lie, lying to the full extent is optimal for a norm violator since it maximizes the financial gain, while the perceived costs of the norm violation are unchanged. We show that the relation between very strict prosocial norms and high levels of rule violations generalizes to civic norms related to common moral dilemmas, such as tax evasion, cheating on government benefits, and fare dodging on public transportation. Those with very strict attitudes toward civic norms are more likely to lie to the maximal extent possible. A similar relation holds across countries. Countries with a larger fraction of people with very strict attitudes toward civic norms have a higher society-level prevalence of rule violations.


Assuntos
Características Culturais , Enganação , Comportamento Social , Normas Sociais , Humanos , Princípios Morais
5.
Proc Natl Acad Sci U S A ; 119(21): e2116311119, 2022 05 24.
Artigo em Inglês | MEDLINE | ID: mdl-35580181

RESUMO

Does local partisan context influence the adoption of prosocial behavior? Using a nationwide survey of 60,000 adults and geographic data on over 180 million registered voters, we investigate whether neighborhood partisan composition affects a publicly observable and politicized behavior: wearing a mask. We find that Republicans are less likely to wear masks in public as the share of Republicans in their zip codes increases. Democratic mask wearing, however, is unaffected by local partisan context. Consequently, the partisan gap in mask wearing is largest in Republican neighborhoods, and less apparent in Democratic areas. These effects are distinct from other contextual effects such as variations in neighborhood race, income, or education. In contrast, partisan context has significantly reduced influence on unobservable public health recommendations like COVID-19 vaccination and no influence on nonpoliticized behaviors like flu vaccination, suggesting that differences in mask wearing reflect the publicly observable and politicized nature of the behavior instead of underlying differences in dispositions toward medical care.


Assuntos
Altruísmo , COVID-19 , Máscaras , Política , COVID-19/epidemiologia , COVID-19/prevenção & controle , Vacinas contra COVID-19 , Humanos , Comportamento de Massa , Estados Unidos , Vacinação/psicologia
6.
Proc Natl Acad Sci U S A ; 119(17): e2117454119, 2022 04 26.
Artigo em Inglês | MEDLINE | ID: mdl-35446613

RESUMO

In the Nandi society in Kenya, custom establishes that a woman's "house property" can only be transmitted to male heirs. As not every woman gives birth to a male heir, the Nandi solution to sustain the family lineage is for the heirless woman to become the "female husband" to a younger woman by undergoing an "inversion" ceremony to "change" into a man. This biological female, now socially a man, becomes a "husband" and a "father" to the younger woman's children, whose sons become the heirs of her property. Using this unique separation of biological sex and social roles holding constant the same society, I conduct competitiveness experiments. Similar to Western cultures, I find that Nandi men choose to compete at roughly twice the rate as Nandi women. Importantly, however, female husbands compete at the same rate as males, and thus around twice as often as females. These findings are robust to controlling for several risk aversion, selection, and behavioral factors. The results provide support for the argument that social norms, family roles, and endogenous preference formation are crucially linked to differences in competitiveness between men and women.


Assuntos
Normas Sociais , Cônjuges , Adulto , Feminino , Identidade de Gênero , Humanos , Quênia , Masculino
7.
Proc Natl Acad Sci U S A ; 119(41): e2213525119, 2022 10 11.
Artigo em Inglês | MEDLINE | ID: mdl-36191222

RESUMO

Behavioral responses influence the trajectories of epidemics. During the COVID-19 pandemic, nonpharmaceutical interventions (NPIs) reduced pathogen transmission and mortality worldwide. However, despite the global pandemic threat, there was substantial cross-country variation in the adoption of protective behaviors that is not explained by disease prevalence alone. In particular, many countries show a pattern of slow initial mask adoption followed by sharp transitions to high acceptance rates. These patterns are characteristic of behaviors that depend on social norms or peer influence. We develop a game-theoretic model of mask wearing where the utility of wearing a mask depends on the perceived risk of infection, social norms, and mandates from formal institutions. In this model, increasing pathogen transmission or policy stringency can trigger social tipping points in collective mask wearing. We show that complex social dynamics can emerge from simple individual interactions and that sociocultural variables and local policies are important for recovering cross-country variation in the speed and breadth of mask adoption. These results have implications for public health policy and data collection.


Assuntos
COVID-19 , Máscaras , Pandemias , COVID-19/epidemiologia , COVID-19/prevenção & controle , Humanos , Pandemias/prevenção & controle , Política Pública , Risco , SARS-CoV-2 , Condições Sociais
8.
Proc Natl Acad Sci U S A ; 119(3)2022 01 18.
Artigo em Inglês | MEDLINE | ID: mdl-35022231

RESUMO

How do societies learn and maintain social norms? Here we use multiagent reinforcement learning to investigate the learning dynamics of enforcement and compliance behaviors. Artificial agents populate a foraging environment and need to learn to avoid a poisonous berry. Agents learn to avoid eating poisonous berries better when doing so is taboo, meaning the behavior is punished by other agents. The taboo helps overcome a credit assignment problem in discovering delayed health effects. Critically, introducing an additional taboo, which results in punishment for eating a harmless berry, further improves overall returns. This "silly rule" counterintuitively has a positive effect because it gives agents more practice in learning rule enforcement. By probing what individual agents have learned, we demonstrate that normative behavior relies on a sequence of learned skills. Learning rule compliance builds upon prior learning of rule enforcement by other agents. Our results highlight the benefit of employing a multiagent reinforcement learning computational model focused on learning to implement complex actions.


Assuntos
Aprendizagem , Reforço Psicológico , Normas Sociais , Meio Ambiente , Humanos
9.
Psychol Sci ; 35(2): 111-125, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38198611

RESUMO

Abortion policy is conventionally viewed as a political matter with religious overtones. This article offers a different view. From the perspective of evolutionary biology, abortion at a young age can represent prioritization of long-term development over immediate reproduction, a pattern established in other animal species as resulting from stable ecologies with low mortality risk. We examine whether laws and moral beliefs about abortions are linked to local mortality rates. Data from 50 U.S. states, 202 world societies, 2,596 adult individuals in 363 U.S. counties, and 147,260 respondents across the globe suggest that lower levels of mortality risk are associated with more permissive laws and attitudes toward abortion. Those associations were observed when we controlled for religiosity, political ideology, wealth, education, and industrialization. Integrating evolutionary and cultural perspectives offers an explanation as to why moral beliefs and legal norms about reproduction may be sensitive to levels of ecological adversity.


Assuntos
Aborto Induzido , Direitos Sexuais e Reprodutivos , Humanos , Gravidez , Feminino , Adulto , Atitude , Princípios Morais
10.
AIDS Care ; 36(5): 672-681, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38176016

RESUMO

In a nationwide sample of cisgender Black women in the US, we assessed the associations between social and structural factors and interest in using HIV preexposure prophylaxis (PrEP). Among 315 respondents, 62.2% were interested in PrEP if it were provided for free. Positive social norms surrounding PrEP, including injunctive norms (perceived social acceptability of PrEP use) and descriptive norms (perceived commonality of PrEP use), were positively associated with interest in using PrEP. Concerns about HIV infection, recently visiting a health care provider, and comfort discussing PrEP with a provider were also positively associated with interest in using PrEP. Anticipating PrEP disapproval from others was negatively associated with interest in PrEP. Although PrEP can promote autonomy and personal discretion, Black women's PrEP-related decisions occur in a complex social environment. Black women may benefit from interventions to promote positive norms and attitudes surrounding PrEP at the community level and empower them in discussions with their providers about PrEP.


Assuntos
Fármacos Anti-HIV , Infecções por HIV , Profilaxia Pré-Exposição , Feminino , Humanos , Fármacos Anti-HIV/uso terapêutico , Conhecimentos, Atitudes e Prática em Saúde , Infecções por HIV/prevenção & controle , Infecções por HIV/tratamento farmacológico , Estados Unidos , Negro ou Afro-Americano
11.
Public Health Nutr ; 27(1): e110, 2024 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-38576146

RESUMO

OBJECTIVE: To explore the differences in social norms around parents' food provision in different provision contexts and by demographics. DESIGN: Qualitative study using story completion methodology via an online survey in September 2021. Adults 18+ with or without children were randomised to one of three story stems focusing on food provision in different contexts; food provision at home (non-visitor), with visitors present and with the involvement of sport. Stories were coded and themed using thematic analysis. A content analysis was performed to determine count and frequency of codes in stories by participant demographics and story assumptions. SETTING: Australia. PARTICIPANTS: Adults (n 196). RESULTS: Nine themes were identified from the data resulting in four social norms around providing healthy foods and justifying non-adherence to healthy eating guidelines, evolution of family life and mealtime values, the presence of others influencing how we engage with food provision and unhealthy foods used as incentives/rewards in sport. Following content analysis, no differences of themes or norms by participant demographics or story assumptions were found. CONCLUSIONS: We identified pervasive social norms around family food provision and further identified how contextual factors resulted in variations or distinct norms. This highlights the impact context may have on the social norms parents face when providing food to their children and the opportunities and risks of leveraging these social norms to influence food choice in these contexts. Public health interventions and practitioners should understand the influence of context and social environments when promoting behaviour change and providing individualised advice. Future research could explore parents' experiences of these norms and to what extent they impact food choice.


Assuntos
Alimentos , Normas Sociais , Adulto , Humanos , Austrália , Preferências Alimentares , Pais , Adulto Jovem
12.
BMC Public Health ; 24(1): 1866, 2024 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-38997690

RESUMO

BACKGROUND: Due to its economic burden and change of focus, there is no gainsaying of the potential impacts of the COVID-19 pandemic on the progress of several female genital mutilation (FGM) interventions across the various countries. However, the magnitude of the potential changes in likelihood and prevalence should be more accurately explored and quantified using a statistically robust comparative study. In this study, we examined the differences in the likelihood and prevalence of FGM among 15-49 years old women before and after the pandemic in Nigeria. METHODS: We used advanced Bayesian hierarchical models to analyse post-COVID-19 datasets provided by the Multiple Indicator Cluster Surveys (MICS 2021) and pre-COVID-19 data from the Demographic and Health Surveys (DHS 2018). RESULTS: Results indicated that although there was an overall decline in FGM prevalence nationally, heterogeneities exist at state level and at individual-/community-level characteristics. There was a 6.9% increase in prevalence among women who would like FGM to continue within the community. FGM prevalence increased by 18.9% in Nasarawa, while in Kaduna there was nearly 40% decrease. CONCLUSIONS: Results show that FGM is still a social norm issue in Nigeria and that it may have been exacerbated by the COVID-19 pandemic. The methods, data and outputs from this study would serve to provide accurate statistical evidence required by policymakers for complete eradication of FGM.


Assuntos
COVID-19 , Circuncisão Feminina , Humanos , Feminino , COVID-19/epidemiologia , Adolescente , Prevalência , Adulto , Adulto Jovem , Pessoa de Meia-Idade , Circuncisão Feminina/estatística & dados numéricos , Nigéria/epidemiologia , Pandemias , Teorema de Bayes , Inquéritos Epidemiológicos
13.
BMC Public Health ; 24(1): 256, 2024 01 22.
Artigo em Inglês | MEDLINE | ID: mdl-38254049

RESUMO

BACKGROUND: In this study, the theory of planned behaviour (TPB) was used to examine the determinants of the heat protection intentions and actions of elderly individuals and individuals with chronic health conditions. This is an important topic as understanding the motivations for adapting behaviours to heatwaves can inform the design of warning systems and awareness campaigns by public health authorities to mitigate the adverse effects of weather hazards on health. METHODS: Three phone surveys were conducted in 2015 and 2016 to collect data on a large sample of individuals with increased vulnerability to heatwaves in the city of Longueuil, Canada. Prospective and panel fixed effects logit models for ordinal variables were used to analyse the factors that influenced heat protection intentions and actions. RESULTS: Attitudes, norms, and perceived control have positive effects on intentions to adopt heatwave protection actions and intentions on the effective adoption of these preventive measures. The hypothesis according to which perceived control moderates the effect of attitudes and norms on intentions is rejected. In addition, the results suggest that elderly individuals are less likely than individuals in other age groups to adopt heat protection actions. Health conditions related to vulnerability to hot weather do not seem to significantly improve the adoption of heat protection behaviours. CONCLUSIONS: The adoption of heatwave protection actions can be improved by public health interventions that influence attitudes and social norms related to heat protection behaviours and facilitate their adoption.


Assuntos
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Intenção , Idoso , Humanos , Estudos Prospectivos , Motivação , Canadá
14.
BMC Public Health ; 24(1): 729, 2024 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-38448932

RESUMO

BACKGROUND: Violence is a leading cause of death and disability for young people and has serious impacts on prospects across the lifecourse. The education sector is a crucial setting for preventing youth violence through incorporating programmes that address attitudes and behaviours. The Mentors in Violence Prevention (MVP) programme aims to change harmful attitudes and norms, and increase non-violent bystander intervention, through a peer mentoring approach. To date there is limited evidence on the effectiveness of the intervention in UK school settings. The aim of the current study was to evaluate the impact of the programme on students' attitudes and knowledge related to violence prevention. METHODS: The study employed a mixed methods design. Pre and post surveys measured changes in students' (aged 11-18) attitudes and knowledge related to violence prevention and bystander behaviour, gender stereotyping, acceptability of violence, and perceptions of others' willingness to intervene. Interviews/focus groups with programme delivers and students, and anonymised programme data were used to explore and supplement survey findings. RESULTS: Overall, perceptions of the programme content and delivery were positive. Several beneficial impacts of the programme were found for mentors (students delivering the programme), including significant positive changes on measures of knowledge and attitudes towards violence prevention and the bystander approach, acceptability of violence perpetration, and perceptions of other students' willingness to intervene (effect sizes were small-medium). However, the study found no significant change on any of the outcomes amongst mentees (younger students receiving the programme from mentors). Despite this, qualitative evidence suggested mentees enjoyed the content of the programme and the peer-led delivery, and this built relationships with older students. Qualitative evidence also identified additional benefits of the programme for mentors, including leadership and communication skills, and increased confidence and supportive relationships. CONCLUSIONS: Evidence from this study suggests MVP is effective as a targeted programme for mentors, but no significant evidence was found to demonstrate its effectiveness as a universal bystander and violence prevention programme for mentees. Whilst further research with more robust study design is needed, developing mentors as leaders in violence prevention is a valuable impact of the programme in its own right.


Assuntos
Mentores , Preconceito , Adolescente , Humanos , Instituições Acadêmicas , Estudantes , Inglaterra , Violência/prevenção & controle
15.
J Behav Med ; 47(1): 1-14, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37119363

RESUMO

Social norms messages may promote information seeking, especially when the norms refer to a group with which a person identifies. We hypothesized that tailored social norms messages would increase COVID-19 testing willingness and intentions. College students (n = 203, 75% female, 87% White) were randomly assigned to one of four conditions in a 2 (Descriptive norms: Relevant vs. Irrelevant to COVID-19 testing) x 2 (Tailoring: Specific vs. General group information) experimental design. Participants reported COVID-19 testing willingness and intentions, perceived injunctive norms, and identification and connectedness with the group in the message. Although neither the norm nor tailoring manipulation worked as intended, participants who perceived greater message tailoring and injunctive norms reported greater willingness and intentions, with no effect of perceived descriptive norms on either outcome. Tailored messages as well as messages promoting injunctive norms may promote information seeking across health contexts, thereby enabling more informed decisions.


Assuntos
Teste para COVID-19 , Normas Sociais , Feminino , Humanos , Masculino , Comportamento de Busca de Informação , Intenção
16.
Appetite ; 193: 107157, 2024 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-38081543

RESUMO

A person's perception of how long a food will stave off hunger (expected satiety) and the ideal amount to consume (ideal portion size) are both influenced by food-to-mealtime norms. Here, we examine whether social norms can modulate this effect, in three experimental studies. In study 1 (n = 235) participants were exposed to a social norm suggesting most people enjoyed consuming pasta for breakfast. There was a main effect of food-to-mealtime congruence for expected satiety and ideal portion size (p < 0.001) - participants selected a smaller portion of pasta for breakfast (vs. lunch) - but there were no other main effects/interactions (p ≥ 0.15). Study 2 (n = 200) followed the same approach as study 1, but sought to examine whether the typical volume of food consumed at breakfast and lunch needed to be controlled. Again, there was a main effect of congruence (the same pattern) (p ≤ 0.02) but no other main effects/interactions (p ≥ 0.73). Study 3 (n = 208) followed the same approach as study 2, but the social-norm message was changed to suggest that most people who eat pasta for breakfast found it effectively reduced their hunger. Again, there was a main effect of congruence (the same pattern) (p < 0.001) but no other main effects/interaction (p ≥ 0.26). These studies provide further evidence for the food-to-mealtime effect, but do not provide any evidence that a single, simple social-norm statement can modulate expected satiety or ideal portion size, or interact with the food-to-mealtime effect.


Assuntos
Tamanho da Porção , Normas Sociais , Humanos , Ingestão de Energia , Saciação , Refeições
17.
Appetite ; 199: 107503, 2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-38763296

RESUMO

Plant-based eating is beneficial for human and planetary health. It is important to identify factors which may encourage people to reduce meat, and increase plant-based meal intake. Perceived social norms are associated with meat and plant-based meal intake in adults, however, less is known about the relationship between perceived social norms and young adults' own self-reported meat and plant-based eating in general, and in different social contexts. Across two online studies we examined this. In Study 1 (n = 217 young adults, aged 18-25 years, mean age = 19.50 years, SD = 1.37 years, mean BMI = 24.21, SD = 5.45, 91% cisfemale, 92.0% omnivores), perceived descriptive (the perceived behaviour of others) and injunctive (the perceived approval of others) norms were measured in general. In study 2 (n = 151 young adults aged 18-25 years, mean age = 19.62 years, SD = 1.50 years, mean BMI = 24.32, SD = 4.99, 88.8% cisfemale, 71.1% omnivore), perceived descriptive and injunctive norms were examined in a variety of social contexts. In Study 1, perceived descriptive norms about friends were associated with self-reported meat, and descriptive norms about peers and friends, and injunctive norms about friends were positively associated with self-reported plant-based meal intake. In Study 2, descriptive norms about friends were associated with self-reported meat intake in fast-food restaurants and at friends' houses, and injunctive norms about friends were associated with meat intake in restaurants. There were no other significant associations between either type of social norm and meat or plant-based meal intake. We provide the first evidence that peers and friends may be relevant for plant-based meal intake, and only friends may be relevant for meat intake. Further research is needed to examine people's actual food intake, and in longitudinal studies to rule out reverse causality.


Assuntos
Carne , Autorrelato , Normas Sociais , Humanos , Adulto Jovem , Feminino , Masculino , Adulto , Estudos Transversais , Adolescente , Comportamento Alimentar/psicologia , Refeições/psicologia , Amigos/psicologia , Dieta Vegetariana/psicologia , Dieta/psicologia
18.
Appetite ; 198: 107374, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38679066

RESUMO

The modern food-rich environment has contributed to the rise of unhealthy diets linked to noncommunicable diseases. Previous in-person research has found that the effect of social norms on food intake is greater when set by a perceived in-group member relative to an out-group member. Given recent increased social media use, we investigated whether this effect of group membership extends to food choices and to normative information presented remotely online. Participants (N = 179 female university students, 18-32 years) viewed a Facebook page pertaining to either their university (in-group) or a rival university (out-group). They were presented with either a healthy or an unhealthy norm via a post in which a student discussed their order at a café on the relevant campus. Food choice was assessed through an online menu where participants were asked to order one main, side, and dessert dish. As predicted, participants who viewed the healthy norm ordered a higher percentage of healthy items (especially in the desserts category) relative to those who viewed the unhealthy norm. However, this effect was significant only for those in the in-group condition; there was no such pattern for participants in the out-group condition. These findings provide insight into the role of group membership in the effect of social norms, and have practical implications regarding the design of identity-based social media health campaigns to promote healthier eating behaviours.


Assuntos
Comportamento de Escolha , Preferências Alimentares , Mídias Sociais , Normas Sociais , Estudantes , Humanos , Feminino , Adulto Jovem , Adulto , Preferências Alimentares/psicologia , Adolescente , Estudantes/psicologia , Universidades , Dieta Saudável/psicologia , Internet
19.
J Community Health ; 49(3): 485-491, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38117386

RESUMO

BACKGROUND: Community health agents (CHAs) provide basic health services and increase health care access thereby improving health outcomes for peri-urban regions in Peru. Few studies analyze the effect that becoming a CHA has on women's interpersonal interactions. We aim to explore the impact CHAs may have on gender and social norms through their roles as trusted leaders in male-dominated communities. METHODS: We conducted six 90-minute group discussions with CHAs working in Huancayo and Trujillo, Peru. We designed the discussions to extract data about family and community norms that changed as a result of working as a CHA. RESULTS: A total of 53 female CHAs participated in six discussion groups. CHAs reported shifting family support (a change in how their family supported them in their role as a CHA), gaining status within their family (feeling more valued for their knowledge and experience), and shifting family gender roles (men and boys taking on more household responsibilities) as a result of their work. CHAs also reported a change in community norms and felt they were more valued and respected within their communities as women leaders. CONCLUSIONS: Working as a CHA creates an opportunity to enact social change through altering family dynamics and community perceptions. Moreover, empowering women to become CHAs not only generates tangible benefits in community health, but can help create social change that ultimately improves the lives of women and realize their human rights.


Assuntos
Saúde Pública , Mudança Social , Humanos , Masculino , Feminino , Peru , Homens , Atenção à Saúde
20.
Proc Natl Acad Sci U S A ; 118(1)2021 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-33443149

RESUMO

Effective states govern by some combination of enforcement and voluntary compliance. To contain the COVID-19 pandemic, a critical decision is the extent to which policy makers rely on voluntary as opposed to enforced compliance, and nations vary along this dimension. While enforcement may secure higher compliance, there is experimental and other evidence that it may also crowd out voluntary motivation. How does enforcement affect citizens' support for anti-COVID-19 policies? A survey conducted with 4,799 respondents toward the end of the first lockdown in Germany suggests that a substantial share of the population will support measures more under voluntary than under enforced implementation. Negative responses to enforcement-termed control aversion-vary across the nature of the policy intervention (e.g., they are rare for masks and frequent for vaccination and a cell-phone tracing app). Control aversion is less common among those with greater trust in the government and the information it provides, and among those who were brought up under the coercive regime of East Germany. Taking account of the likely effectiveness of enforcement and the extent to which near-universal compliance is crucial, the differing degrees of opposition to enforcement across policies suggest that for some anti-COVID-19 policies an enforced mandate would be unwise, while for others it would be essential. Similar reasoning may also be relevant for policies to address future pandemics and other societal challenges like climate change.


Assuntos
COVID-19/psicologia , Aglomeração/psicologia , Política de Saúde , Adulto , Idoso , COVID-19/epidemiologia , Feminino , Alemanha/epidemiologia , Governo , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Política , Quarentena , SARS-CoV-2 , Confiança , Adulto Jovem
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