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The Institutional and Cultural Context of Cross-National Variation in COVID-19 Outbreaks
Wolfgang Messner
Acceso Abierto
Atribución-SinDerivadas
10.1101/2020.03.30.20047589
Background. The COVID-19 pandemic poses an unprecedented and cascading threat to the health and economic prosperity of the world's population. Objectives. To understand whether the institutional and cultural context influences the COVID-19 outbreak. Methods. At the ecological level, regression coefficients are examined to figure out contextual variables influencing the pandemic's exponential growth rate across 96 countries. Results. While a strong institutional context is negatively associated with the outbreak (B = -0.55 ... -0.64, p < 0.001), the pandemic's growth rate is steeper in countries with a quality education system (B = 0.33, p < 0.001). Countries with an older population are more affected (B = 0.46, p < 0.001). Societies with individualistic (rather than collectivistic) values experience a flatter rate of pathogen proliferation (B = -0.31, p < 0.001), similarly for higher levels of power distance (B = -0.32, p < 0.001). Hedonistic values, that is seeking indulgence and not enduring restraints, are positively related to the outbreak (B = 0.23, p = 0.001). Conclusions. The results emphasize the need for public policy makers to pay close attention to the institutional and cultural context in their respective countries when instigating measures aimed at constricting the pandemic's growth. ### Competing Interest Statement The authors have declared no competing interest. ### Funding Statement My research is supported by the Darla Moore School of Business at the University of South Carolina, and the Center for International Business Education and Research (CIBER) at the University of South Carolina. ### Author Declarations All relevant ethical guidelines have been followed; any necessary IRB and/or ethics committee approvals have been obtained and details of the IRB/oversight body are included in the manuscript. Yes All necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines and uploaded the relevant EQUATOR Network research reporting checklist(s) and other pertinent material as supplementary files, if applicable. Yes The data used for the regression model in this study is available in its entirety in Table 1. The original data sources are referenced in the section Model and methods.
Cold Spring Harbor Laboratory Press
2020
Preimpreso
https://www.medrxiv.org/content/10.1101/2020.03.30.20047589v1
Inglés
VIRUS RESPIRATORIOS
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