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Citizen’s Policy Compliance With Stringent Measures in Public Health Crisis

Evidence From China’s Covid-19 Response

Datos Bibliográficos

ID22006201
AutoresTongzhou Lyu (0009-0002-5012-8267, East China Normal University), Rongling Long (Zhongnan University of Economics and Law), Yongxin Zhao (0000-0003-4252-1114, East China Normal University), Zhiyong Song (0009-0001-3977-6653, Shandong University of Science and Technology), Xin Ma (0000-0002-1197-3006, East China Normal University), Zhixiong Yang (0000-0003-1207-5301, Ocean University of China, autor de correspondencia)
Año2025
Volumen15
Número4
Fecha de publicación2025-10-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSAGE Open (JOURNAL)
Identificadores de la revistaISSN: 2158-2440 • E-ISSN: 2158-2440
EditorialSAGE Publications (PUBLISHER • US)
DOI10.1177/21582440251391000
OpenAlexW4417272314
IdiomaEN
Referencias citadas56

This study aims to portray the policy compliance landscape among Chinese citizens, focusing on their adherence to strict public health measures during the COVID-19 pandemic. Utilizing data from the 2021 Chinese General Social Survey, we employed ordinary least squares and ordered Logit models to explore factors influencing compliance with government epidemic prevention policies. Findings indicate that individuals with higher education levels, chronic illnesses, high trust in government, and strong sense of social responsibility tend to demonstrate higher policy compliance, while married individuals and those with high trust in the healthcare system exhibit lower policy compliance. Based on a dual framework of normative and calculative motivation, this study reveals multiple mechanisms underlying policy compliance. Under the normative pathway, trust, sense of responsibility, and education may promote internalized compliance through reinforcing policy identification, while married individuals may show weaker response due to family responsibilities. Under calculative motivation, those with higher education levels and poor health conditions may develop stronger protective motivation due to threat perception. In contrast, married individuals may prioritize household interests, reducing compliance. Meanwhile, high trust in the healthcare system may trigger a “trust paradox.”

Health care · Logit · Normative · Public health · Public policy · Social policy · China's Socioeconomic Reforms and Governance · COVID-19 Digital Contact Tracing · Policy Transfer and Learning · Health Policy

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