Citizens' Perceptions of Ethical Issues in COVID-19 Containment

A Quantitative Cross-Country and Cross-Cultural Study

Authors

DOI:

https://doi.org/10.55613/jeet.v35i1.177

Keywords:

COVID-19, moral foundations, ethics, containment

Abstract

COVID-19 has forced policy-makers to impose measures affecting citizens' fundamental rights without public consultation. This study examines citizens’ perceptions of such measures in four countries, focusing on how moral foundations and socio-demographic factors shape differing views. A survey was conducted in April-October 2021 in The Netherlands (NL), Italy (IT), Indonesia (ID) and Kenya (KE), with questions on citizens’ agreement with containment measures, plus the Moral Foundation Theory questionnaire. Univariable and multivariable multinomial logistic regression analysis was performed to examine associations between agreement levels and moral foundations/socio-demographic factors. Agreement with the government approach was at 47% in NL, 21% in IT, 58% in ID and 26% in KE. Most participants agreed with a full lockdown in NL (61.3%), IT (58.8%) and ID (82.5%) but not in KE (36.1%). Being religious increased the probability of agreeing with most containment measures. The moral foundations of care, fairness, and sanctity-purity were positively associated with the likelihood of agreeing with all measures but restricting hospital visits. Containment measures were perceived differently based on country, morals, and background. More focus is needed on the potential influence of socio-cultural contexts and overlooked dynamics when designing and communicating these measures.

References

Agamben, G. (2020). L’invenzione di un’epidemia. https://www.quodlibet.it/giorgio-agamben-l-invenzione-di-un-epidemia

Agresti, A. (2002). Categorical Data Analysis (1st ed.). Wiley. https://doi.org/10.1002/0471249688 DOI: https://doi.org/10.1002/0471249688

Ali, M., Uddin, Z., Banik, P. C., Hegazy, F. A., Zaman, S., Ambia, A. S. M., Siddique, M. K. B., Islam, R., Khanam, F., Bahalul, S. M., Sharker, M. A., Hossain, Fma., & Ahsan, G. U. (2023). Knowledge, Attitude, Practice, and Fear of COVID-19: An Online-Based Cross-cultural Study. International Journal of Mental Health and Addiction, 21(2), 1025–1040. https://doi.org/10.1007/s11469-021-00638-4 DOI: https://doi.org/10.1007/s11469-021-00638-4

Alkire, S., & Chen, L. (2004). Global health and moral values. The Lancet, 364(9439), 1069–1074. https://doi.org/10.1016/S0140-6736(04)17063-3 DOI: https://doi.org/10.1016/S0140-6736(04)17063-3

Allcott, H., Boxell, L., Conway, J., Gentzkow, M., Thaler, M., & Yang, D. (2020). Polarization and public health: Partisan differ-ences in social distancing during the coronavirus pandemic. Journal of Public Economics, 191, 104254. https://doi.org/10.1016/j.jpubeco.2020.104254 DOI: https://doi.org/10.1016/j.jpubeco.2020.104254

Ansani, A., Marini, M., Cecconi, C., Dragoni, D., Rinallo, E., Poggi, I., & Mallia, L. (2022). Analyzing the Perceived Utility of Covid-19 Countermeasures: The Role of Pronominalization, Moral Foundations, Moral Disengagement, Fake News Em-bracing, and Health Anxiety. Psychological Reports, 125(5), 2591–2622. https://doi.org/10.1177/00332941211027829 DOI: https://doi.org/10.1177/00332941211027829

Atari M., Lai Mark H. C., & Dehghani, M. (2020). Sex differences in moral judgements across 67 countries. Proceedings of the Royal Society B: Biological Sciences, 287(1937). https://doi.org/10.1098%2Frspb.2020.1201 DOI: https://doi.org/10.1098/rspb.2020.1201

Aubel, J., & Chibanda, D. (2022). The neglect of culture in global health research and practice. BMJ Global Health, 7(9), e009914. https://doi.org/10.1136/bmjgh-2022-009914 DOI: https://doi.org/10.1136/bmjgh-2022-009914

Bajaj, G., Khandelwal, S., & Budhwar, P. (2021). COVID-19 pandemic and the impact of cross-cultural differences on crisis man-agement: A conceptual model of transcultural crisis management. International Journal of Cross Cultural Management, 21(3), 569–601. https://doi.org/10.1177/14705958211060189 DOI: https://doi.org/10.1177/14705958211060189

Bianco, F., Kosic, A., & Pierro, A. (2021). COVID-19 and prejudice against migrants: The mediating roles of need for cognitive clo-sure and binding moral foundations. A comparative study. The Journal of Social Psychology, 161(4), 477–491. https://doi.org/10.1080/00224545.2021.1900046 DOI: https://doi.org/10.1080/00224545.2021.1900046

Bruchmann, K., & LaPierre, L. (2022). Moral Foundations Predict Perceptions of Moral Permissibility of COVID-19 Public Health Guideline Violations in United States University Students. Frontiers in Psychology, 12, 795278. https://doi.org/10.3389/fpsyg.2021.795278 DOI: https://doi.org/10.3389/fpsyg.2021.795278

Calvillo, D. P., Ross, B. J., Garcia, R. J. B., Smelter, T. J., & Rutchick, A. M. (2020). Political Ideology Predicts Perceptions of the Threat of COVID-19 (and Susceptibility to Fake News About It). Social Psychological and Personality Science, 11(8), 1119–1128. https://doi.org/10.1177/1948550620940539 DOI: https://doi.org/10.1177/1948550620940539

Chan, E. Y. (2021). Moral foundations underlying behavioral compliance during the COVID-19 pandemic. Personality and Indi-vidual Differences, 171, 110463. https://doi.org/10.1016/j.paid.2020.110463 DOI: https://doi.org/10.1016/j.paid.2020.110463

Chen, Y., & Biswas, M. I. (2020). Impact of national culture on the severity of the COVID-19 pandemic. Current Psychology.

Clarke, S. (1706). Discourse concerning the Unchangeable Obligations of Natural Religion.

Conte, G. (2020, October 27). La risposta di Conte a Riccardo Muti: «Gentile maestro, la scelta è grave ma necessaria». Corriere della Sera. https://www.corriere.it/spettacoli/20_ottobre_27/riccardo-muti-risposta-conte-teatri-chiusi-gentile-maestro-scelta-grave-ma-necessaria-9ff1f2b8-17cd-11eb-a554-aa444d891737.shtml

Croson, R., & Gneezy, U. (2009). Gender Differences in Preferences. Journal of Economic Literature, 47. DOI: https://doi.org/10.1257/jel.47.2.448

Culture Factor Group (2023). Country comparison tool. Retrieved 16 June 2023, from https://www.hofstede-insights.com/country-comparison-tool

De Sabbata K. (2020). Ethical Framework: A human rights approach to evaluating and responding to ethical challenges and dilemmas during a pandemic. UK Pandemic Ethics Accelerator. https://ukpandemicethics.org/library/ethical-framework-a-human-rights-approach-to-evaluating-and-responding-to-ethical-challenges-and-dilemmas-during-a-pandemic/

Desmet, M. (2022). The Psychology of Totalitarianism. Chelsea Green Publishing.

Diop, B. Z., Ngom, M., Biyong, C. P., & Biyong, J. N. P. (2020). The relatively young and rural population may limit the spread and severity of COVID-19 in Africa: A modelling study. BMJ Global Health, 5(5), e002699. https://doi.org/10.1136/bmjgh-2020-002699 DOI: https://doi.org/10.1136/bmjgh-2020-002699

Druckman, J. N., Klar, S., Krupnikov, Y., Levendusky, M., & Ryan, J. B. (2020). Affective polarization, local contexts and public opinion in America. Nature Human Behaviour, 5(1), 28–38. https://doi.org/10.1038/s41562-020-01012-5 DOI: https://doi.org/10.1038/s41562-020-01012-5

Dutch Prime Minister (Director). (2020, March 31). Press conference of Prime Minister Rutte and Minister De Jonge [Video record-ing].

Ekici, H., Yücel, E., & Cesur, S. (2023). Deciding between moral priorities and COVID-19 avoiding behaviors: A moral founda-tions vignette study. Current Psychology, 42(7), 5922–5938. https://doi.org/10.1007/s12144-021-01941-y DOI: https://doi.org/10.1007/s12144-021-01941-y

Estifanos, A. S., Alemu, G., Negussie, S., Ero, D., Mengistu, Y., Addissie, A., Gebrehiwot, Y., Yifter, H., Melkie, A., Gebrekiros, D. H., Kotecho, M. G., Soklaridis, S., Cartmill, C., Whitehead, C. R., & Wondimagegn, D. (2020). ‘I exist because of we’: Shielding as a communal ethic of maintaining social bonds during the COVID-19 response in Ethiopia. BMJ Global Health, 5(7), e003204. https://doi.org/10.1136/bmjgh-2020-003204 DOI: https://doi.org/10.1136/bmjgh-2020-003204

Evans, H. (2021). A Critical Analysis of the Eurocentric Response to COVID-19: Western Ideas of Health - Bill of Health. https://blog.petrieflom.law.harvard.edu/2021/06/11/eurocentric-response-covid-western-ideas-health/, http://blog.petrieflom.law.harvard.edu/2021/06/11/eurocentric-response-covid-western-ideas-health/

Everett, J. A. C., Colombatto, C., Awad, E., Boggio, P., Bos, B., Brady, W. J., Chawla, M., Chituc, V., Chung, D., Drupp, M. A., Goel, S., Grosskopf, B., Hjorth, F., Ji, A., Kealoha, C., Kim, J. S., Lin, Y., Ma, Y., Maréchal, M. A., … Crockett, M. J. (2021). Moral di-lemmas and trust in leaders during a global health crisis. Nature Human Behaviour, 5(8), 1074–1088. https://doi.org/10.1038/s41562-021-01156-y DOI: https://doi.org/10.1038/s41562-021-01156-y

Fealy, G. (2020). Jokowi in the Covid-19 Era: Repressive Pluralism, Dynasticism and the Overbearing State. Bulletin of Indonesia Economic Studies, 56, 301–323. DOI: https://doi.org/10.1080/00074918.2020.1846482

Finch, N., Halliday, S., Tomlinson, J., Meers, J., Willberforce, M., (2022). Undermining loyalty to legality? An empirical analysis of perceptions of ‘lockdown’ law and guidance during COVID-19. Modern Law Review, 85, 1419–1439. DOI: https://doi.org/10.1111/1468-2230.12755

Frias-Navarro, D., Pascual-Soler, M., Berrios-Riquelme, J., Gomez-Frias, R., & Caamaño-Rocha, L. (2021). COVID-19. Effect of Moral Messages to Persuade the Population to Stay at Home in Spain, Chile, and Colombia. The Spanish Journal of Psy-chology, 24, e42. https://doi.org/10.1017/SJP.2021.39 DOI: https://doi.org/10.1017/SJP.2021.39

Galasso, V., Pons, V., Profeta, P., Becher, M., Brouard, S., & Foucault, M. (2020). Gender differences in COVID-19 attitudes and behavior: Panel evidence from eight countries. Proceedings of the National Academy of Sciences, 117(44), 27285–27291. https://doi.org/10.1073/pnas.2012520117 DOI: https://doi.org/10.1073/pnas.2012520117

Geissler, P. W., & Prince, R. J. (2020). Layers of epidemy: Present pasts during the first weeks of COVID‐19 in western Kenya. Cen-taurus, 62(2), 248–256. https://doi.org/10.1111/1600-0498.12295 DOI: https://doi.org/10.1111/1600-0498.12295

Gelfand, M. J., Jackson, J. C., Pan, X., Nau, D., Pieper, D., Denison, E., Dagher, M., Van Lange, P. A. M., Chiu, C.-Y., & Wang, M. (2021). The relationship between cultural tightness–looseness and COVID-19 cases and deaths: A global analysis. The Lancet Planetary Health, 5(3), e135–e144. https://doi.org/10.1016/S2542-5196(20)30301-6 DOI: https://doi.org/10.1016/S2542-5196(20)30301-6

Gkinopoulos, T., Truelsen Elbæk, C., & Mitkidis, P. (2022). Morality in the echo chamber: The relationship between belief in COVID-19 conspiracy theories and public health support and the mediating role of moral identity and morali-ty-as-cooperation across 67 countries. PLOS ONE, 17(9), e0273172. https://doi.org/10.1371/journal.pone.0273172 DOI: https://doi.org/10.1371/journal.pone.0273172

Graham, A., Cullen, F. T., Pickett, J. T., Jonson, C. L., Haner, M., & Sloan, M. M. (2020). Faith in Trump, Moral Foundations, and Social Distancing Defiance during the Coronavirus Pandemic. Socius: Sociological Research for a Dynamic World, 6, 1–23. DOI: https://doi.org/10.1177/2378023120956815

Graham, J., Nosek, B. A., Haidt, J., Iyer, R., Koleva, S., & Ditto, P. H. (2011). Mapping the moral domain. Journal of Personality and Social Psychology, 101(2), 366–385. https://doi.org/10.1037/a0021847 DOI: https://doi.org/10.1037/a0021847

Haidt, J. (Ed.). (2013). The righteous mind: Why good people are divided by politics and religion (1. Vintage books ed). Vintage Books.

Hartsock, J. A., Head, K. J., Kasting, M. L., Sturm, L., & Zimet, G. (2022). Perceptions of the ethical permissibility of strict travel restrictions to mitigate transmission of SARS-CoV-2. Transportation Research Interdisciplinary Perspectives, 14, 100577. https://doi.org/10.1016/j.trip.2022.100577 DOI: https://doi.org/10.1016/j.trip.2022.100577

Hauser, M., & Singer, P. (2005). Morality Without Religion. Free Inquiry, 26, 18–19.

Horton, R. (2020). Offline: The coming technocracy. The Lancet, 396(10266), 1869. https://doi.org/10.1016/S0140-6736(20)32668-4 DOI: https://doi.org/10.1016/S0140-6736(20)32668-4

Huijer, M. (2021). Solidarity and COVID-19. Netherlands Journal of Legal Philosophy, 51(2), 120–128. https://doi.org/10.5553/NJLP/221307132021050002002 DOI: https://doi.org/10.5553/NJLP/221307132021050002002

Hume, D. (1739). A Treatise of Human Nature. DOI: https://doi.org/10.1093/oseo/instance.00046221

Inglehart, R., & Norris, P. (2000). The developmental theory of the gender gap: Women’s and men’s voting behavior in global per-spective. International Political Science Review, 21, 441–463. DOI: https://doi.org/10.1177/0192512100214007

Khan, M., Abimbola, S., Aloudat, T., Capobianco, E., Hawkes, S., & Rahman-Shepherd, A. (2021). Decolonising global health in 2021: A roadmap to move from rhetoric to reform. BMJ Global Health, 6(3), e005604. https://doi.org/10.1136/bmjgh-2021-005604 DOI: https://doi.org/10.1136/bmjgh-2021-005604

Kuhlmann, S., Franzke, J., & Dumas, B. P. (2022). Technocratic Decision-Making in Times of Crisis? The Use of Data for Scientific Policy Advice in Germany’s COVID-19 Management. Public Organization Review, 22, 269–289. DOI: https://doi.org/10.1007/s11115-022-00635-8

LaBouff, J. P., Humphreys, M., & Shen, M. J. (2017). Religiosity and Group-Binding Moral Concerns. Archive for the Psychology of Religion, 39(3), 263–282. https://doi.org/10.1163/15736121-12341343 DOI: https://doi.org/10.1163/15736121-12341343

Lavezzolo, S., Ramiro, L., & Fernandez-Vasquez, P. (2021). Technocratic attitudes in COVID-19 times: Change and preference over types of experts. European Journal of Political Research, 61, 1123–1142. DOI: https://doi.org/10.1111/1475-6765.12491

Lee, C. T., Kanji, R., Wang, A. H., Mamuji, A., Rozdilsky, J., & Chu, T. (2021). Cultural contexts during a pandemic: A qualitative description of cultural factors that shape protective behaviours in the Chinese-Canadian community. BMC Public Health, 21(1), 1897. https://doi.org/10.1186/s12889-021-11928-w DOI: https://doi.org/10.1186/s12889-021-11928-w

Metz, T. (2010). African and Western moral theories in a bioethical context. Developing World Bioethics, 10(1), 49–58. https://doi.org/10.1111/j.1471-8847.2009.00273.x DOI: https://doi.org/10.1111/j.1471-8847.2009.00273.x

Mildarsky, E., & Mullin, A. S. J. (2012). Religion, altruism, and prosocial behavior: Conceptual and empirical approaches. In L. J. Miller (Ed.), The Oxford Handbook of Psychology and Spirituality (pp. 138–150). Oxford University Press. DOI: https://doi.org/10.1093/oxfordhb/9780199729920.013.0009

Miller, L. J., Anthony S J Mullin, & Samuel H Barkin (Eds.). (2012). Religion, altruism, and prosocial behavior: Conceptual and empirical approaches. In The Oxford Handbook of Psychology and Spirituality (1st ed.). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780199729920.001.0001 DOI: https://doi.org/10.1093/oxfordhb/9780199729920.001.0001

Muti, R. (2020). Riccardo Muti sulla chiusura di teatri e sale concerto: ‘Mente e spirito povery danneggiano il corpo’. L’appello. Corriere Della Sera.

Prettner, R., te Molder, H., Hajer, M. A., & Vliegenthart, R. (2021). Staging Expertise in Times of COVID-19: An Analysis of the Science-Policy-Society Interface in the Dutch “Intelligent Lockdown”. Frontiers in Communication, 6. DOI: https://doi.org/10.3389/fcomm.2021.668862

R Core Team (2021). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL https://www.R-project.org/. [Computer software].

Richardson, E. T. (2020). Pandemicity, COVID-19 and the limits of public health ‘science’. BMJ Global Health, 5(4), e002571. https://doi.org/10.1136/bmjgh-2020-002571 DOI: https://doi.org/10.1136/bmjgh-2020-002571

Ridlo, I. A. (2022, February 7). Failing to deliver coherency: Indonesian government’s COVID-19 policy communication. Medium. https://iaridlo.medium.com/failing-to-deliver-coherency-indonesian-governments-covid-19-policy-communication-35a184a41fcf

Roccas, S. (2005). Religion and Value Systems. Journal of Social Issues, 61(4), 747–759. https://doi.org/10.1111/j.1540-4560.2005.00430.x DOI: https://doi.org/10.1111/j.1540-4560.2005.00430.x

Schaart, E. & Furlong, A. (2020, July 29). As Europe masks up, the Netherlands dithers. POLITICO. https://www.politico.eu/article/as-europe-masks-up-coronavirus-covid19-the-netherlands-dithers/

Setiawan, K. M. P. (2022). Struggling for justice in post-authoritarian states: Human rights protest in Indonesia. The International Journal of Human Rights, 26(3), 541–565. https://doi.org/10.1080/13642987.2021.1947805 DOI: https://doi.org/10.1080/13642987.2021.1947805

Silva, D. S., Jackson, C., & Smith, M. J. (2021). Mere rhetoric? Using solidarity as a moral guide for deliberations on border clo-sures, border reopenings and travel restrictions in the age of COVID-19. BMJ Global Health, 6(7), e006701. https://doi.org/10.1136/bmjgh-2021-006701 DOI: https://doi.org/10.1136/bmjgh-2021-006701

Snell Herzog, P., Strohmeier, A., King, D. P., Khader, R. A., Williams, A. L., Goodwin, J. L., Doan, D. R. H., & Moyo, B. (2020). Re-ligiosity and Generosity: Multi-Level Approaches to Studying the Religiousness of Prosocial Actions. Religions, 11. DOI: https://doi.org/10.3390/rel11090446

Stevens, A. (2020). Governments cannot just ‘follow the science’ on COVID-19. Nature Human Behaviour, 4(6), Article 6. https://doi.org/10.1038/s41562-020-0894-x DOI: https://doi.org/10.1038/s41562-020-0894-x

Sundewall, J., Båge, K., Ekström, A. M., Puranen, B., Litorp, H., Uthman, O. A., & Kågesten, A. (2022). Addressing the second ‘R’ in sexual and reproductive health and rights: Why norms and values matter for development cooperation. BMJ Global Health, 7(6), e008520. https://doi.org/10.1136/bmjgh-2022-008520 DOI: https://doi.org/10.1136/bmjgh-2022-008520

Tarry, H., Vézina, V., Bailey, J., & Lopes, L. (2022). Political orientation, moral foundations, and COVID-19 social distancing. PLOS ONE, 17(6), e0267136. https://doi.org/10.1371/journal.pone.0267136 DOI: https://doi.org/10.1371/journal.pone.0267136

ten Bos, R. (2021). Measures like a curfew are just scares. Radboud Universiteit. https://www.ru.nl/@1295855/measures-like-curfew-just-scares/

Van Bavel, J. J., Baicker, K., Boggio, P. S., Capraro, V., Chichoka, A., Cikara, M., Crockett, M. J., & et al. (2020). Using social and behavioural science to support COVID-19 pandemic response. Nature Human Behaviour, 4, 460–471. DOI: https://doi.org/10.1038/s41562-020-0884-z

van der Mark, E. J., Zuiderent-Jerak, T., Dedding, C. W. M., Conradie, I. M., & Broerse, J. E. W. (2023). Connecting relational well-being and participatory action research: Reflections on ‘unlikely’ transformations among women caring for disabled children in South Africa. Journal of Global Ethics, 19(1), 80–104. https://doi.org/10.1080/17449626.2023.2186468 DOI: https://doi.org/10.1080/17449626.2023.2186468

Venables, W. N., & Ripley, B. D. (2002). Modern Applied Statistics with S. Springer New York. https://doi.org/10.1007/978-0-387-21706-2 DOI: https://doi.org/10.1007/978-0-387-21706-2

Visser, de Koster, & van der Waal. (2021). Understanding less-educated citizens’ (non-)participation in citizens’ initiatives: Feel-ings of entitlement and a taste for politics. Current Sociology. https://doi.org/10.1177/00113921211024700 DOI: https://doi.org/10.1177/00113921211024700

Welzel, C. (2011). The Asian Values Thesis Revisited: Evidence from the World Values Surveys. Japanese Journal of Political Sci-ence, 12(1), 1–31. https://doi.org/10.1017/S1468109910000277 DOI: https://doi.org/10.1017/S1468109910000277

Willows, T. M., Oliwa, J., Onyango, O., Mkumbo, E., Maiba, J., Schell, C. O., Baker, T., & McKnight, J. (2023). COVID-19 and unin-tended steps towards further equity in global health research. BMJ Global Health, 8(6), e011888. https://doi.org/10.1136/bmjgh-2023-011888 DOI: https://doi.org/10.1136/bmjgh-2023-011888

Zhao, L. (2012). Exploring religiosity’s effects on altruistic behaviour. UBC Undergraduate Journal of Psychology, 1.

Zickfeld, J. H., Schubert, T. W., Kuvaas Herting, A., Grahe, J., & Faasse, K. (2020). Correlates of Health-Protective Behavior During the Initial Days of the COVID-19 Outbreak in Norway. Frontiers in Psychology, 11. DOI: https://doi.org/10.3389/fpsyg.2020.564083

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2025-04-22

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Citizens’ Perceptions of Ethical Issues in COVID-19 Containment: A Quantitative Cross-Country and Cross-Cultural Study. (2025). Journal of Ethics and Emerging Technologies, 35(1), 1-27. https://doi.org/10.55613/jeet.v35i1.177

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