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The effect of COVID-19 on public confidence in the World Health Organization: a natural experiment among 40 countries

Globalization and health, 2022-08, Vol.18 (1), p.1-77, Article 77 [Peer Reviewed Journal]

COPYRIGHT 2022 BioMed Central Ltd. ;2022. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2022 ;ISSN: 1744-8603 ;EISSN: 1744-8603 ;DOI: 10.1186/s12992-022-00872-y ;PMID: 35987652

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  • Title:
    The effect of COVID-19 on public confidence in the World Health Organization: a natural experiment among 40 countries
  • Author: Guo, Chao ; Hu, Xiyuan ; Yuan, Dianqi ; Zeng, Yuyu ; Yang, Peisen
  • Subjects: Cooperation ; Coronaviruses ; COVID-19 ; Crisis management ; Disease prevention ; Economic aspects ; Emergencies ; Epidemics ; Estimates ; Geographical variations ; Health services ; Influenza ; International aspects ; International organizations ; Leadership ; Maintenance ; Males ; Methods ; Older people ; Organizations ; Pandemic ; Pandemics ; Patient safety ; Public concern ; Public confidence ; Public health ; Public opinion ; Severe acute respiratory syndrome coronavirus 2 ; Temporal variations ; Trust ; World Health Organization
  • Is Part Of: Globalization and health, 2022-08, Vol.18 (1), p.1-77, Article 77
  • Description: At a time when a highly contagious pandemic and global political and economic turmoil are intertwined, worldwide cooperation under the leadership of an international organization has become increasingly important. This study aimed to estimate the effect of COVID-19 on public confidence in the World Health Organization (WHO), which will serve as a reference for other international organizations regarding the maintenance of their credibility in crisis management and ability to play a greater role in global health governance. We obtained individual data from the World Values Survey (WVS). A total of 44,775 participants aged 16 and older from 40 countries in six WHO regions were included in this study. The COVID-19 pandemic was used as a natural experiment. We obtained difference-in-differences (DID) estimates of the pandemic's effects by exploiting temporal variation in the timing of COVID-19 exposure across participants interviewed from 2017 to 2020 together with the geographical variation in COVID-19 severity at the country level. Public confidence in the WHO was self-reported by the respondents. Among the participants, 28,087 (62.73%) reported having confidence in the WHO. The DID estimates showed that the COVID-19 pandemic could significantly decrease the likelihood of people reporting confidence in the WHO after controlling for multiple covariates (adjusted OR 0.54, 95% CI: 0.49-0.61), especially during the global outbreak (0.35, 0.24-0.50). The effect was found in both younger individuals (0.58, 0.51-0.66) and older adults (0.49, 0.38-0.63) and in both males (0.47, 0.40-0.55) and females (0.62, 0.53-0.72), with a vulnerability in males (adjusted P for interaction = 0.008). Our findings are relevant regarding the impact of COVID-19 on people's beliefs about social institutions of global standing, highlighting the need for the WHO and other international organizations to shoulder the responsibility of global development for the establishment and maintenance of public credibility in the face of emergencies, as well as the prevention of confidence crises.
  • Publisher: London: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 1744-8603
    EISSN: 1744-8603
    DOI: 10.1186/s12992-022-00872-y
    PMID: 35987652
  • Source: Geneva Foundation Free Medical Journals at publisher websites
    PubMed Central
    Coronavirus Research Database
    SpringerOpen website
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals

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