A survey of perceptions and behavioural responses towards the COVID-19 pandemic in South Africa

Abstract

Background: The South African response to the Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus was swift and assertive, although it came with economic and social costs. An understanding of the pandemic experiences of different population groups is integral to enhancing disease control.

Aim: The aim of this study was to identify behavioural responses and public perceptions relating to the coronavirus disease 2019 (COVID-19) pandemic.

Setting: The study was conducted in South Africa.

Methods: In June 2022, a national online survey (N = 3018) was conducted among adults (> 18 years). Logistic regression was used to examine the factors associated with adherence to government measures and vaccination. Structural equation modelling (SEM) was applied to examine the direct and indirect relationship of socioeconomic status (SES) with protective behaviours.

Results: Data showed no direct association between SES and vaccination uptake, but SES was indirectly and positively associated with vaccination uptake. Socioeconomic status was also indirectly and positively associated with adherence to government measures through pathways mediated by access to the Internet, access to local news, government trust and positive government experiences.

Conclusion: This study highlights the complexity of government measures and vaccination adoption and the socioeconomic barriers affecting these.

Contribution: Results from this study should be used to inform future pandemic preparedness plans. In particular, policymakers should consider the importance of providing scientific information through channels accessible to each socioeconomic group to promote positive behavioural changes, as well as the need to adapt pandemic responses to different socioeconomic groups.

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Identifiers

ORCID for Shane A. Norris: orcid.org/0000-0001-7124-3788

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