1. Integrating psychosocial variables and societal diversity in epidemic models for predicting COVID-19 transmission dynamics
- Author
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Viktor K. Jirsa, Spase Petkoski, Huifang Wang, Marmaduke Woodman, Jan Fousek, Cornelia Betsch, Lisa Felgendreff, Robert Bohm, Lau Lilleholt, Ingo Zettler, Sarah Faber, Kelly Shen, and Anthony Randal Mcintosh
- Subjects
Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
During the current COVID-19 pandemic, governments must make decisions based on a variety of information including estimations of infection spread, health care capacity, economic and psychosocial considerations. The disparate validity of current short-term forecasts of these factors is a major challenge to governments. By causally linking an established epidemiological spread model with dynamically evolving psychosocial variables, using Bayesian inference we estimate the strength and direction of these interactions for German and Danish data of disease spread, human mobility, and psychosocial factors based on the serial cross-sectional COVID-19 Snapshot Monitoring (COSMO; N = 16,981). We demonstrate that the strength of cumulative influence of psychosocial variables on infection rates is of a similar magnitude as the influence of physical distancing. We further show that the efficacy of political interventions to contain the disease strongly depends on societal diversity, in particular group-specific sensitivity to affective risk perception. As a consequence, the model may assist in quantifying the effect and timing of interventions, forecasting future scenarios, and differentiating the impact on diverse groups as a function of their societal organization. Importantly, the careful handling of societal factors, including support to the more vulnerable groups, adds another direct instrument to the battery of political interventions fighting epidemic spread. Author summary Societies have a rich inter-individual variability, different cultures, wealth distribution, and ways of functioning, but most epidemic models describe the dynamics of a homogeneous population in different disease stages. The COVID-19 pandemic is exacerbating existing global and national inequalities, which typically hit the most vulnerable groups hardest. The focus of policymakers has been on containing the spread of COVID-19 and mitigating the socioeconomic effects of the pandemic. With the introduction of psychosocial coupling in epidemic disease models, the consideration of effects linked to societal diversity becomes possible. The model parameters absorb all properties characterizing the diversity of society including psychosocial factors. We estimated the strength and direction of psychosocial causes within a causal inference framework and demonstrated their effect upon the infectious spread to be smaller, but on a similar scale of magnitude as current political interventions and seasonality. Our cause-effect analysis considered minor parametric changes due to psychosocial variation, but has the capacity to integrate a large range of multi-dimensional data including societal, national and cultural differences, political strategies, and trust in the government and media. Given the here estimated size of psychosocial causes, the synergy of these interactions may likely reach scales that cannot be ignored in epidemic spread.
- Published
- 2022