key: cord-0711528-uiv99de1 authors: Lo Iacono, Sergio; Przepiorka, Wojtek; Buskens, Vincent; Corten, Rense; van de Rijt, Arnout title: COVID-19 vulnerability and perceived norm violations predict loss of social trust: A pre-post study date: 2021-10-28 journal: Soc Sci Med DOI: 10.1016/j.socscimed.2021.114513 sha: 57db5be65250442d2d8c98b05b2b0293683485f2 doc_id: 711528 cord_uid: uiv99de1 While pandemic containment measures benefit public health, they may jeopardize the social structure of society. We hypothesize that lockdowns and prolonged social distancing measures hinder social support and invite norm violations, eroding social trust. We conducted a pre-registered pre-post study on a representative sample of the Dutch population (n = 2377; participation rate = 88.8%), measuring social trust reported by the same individuals before and after the first wave of the COVID-19 pandemic. Results show that social trust in the Netherlands suddenly dropped from its historically stable level, reaching one of its lowest points on record. The decline was stronger among residents belonging to official high-risk categories, especially if they perceived themselves as likely to become infected. Individuals who more strongly agreed with self-isolation norms or did not perceive a widespread compliance or agreement with such norms also reported a greater loss of trust. Natural disasters enhance social trust by posing a common threat, boosting a sense of community, and reinforcing social bonds and group identity as people "come together" to help each other in difficult times (Calo-Blanco et al., 2017; Cassar et al., 2017; Dussaillant and Guzmán, 2014; Kang and Skidmore, 2018; Toya and Skidmore, 2014) . Here we argue that pandemics may be different from other types of natural disasters (e.g., earthquakes) because the public health interventions that follow them may counteract otherwise positive solidarity effects. Specifically, lockdowns and prolonged social distancing measures hinder social support and invite rule violation, possibly harming the social structure of society. Prior research shows that positive social interactions and informal contacts are important determinants of people's trust in their fellow citizens: while frequent socialization enhances people's willingness to rely on others, social isolation hinders their capacity to do so (Glanville et al., 2013; Putnam, 2000) . Furthermore, the literature indicates a positive association between individual well-being and social trust (Helliwell and Putnam, 2004) . Self-rated good health has been found to be associated with higher levels of social trust across a large body of studies, while worse physical health (e.g., obesity) is associated with a low propensity to trustthough the correlation is not statistically significant for other health issues (e.g., diabetes) (Jen et al., 2010; Kim et al., 2008; Riumallo-Herl et al., 2014; Rodgers et al., 2019; Wu et al., 2018) . It has been argued that people incurring in worse health conditions may be less socially engaged and develop stronger feelings of uncertainty and insecurity, substantially hampering their ability to rely on strangers (Cornwell, 2009; Giordano and Lindström, 2016; Glanville et al., 2013; Helliwell and Putnam, 2004) . In a similar vein, we argue that the pandemic forces individuals to actively isolate themselves for a sustained period of time, fueling doubt and skepticism towards strangers. This should be particularly true for people who are at higher medical risk or have already been infected because they are strongly encouraged to self-isolate at home and avoid social contacts. That is, as health risks and self-isolation needs increase, people's willingness to rely on others should deteriorate. We thus hypothesize: The more vulnerable people are to the virus, the more their social trust in fellow citizens decreases during the pandemic [H1] . Contrary to other types of natural disasters, pandemics require strict norm compliance for successful containment (Chu et al., 2020; Dehning et al., 2020; Diekmann, 2020) . Social trust could be undermined by recurrent selfish behaviors and frequent violations of lockdown norms (Horne and Mollborn, 2020; Posner, 2000; Van Bavel et al., 2020) . However, what people think is the right thing to do (i.e., personal normative beliefs) might differ from what these people think their fellow citizens agree and comply with (i.e., perceived agreement and compliance) (Bicchieri, 2016; Bicchieri et al., 2014; de Wit and Lisciandra, 2020; Rauhut, 2013) . Individuals who believe lockdown norms should be adhered to may gain trust if they perceive that their fellow citizens share this belief or comply with lockdown norms. However, these people may lose trust if they perceive that their fellow citizens do not share this belief or fail to comply with lockdown norms (Rauhut, 2013) . In contrast, those who do not believe that lockdown norms should be followed may remain unaffected in their social trust by what they perceive others think and do with regard to lockdown norms. We thus hypothesize that discrepancies between people's normative beliefs regarding lockdown norms and these people's perceptions of others' compliance and agreement with lockdown norms will affect social trust as follows: The more people view social distancing and self-isolation as appropriate and believe that only few fellow citizens comply [H2a] To test these hypotheses, we conducted a pre-registered pre-post study on a representative sample of the Dutch population (n = 2377). We measured social trust in the same individuals before and after the first wave of the pandemic, while assessing the impact of virus exposure, vulnerability, as well as agreement with norms concerning self-isolation, and perceived compliance and agreement with such norms. Data were collected between July 6th, 2020 and July 28th, 2020 on a sample of the Dutch population well spread on the national territory, using the Longitudinal Internet studies for the Social Sciences (LISS) sample pool. The LISS panel consists of about 7500 respondents and has been active since 2007. The panel is based on a true probability sample of households drawn from the population register by Statistics Netherlands (CBS), and it is administered each year to the same individuals, covering several aspects of respondents' attitudes and living conditions (Scherpenzeel and Das, 2010) . Our gross sample (n = 2698) was a random sample of the active LISS panel members who answered the social trust question in May/June 2019 (Wave 11, Personality module of the LISS panel) and participated in the "Effects of the Outbreak of COVID-19" study conducted at the end of March 2020. This approach allowed us to realize the pre-post measurement on our variable of interest (social trust) and use answers to COVID-19 related questions. In total, we had 2405 participants of which 8 did not complete our survey (participation rate = 88.8%). After listwise deletion of missing values, our sample amounted to 2377. Responses were collected between the first and the second wave of the pandemic (see Supplementary Information -SI) using an Internet survey in line with LISS panel standard procedures. Social trust in May/June 2019 (pre-pandemic) and July 2020 (post-first wave) was measured using the standard 11-point scale (0 = "You can't be too careful", 10 = "Most people can be trusted"). This measure of social trust has been widely used in the literature, showing a high level of test-retest reliability and a higher validity than its dichotomous version (Hout and Hastings, 2016; Lundmark et al., 2016; Nannestad, 2008 ) -see also Banerjee et al. (2021) for recent empirical evidence supporting a robust association between the self-reported measure of social trust using the 11-point scale and behaviors in the experimental trust game. Indicators of virus vulnerability, normative beliefs and perceptions rely on prior studies of social norms (Bicchieri, 2016; Bicchieri et al., 2014) and COVID-19 (de Bruin and Bennett, 2020; de Wit and Lisciandra, 2020; Van Bavel et al., 2020) , as well as on guidelines provided by the National Institute for Public Health (RIVM, 2021). Table 1 summarizes the measures we used for the constructs mentioned in our hypotheses, while Table 2 provides descriptive statistics. The representativeness of the LISS sample is periodically monitored and adjustments are made over time to maintain it. While our subsample has similar characteristics to the sample of LISS participants that routinely take part in the Personality module (which includes the social trust question), some differences from the general Dutch adult population can be observed (see SI). To address this, we computed sample weights using CBS Population Statistics, and re-ran all our analyses applying sample weights. Results are shown in the SI and are consistent with all our findings. Note. Social Trust was measured in May/June 2019 and July 2020. Perceived chance of being infected was measured at the end of March 2020 in the "Effects of the Outbreak of COVID-19" study. All other variables were measured in July 2020. Note. Perceived agreement and compliance were re-scaled from 0-100 to 0-10; n = 2377. The pre-post design of our study enables us to assess the change in social trust before and after the first wave of the pandemic. We thus operationalized our dependent variable as the difference between respondents' levels of social trust in 2020 and 2019 (Allison, 1990) . We treated this 19-category variable as continuous and employed OLS regression models. Regression coefficients are estimated with heteroscedasticity-robust standard errors and we set statistical significance at the 5% level (i.e., α = 0.05) for two-sided tests. To test our hypotheses, we use the COVID-19 related variables listed in Table 1 . Further information on descriptive statistics, additional analyses, and robustness checks are available in the SI. The pre-registration and the questionnaire pertaining to our survey are available at the Open Science Framework (OSF) website. This study obtained ethical approval from the ******* Ethics Committee. Results from a paired t-test indicate that, overall, trust significantly decreased by 0.13 points (Social Trust 2020 = 5.84, SE = 0.05; Social Trust 2019 = 5.97, SE = 0.05; t(2376) = -3.11, p < 0.01). Though relatively small, this drop is noteworthy considering that (a) social trust is a stable trait and its trend in the Netherlands has been steady in the last 20 years (Lo Iacono and Quaranta, 2019; Nannestad, 2008; Uslaner, 2002) ; (b) this is one of the lowest levels of social trust recorded in the Netherlands so farsee Fig. 1 . Table 3 and Fig. 2 show OLS regression results of the impact of having been infected (among survivors), number of infected close contacts, belonging to a high-risk category, and perceived chance of being Sources: LISS panel Waves 1-12 (May/June 2008-May/June 2020) and current study (July 2020), European Center for Disease prevention and Control (ECDC) data; 95% CIs. Following the ECDC, we define the start/end of the first wave of the pandemic according to two criteria: the positivity test rate is above/below 4% (i.e. n COVID-19 cases/n COVID-19 tests) and more/less than 25 cases per 100,000 inhabitants are reported in the past 2 weeks (ECDC, 2021) -see SI. Note: Social trust ranges between 0 and 10. Note. OLS regressions with robust standard errors in parentheses. Perceived chance of being infected is centered around the mean. LISS sample, Netherlands 2019-2020. * = p < 0.05, ** = p < 0.01, *** = p < 0.001 (for two-sided tests). infected at the end of March 2020 on social trust change, controlling for sociodemographic variables, geographical location, and date of fieldwork (see SI for details and robustness checks). Model 1.1 suggests that belonging to a high-risk group for COVID-19 significantly predicts the change in social trust. High-risk individuals reported 0.30 trust points less than in the pre-pandemic period (t = − 3.69, p < 0.001), whereas individuals who were not at high-risk reported a statistically insignificant loss of 0.04 trust points (t = − 0.82, p = 0.410), meaning that high-risk individuals lost 0.26 trust points more on average than people who were not at high-risk (t = − 2.57, p < 0.05; Model 1.1). As the three other indicators of vulnerability do not predict social trust change, these results provide only partial support for H1. Model 1.2 tests, using a two-way interaction, whether belonging to the high riskcategory has an effect on social trust change especially for people who Note. OLS regressions with robust standard errors in parentheses. Perceived compliance with norm A and B are centered around the mean. LISS sample, Netherlands 2019-2020. * = p < 0.05, ** = p < 0.01, *** = p < 0.001 (for two-sided tests). Note. OLS regressions with robust standard errors in parentheses. Perceived agreement with norm A and B are centered around the mean. LISS sample, Netherlands 2019-2020. * = p < 0.05, ** = p < 0.01, *** = p < 0.001 (for two-sided tests). think they have a high chance of being infected, under the assumption that objective vulnerability operates in conjunction with subjective perceptions of vulnerability. Results show that the interaction is indeed significant (t = − 3.47, p < 0.001): a one-unit increase in perceived chance of being infected yields a loss of 0.35 in the dependent variable for people in the high-risk category in comparison to people who are not in the high-risk category. This is graphically illustrated in Fig. 2 Panel B, which indicates that the impact on social trust change for people in the high-risk category is indeed negative and substantial. Change in social trust in people who are not in the high-risk category is hardly contingent on their perception of getting infected. By contrast, as it can be seen from the blue line in Fig. 2 Panel B, among people in the high-risk category those who perceived infection chances to be the highest experienced a drop in social trust of 1.36 points (t = − 3.53, p < 0.001) while those who perceived infection chances to be the lowest experienced a statistically insignificant increase of 0.42 trust points (t = 1.64, p = 0.101). Tables 4 and 5 and Fig. 3 show OLS regression results of the impact of normative views (i.e. respondents' agreements with norms pertaining to self-isolation) and perceived compliance and agreement of others with such norms on social trust change, controlling for virus exposure and vulnerability, sociodemographic variables, geographical location, and date of fieldwork (see SI). We focus on two social norms: whether, during the lockdown in April 2020, it was appropriate to stay at home and avoid social contacts for people who had any COVID-19 symptoms (norm A) or had no symptoms (norm B). Perceived compliance and agreement concern these two norms. Baseline models show a significant negative impact of norm B (Models 2.3, 2.7), but not of norm A (Models 2.1, 2.5) -e.g., a one-unit increase of agreement with norm B produces a loss of 0.20 in social trust change (t = − 4.55, p < 0.001). Also, results show that social trust remained unchanged for individuals who perceived the vast majority of fellow citizens to agree or comply with norm A or B, while it dropped otherwise (Models 2.1, 2.3, 2.5, 2.7). For instance, individuals who perceived 50% of people to agree with norm B reported 0.23 trust points less than in the prepandemic period (t = − 4.13, p < 0.001), whereas individuals who perceived 80% of people to agree with norm B experienced no significant trust loss (t = − 0.48, p = 0.634). Nevertheless, interaction terms are never significant (Models 2.2, 2.4, 2.6, 2.8), indicating that the effect of normative views on social trust change does not depend on perceived compliance or agreement. These results fail to support H2a, H3a, H2b, and H3b. Our findings suggest that the COVID-19 pandemic unlike other natural disasters was followed by a loss of social trust. We found that social trust dropped in the Netherlands after the first wave of the COVID-19 pandemic, particularly for people at high-risk. However, exposure to the virus (among survivors) or infections amongst respondents' personal contacts had no impact on social trust. Our study furthermore shows that trust loss after the first wave of the pandemic varied with objective and subjective vulnerability to COVID-19, as well as with normative views and perceived agreement and compliance with social distancing norms. People in official high-risk categories experienced a greater drop in trust, especially those who at the start of the pandemic perceived themselves as likely to become infected. People with a stronger normative view on self-isolation also lost trust in fellow citizens to a greater degree, along with individuals who did not expect a widespread compliance or agreement with such norms. However, contrary to our predictions, discrepancies between one's normative views and one's perceptions of what others think or do with regard to lockdown norms did not affect trust. Our findings identify a paradoxical scenario that policy makers concerned with pandemic containment measures might face. On the one hand, strict lockdown norms help protect the lives and well-being of those most vulnerable to COVID-19. On the other hand, norms prescribing self-isolation and social distancing can undermine social trust and cohesion with yet unknown consequences for the fabric of society (Borkowska and Laurence, 2021) . However, our study considers only potential consequences of COVID-19 on social trust in the short-term. Long-term consequences of lockdowns and other measures may be different. Furthermore, the causal nexus between the COVID-19 pandemic and social trust hinted in this research should be more thoroughly assessed with different study designs and datasets. Future research should continue to monitor the role of people's views and expectations regarding COVID-19 related norms (e.g., wearing a mask, getting vaccinated), investigate which interventions are less detrimental for social trust (in the short-and long-run), and whether similar mechanisms can be observed across countries. S.L.I and W.P. contributed to study conceptualization, S.L.I. analyzed the data, S.L.I., W.P., V.B., R.C., and A.v.d.R. designed the research and wrote the paper. Change scores as dependent variables in regression analysis Trusting the trust game: an external validity analysis with a UK representative sample Norms in the Wild: How to Diagnose, Measure, and Change Social Norms A structured approach to a diagnostic of collective practices Coming together or coming apart? 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Supplementary data to this article can be found online at https://doi. org/10.1016/j.socscimed.2021.114513.