The list of COVID news stories could go on and on, but what many experts seem to agree on is that this surge is a pretty big deal. In fact, Ashish Jha, dean of the Brown University School of Public Health predicts this wave might be the biggest summer surge since the virus started, according to an article in CNN.
Looking at the news about this latest surge, I think the health belief model can help people understand why our biggest summer surge has specifically occurred after the pandemic stage of the virus has been declared long over.
The health belief model
The health belief model helps public health practitioners and doctors understand what motivates people to adopt a positive health action (like quitting smoking or exercising), or act to reduce exposure to a negative health event (like getting a flu vaccine or practising safer sex).
This model tells us that the likelihood of a person taking action towards a particular health outcome depends on the person’s perception of the risk of the negative health outcome to themselves personally, and also their perception of the benefit of the risk reducing behaviour. People also need to feel like they have the ability to take the necessary action, and that the action will be effective.
Adopting the health belief model in practice means that public health communicators and the media need to illuminate both the risk of the negative health outcome, and the benefits and effectiveness of the risk reducing behaviours that will help people avoid the health danger. Both of these elements have been lacking since the end of the global emergency declaration for COVID-19.
Health belief and the summer of COVID
The reason I think we’re seeing such a surge now is because people don’t believe COVID is a risk, and they also don’t understand how getting vaccinations beyond the initial vaccine series from a few years ago would protect them now.
When public health officials communicated the end to the global emergency stage of COVID, they unwittingly gave the public the impression that the danger was over. This decreased perceived risk and, with it, the likelihood that people would engage in regular vaccination, mask wearing and hand washing.
Health Canada no longer keeps or reports the latest COVID numbers, which means that many people have no real idea of the relative risk to themselves for gathering in public spaces, making them less likely to take precautions and more likely to pass on the virus.
This is the biggest summer wave because people are under-vaccinated and have stopped taking other precautions like distancing or wearing masks. And the reasons why we’re not taking these important risk-reduction behaviours is because many of us believe that COVID is over, or, if not over, that it’s not a big deal.
COVID is not the emergency it once was, but it’s still a health threat, and we’d be wise to reduce our risk of getting it. That’s why public health communicators should re-integrate strategies that employ the health belief model to remind people that they are at risk, they can do something to reduce that risk and they will be better off for it.
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