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COVID-19 and Masking Disparities: Qualitative Analysis of Trust on the CDC’s Facebook Page

Author

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  • Andrea Laurent-Simpson

    (Department of Sociology, Dedman College of Humanities and Sciences, Southern Methodist University, Dallas, TX 75205, USA)

Abstract
This exploratory paper examines individual levels of risk assessment as impacting institutional trust in the CDC while also contributing to disparities in expressed willingness to mask early in the COVID-19 pandemic. Using both content and thematic analysis of the CDC’s Facebook (FB) page from April 2020 and Gidden’s modern risk society theory, I consider how social media (SM) users retrospectively perceived a dramatic change in public health (PH) advisory—from the CDC advising against masking in February 2020 (Time 1) to advising the use of “do-it-yourself” (DIY) cloth masking in April 2020 (Time 2)—through a lens of prior, self-guided research. Expressed “knowledge” of masking as preventative (or not) yielded unwavering and sometimes increasing distrust in the CDC based on user perception of the “correct” advisory, regardless of the CDC’s position at Time 1 or Time 2. Simultaneously, disparities in masking behaviors appeared to be driven not by CDC guidance but by this same self-guided research. I show this via three themes: (1) claims of ineffectiveness for DIY masking (do not trust CDC now—no masking from the start); (2) conflict between the first and second CDC advisories on masking (do not trust CDC—either already masking anyway or will now); (3) disappointed in the CDC for length of time taken to make a DIY mask recommendation (do not trust CDC—either already masking anyway or will mask now). I discuss the imperative nature of two-way engagement with SM users by PH rather than using SM as a one-way mode of advisory dissemination. This and other recommendations may decrease disparities in preventative behaviors based on individual-level risk assessment as well as increase institutional trust and transparency.

Suggested Citation

  • Andrea Laurent-Simpson, 2023. "COVID-19 and Masking Disparities: Qualitative Analysis of Trust on the CDC’s Facebook Page," IJERPH, MDPI, vol. 20(12), pages 1-18, June.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:12:p:6062-:d:1165068
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    References listed on IDEAS

    as
    1. Aengus Collins & Marie-Valentine Florin & Ortwin Renn, 2020. "COVID-19 risk governance: drivers, responses and lessons to be learned," Journal of Risk Research, Taylor & Francis Journals, vol. 23(7-8), pages 1073-1082, August.
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    7. Bo Zhang & Zhongjie Li & Lei Jiang, 2021. "The Intentions to Wear Face Masks and the Differences in Preventive Behaviors between Urban and Rural Areas during COVID-19: An Analysis Based on the Technology Acceptance Model," IJERPH, MDPI, vol. 18(19), pages 1-15, September.
    8. Fathey Mohammed & Nabil Hasan Al-Kumaim & Ahmed Ibrahim Alzahrani & Yousef Fazea, 2023. "The Impact of Social Media Shared Health Content on Protective Behavior against COVID-19," IJERPH, MDPI, vol. 20(3), pages 1-16, January.
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