From information to action: modelling social and cognitive factors in health decisions

Abstract Background This study examines the social and cognitive factors influencing health decisions to adopt protective behaviors in a U.S. sample. A theoretical framework was developed, incorporating key variables such as perceived severity, perceived vulnerability, use of formal and informal hea...

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Main Authors: Jiadong Yu, D. A. Bekerian
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-025-21721-8
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author Jiadong Yu
D. A. Bekerian
author_facet Jiadong Yu
D. A. Bekerian
author_sort Jiadong Yu
collection DOAJ
description Abstract Background This study examines the social and cognitive factors influencing health decisions to adopt protective behaviors in a U.S. sample. A theoretical framework was developed, incorporating key variables such as perceived severity, perceived vulnerability, use of formal and informal health information, conspiracy beliefs, and political ideology. The protective behaviors studied included mask-wearing and vaccination intentions. Methods This study employed a cross-sectional design to explore how cognitive appraisals and socio-political factors influence health decisions. Data were collected from 742 U.S.-based participants via Amazon Mechanical Turk (MTurk) between January 28–30, 2023. Results Perceived vulnerability and perceived severity had distinct effects on information source preferences. Reliance on formal sources positively correlated with compliance behaviors such as mask-wearing and vaccination, while perceived severity strongly predicted mask adherence. In contrast, perceived vulnerability was associated with conspiracy beliefs and informal information use. Notably, fear of COVID-19 did not significantly influence health behaviors. Instead, political ideology and conspiracy beliefs played a more dominant role, emphasizing the importance of integrating socio-political factors into traditional health behavior models. Conclusions Understanding the complex interplay of cognitive and socio-political factors is crucial for developing effective public health strategies to enhance compliance with health guidelines during the COVID-19 pandemic and future crises.
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spelling doaj-art-6b222d82cb724fe8b0eee571f5256c672025-02-09T12:58:48ZengBMCBMC Public Health1471-24582025-02-0125111310.1186/s12889-025-21721-8From information to action: modelling social and cognitive factors in health decisionsJiadong Yu0D. A. Bekerian1California School of Professional Psychology, Alliant International UniversityCalifornia School of Professional Psychology, Alliant International UniversityAbstract Background This study examines the social and cognitive factors influencing health decisions to adopt protective behaviors in a U.S. sample. A theoretical framework was developed, incorporating key variables such as perceived severity, perceived vulnerability, use of formal and informal health information, conspiracy beliefs, and political ideology. The protective behaviors studied included mask-wearing and vaccination intentions. Methods This study employed a cross-sectional design to explore how cognitive appraisals and socio-political factors influence health decisions. Data were collected from 742 U.S.-based participants via Amazon Mechanical Turk (MTurk) between January 28–30, 2023. Results Perceived vulnerability and perceived severity had distinct effects on information source preferences. Reliance on formal sources positively correlated with compliance behaviors such as mask-wearing and vaccination, while perceived severity strongly predicted mask adherence. In contrast, perceived vulnerability was associated with conspiracy beliefs and informal information use. Notably, fear of COVID-19 did not significantly influence health behaviors. Instead, political ideology and conspiracy beliefs played a more dominant role, emphasizing the importance of integrating socio-political factors into traditional health behavior models. Conclusions Understanding the complex interplay of cognitive and socio-political factors is crucial for developing effective public health strategies to enhance compliance with health guidelines during the COVID-19 pandemic and future crises.https://doi.org/10.1186/s12889-025-21721-8Health decisionsSocial psychological predictorsCognitive predictorsProtective behaviorsCOVID-19
spellingShingle Jiadong Yu
D. A. Bekerian
From information to action: modelling social and cognitive factors in health decisions
BMC Public Health
Health decisions
Social psychological predictors
Cognitive predictors
Protective behaviors
COVID-19
title From information to action: modelling social and cognitive factors in health decisions
title_full From information to action: modelling social and cognitive factors in health decisions
title_fullStr From information to action: modelling social and cognitive factors in health decisions
title_full_unstemmed From information to action: modelling social and cognitive factors in health decisions
title_short From information to action: modelling social and cognitive factors in health decisions
title_sort from information to action modelling social and cognitive factors in health decisions
topic Health decisions
Social psychological predictors
Cognitive predictors
Protective behaviors
COVID-19
url https://doi.org/10.1186/s12889-025-21721-8
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