COVID-19, stigma, and habituation: evidence from mobility data.

BACKGROUND: The Japanese government has restricted people's going-out behavior by declaring a non-punitive state of emergency several times under COVID-19. This study aims to analyze how multiple policy interventions that impose non-legally binding restrictions on behavior associate with people's going-out. THEORY: This study models the stigma model of self-restraint behavior under the pandemic with habituation effects. The theoretical result indicates that the state of emergency's self-restraint effects weaken with the number of times. METHODS: The empirical analysis examines the impact of emergency declarations on going-out behavior using a prefecture-level daily panel dataset. The dataset includes Google's going-out behavior data, the Japanese government's policy interventions based on emergency declarations, and covariates that affect going-out behavior, such as weather and holidays. RESULTS: First, for multiple emergency declarations from the beginning of the pandemic to 2021, the negative association between emergency declarations and mobility was confirmed in a model that did not distinguish the number of emergency declarations. Second, in the model that considers the number of declarations, the negative association was found to decrease with the number of declarations. CONCLUSION: These empirical analyses are consistent with the results of theoretical analyses, which show that the negative association between people's going-out behavior and emergency declarations decreases in magnitude as the number of declarations increases.

Effect of COVID-19 infection related experiences on social behaviors when a state of emergency is declared: a cohort study.

BACKGROUND: Restricting the movement of the public to gathering places and limiting close physical contact are effective measures against COVID-19 infection. In Japan, states of emergency have been declared in specific prefectures to reduce public movement and control COVID-19 transmission. We investigated how COVID-19 infection related experiences including people with a history of infection, people with a history of close contact, and people whose acquaintances have been infected, affected self-restraint from social behaviors during the second state of emergency in Japan. METHODS: A prospective cohort study was conducted among workers aged 20-65 years using data from an internet survey. The baseline survey was conducted on December 22-25, 2020, and a follow-up survey was on February 18-19, 2021. There were 19,051 participants who completed both surveys and were included in the final analysis. We identified eight social behaviors: (1) eating out (4 people or fewer); (2) eating out (5 people or more); (3) gathering with friends and colleagues; (4) day trip; (5) overnight trip (excluding visiting home); (6) visiting home; (7) shopping for daily necessities; and (8) shopping for other than daily necessities. We set self-restraint regarding each social behavior after the second state of emergency was declared in January 2021 as the dependent variable, and COVID-19 infection related experiences as independent variables. Odds ratios were estimated using multilevel logistic regression analyses nested in the prefecture of residence. RESULTS: Significant differences by COVID-19 infection related experiences were identified: compared to people without COVID-19 related experiences, people with a history of COVID-19 were less likely self-restraint from most social behaviors. People whose acquaintance had been diagnosed with COVID-19 were significantly more likely to refrain from most social behaviors. There was no significant difference in any social behaviors for people with a history of close contact only. CONCLUSION: To maximize the effect of a state of emergency, health authorities should disseminate information for each person in the target population, taking into account potential differences related to the infection related experiences.

COVID-19 Anxiety in Children and Its Relationship with Self-Related Skills of Executive Functions

Objective: Some children experience a significant deal of anxiety during the outbreak of COVID-19. Behavioral dimensions of the executive function appear to link to situational anxiety experience. Therefore, the primary aim of the present study is to investigate the relationship between self-related skills of executive functions and the level of anxiety in children (8-12-years-old) during the outbreak of COVID-19. Also, the secondary goal of this study is to predict the level of anxiety based on self-related skills of executive functions. Method: Parents of 300 children filled out the Barkley Deficits in Executive Functioning Scale (BDEFS) and the COVID-19 anxiety scale. Data were analyzed using correlation and path analysis. A significance level of less than 0.05 was set for all tests. Data were analyzed using SPSS 22 software. Results: Results demonstrated that self-related skills of executive functions can predict 28% of COVID-19 anxiety. The subscales of self-management (P < 0.015, t = 5.56), self-regulation (P < 0.011, t = 6.37), self-restraint (P < 0.035, t = 4.29) and emotional self-organization (P < 0.042, P = 0.222) predicted coronavirus anxiety, but self-motivation (P < 0.05, P = 0.894) did not. Conclusion: Given that most subscales of executive function predict anxiety tied to critical situations such as the prevalence of the corona virus, it seems that greater attention should be allocated to the fostering and development of children's executive functions by teaching such skills at home by families.

The Burdens of Self-Restraint: Social Measures and the Containment of Covid-19 in Japan

The essay explores Japan's policies of containing infection without heavy reliance on legally imposed lockdowns or digital surveillance. It examines the 'social measures' that local governments and the Ministry of Health relied on, including consistent public health messaging, contact tracing, education, with a focus on behavior modification. The pandemic worldwide has highlighted the importance of society in addition to the state in controlling infection. This article highlights the benefits of this form of social control as well as its trade-offs, including stress concerning social expectations, informal forms of social control, and inc idences of harassment and discrimination against the diseased.

COVID-19 policies and hoteliers' responses in Japan

This study aims to identify the hoteliers' crisis management practices during COVID-19 and analyse the relationship between each practice and government policy. Through in-depth interviews with five hotel chains, common crisis management practice patterns, factors that lead to differences in crisis management practices and the influences of policies on these practices were identified. The findings show strong and complicated relationships between policy and hoteliers' crisis management practices. Although many crisis management practices were encouraged by the government, some practices were not influenced by the policy and others were indirectly impeded. Hoteliers are not only passively affected by government policies, but respond actively to them as well as demonstrate their own initiative in response to the crisis.

Risk factors of hikikomori among office workers during the COVID-19 pandemic: A prospective online survey.

The global pandemic of COVID-19 has forced people to restrict their outings. In Japan, self-restraint behavior (SRB) has been requested by the government, and some of those decreasing their outings may shift to pathological social withdrawal; hikikomori. The purpose of this study was to examine the risk factors of hikikomori conducting an online prospective survey. An online survey was conducted in June 2020 and December 2020; (1) SRB-related indicators (degree of SRB, motivation for SRB, stigma and self-stigma toward COVID-19, anxiety and depressive feelings toward COVID-19) and (2) general mental health (hikikomori tendency, depressive symptoms, modern type depression (MTD) tendency, internet addiction) were collected. A cross-lagged effects model was performed to examine the association between these variables. Lack of emotional support and lack of socialization in June 2020 increased isolation in December 2020. Besides, MTD and hikikomori interacted with each other. Interestingly, although hikikomori tendency increased depressive tendencies, SRB itself did not have a significant path on any mental health-related variables. Poor interpersonal relationships, rather than SRB per se, are suggested to be a risk factor for increased isolation among office workers in the COVID-19 pandemic. Appropriate early interventions such as interpersonal or emotional support may prevent the transition to pathological hikikomori. The association between MTD and hikikomori seems to reveal the interesting possibility that MTD is a gateway to increased risk of hikikomori, and that hikikomori is a gateway to MTD as well. Future research is required to elucidate the relationship between hikikomori and MTD.

Sociodemographic factors and self-restraint from social behaviors during the COVID-19 pandemic in Japan: A cross-sectional study.

The control of human flow has led to better control of COVID-19 infections. Japan's state of emergency, unlike other countries, is not legally binding but is rather a request for individual self-restraint; thus, factors must be identified that do not respond to self-restraint, and countermeasures considered for those factors to enhance its efficacy. We examined the relationship between sociodemographic factors and self-restraint toward social behaviors during a pandemic in Japan. This cross-sectional study used data for February 18-19, 2021, obtained from an internet survey; 19,560 participants aged 20-65 were included in the analysis. We identified five relevant behaviors: (1) taking a day trip; (2) eating out with five people or more; (3) gathering with friends and colleagues; (4) shopping for other than daily necessities; (5) shopping for daily necessities. Multilevel logistic regression analyses were used to examine the relationship between sociodemographic factors and self-restraint for each of the behaviors. Results showed that for behaviors other than shopping for daily necessities, women, those aged 60-65, married people, highly educated people, high-income earners, desk workers and those who mainly work with interpersonal communication, and those with underlying disease reported more self-restraint. Older people had less self-restraint than younger people toward shopping for daily necessities; an underlying disease had no effect on the identified behavior. Specialized interventions for these groups that include recommendations for greater self-restraint may improve the efficacy of the implementing measures that request self-restraint.

COVID-19 and Stigma: Evolution of Self-restraint Behavior.

Social stigma can effectively prevent people from going out and possibly spreading COVID-19. Using the framework of replicator dynamics, we analyze the interaction between self-restraint behavior, infection with viruses such as COVID-19, and stigma against going out. Our model is analytically solvable with respect to an interior steady state in contrast to the previous model of COVID-19 with stigma. We show that a non-legally binding policy reduces the number of people going out in a steady state.

Individual Rights vs. Common Good? A Case Study on Japanese Self-Restraint (jishuku) and COVID-19

Since the outbreak of COVID-19, we have been facing one of the most severe challenges of our modern era. As the world experiences ever-greater globalization, a process of assimilation has accelerated in numerous spheres such as cultural, educational, economic, etc., but it is notable that the measures taken by countries to combat the impact of COVID-19 vary significantly. A considerable number of countries have implemented lockdown strategies backed by new laws, whereas some others have been relying on the virtues of good citizenship in order to not depend on their legal systems. Within Asia there are also contrasting approaches;for instance, China and Korea responded with a quick and effective tracking method, while Japan depended on a self-restraint strategy. The Japanese and Swedish approaches to COVID-19 are unique and ambiguous, because they are based on voluntary self-restraint. There is no legal or political mechanism to control people's behaviours. Still, in rough terms these methods seem to have been working, at least until now. In order to understand the puzzling practice of self-restraint, this research explores the origin and cultural background of self-restraint in Japan descriptively and evaluates its positive and negative consequences. Rather than utilizing the philosophy of communitarianism as the theoretical base, it examines the deep relationship between Japan and the surrounding environment, and the use of self-restraint in various events, including those related to COVID-19. Moreover, this study adds to the debate on seeking the right balance between the communitarian common good that is especially emphasized in the East, and an individual's rights and freedom that are highlighted in the West.

Pandemic and community's sense of justice through suo motu in India

An ideal citizen centric society wedded to the democratic governance always keeps its laws in motion to build an egalitarian and just order. Aesthetic virtue of law lies in the realisation of justice and the creation of an egalitarian order. Against this backdrop, the present paper aims to examine the approach of the Supreme Court of India (SCI) towards COVID-19 Pandemic through suo motu proceedings from various perspectives of jurisprudence and constitutionalism. The government claimed to have strived intensively with full vigour but the response due tolack of preparedness and intense gravity of the catastrophe, the efforts of the government appeared negligible. It warranted prompt revisit of priorities which compelled the SCI to intervene and evaluate the legitimacy of the executive action. Furthermore, it impelled to examine the role of the SCI in responding to the community's sense of justice and humanising justice. The paper presents the solution to the paradox generated out of the inherent friction between constitutional authority of judicial review and resistance of judicial review of executive actions by a populist government. The scope of the discussion has primarily been confined to Orders of the SCI in suo motu hearings and examined accordingly.

Socioeconomic Impacts of the COVID-19 Lockdown on the Mental Health and Life Satisfaction of the Japanese Population.

COVID-19 has been a global challenge ever since its emergence, with reports suggesting negative effects on the mental health and well-being of people. We investigated the associations of the socioeconomic changes driven by the pandemic, illness, well-being, and fear of COVID-19 in Japan. Totally, 565 Japanese individuals completed an online survey, including questions on their self-restraint and changing incomes, and the Fear of COVID-19 Scale; Depression, Anxiety, Stress Scale; and present, past, and future life satisfaction scale. Analysis using structural equation models revealed that refraining from going out was a predictor of illness due to the fear of COVID-19. Decreased income predicted increased illness, but was not due to fear of COVID-19. These results suggested that the interaction between decreased time outside and increased fear of COVID-19 could affect illness. Our study suggests the role of fear of COVID-19 during pandemic and the socioeconomic impacts on mental health.

Psychological Reactance to Mobility Restrictions Due to the COVID-19 Pandemic: A Japanese Population Study.

In Japan, mobility restrictions were enforced by the government to abate the spread of COVID-19. The current study examined whether experiences of such mobility restrictions affected motivation for future going-out activities. To this end, we conducted a one-time online survey of 1,000 adults in Tokyo to measure going-out activities in four different time periods at once: before the spread of infection, during and after the emergency declaration, and after the end of the pandemic (future desire). In addition, to examine the impact of preferences for online services that make it easier to stay home, we measured the usage history of online services to obtain food during the mobility restriction period. Results indicated that desire for going-out activities after the end of the pandemic increased compared with those before the pandemic, particularly for leisure-related purposes. In addition, the use of online services to obtain food tended to suppress the increased desire for future going-out activities, although this effect was not significant. In conclusion, mobility restrictions resulted in motivational arousal for going-out activities after the end of the pandemic. Our findings indicate that psychological reactance plays a role in determining going-out activities in the future.

Impact of the state of emergency enacted due to the COVID-19 pandemic on the physical activity of the elderly in Japan.

[Purpose] In Japan, the government issued a state of emergency due to the spread of COVID-19 in April 2020. In this study, we measured physical activity before and after the state of emergency, and assessed the factors that affected physical activity. [Participants and Methods] We included thirteen elderly people living in Hiroshima Prefecture, Japan, in the study. The participants wore 3-axis accelerometer on their hips to measure physical activity for a week, before (in October 2019) and after the state of emergency. According to the median rate of decrease in physical activity (23.6%), we divided the participants into two groups: one group had participants with a high rate of decrease (low physical activity) and the other had participants with a low rate of decrease (high physical activity). [Results] The following factors decreased after the state of emergency: total physical activity, amount of moderate-intensity physical activity and activities of daily living, amount of light-intensity physical activity and walking, daily activity time, and daily steps. Statistical analysis showed that engaging in housework was associated with high physical activity. [Conclusion] Elderly people who engaged in household chores had a smaller decrease in physical activity. In order to reduce the decrease in physical activity and the risk of cardiovascular events, the elderly should perform as many daily activities and hobbies as they can while paying attention to the infection control measures.

Perception of Risk, Self-Efficacy and Social Trust during the Diffusion of Covid-19 in Italy.

The Coronavirus pandemic has affected the lives of people all over the world. The perception of risk and people's consequent behaviour during a pandemic are very complex and are affected by multiple cultural and psychological factors. The aim of this study was to investigate the change in risk perception, perceived self-efficacy and the perceived trust in the behaviour of others, the decisions of health authorities and government provisions, as well as the variation of self-restraint behaviours during the spread of the Covid-19 epidemic in Italy. We used a convenience sample of 707 university students (Mage = 22.99; SD = 4.01) from a central area of Italy. Participants freely joined the research by answering an online questionnaire between February and March 2020. Three time intervals defined by the progressive containment measures implemented by the Italian Government were considered. Main outcome measures were the Generalized Self-Efficacy Scale, the Risk Perception Index, the Index of Self-restraint Behaviours, and Institutional and Interpersonal Trust Measures. Results confirmed that significant changes in the time progression have occurred in the perception of risk, in the perception of individual self-efficacy, in the value attributed to social responsibility, in interpersonal trust and in trust in health authorities. The study also identified the participants' personality traits and locus of control as predictors (positive and negative) of perceived self-efficacy and tested a mediation model of trust on the effect of risk perception on self-restraint intentions.

The effect of ego-resiliency and COVID-19-related stress on mental health among the Japanese population.

Due to the negative psychological consequences of the COVID-19 pandemic worldwide, it is necessary to study the factors that improve mental health. In this study, we evaluated changing income, self-restraint, fear of COVID-19, depression, anxiety, stress, and ego-resiliency, to investigate the main and moderating effects of ego-resiliency on psychological distress. We analyzed 222 Japanese samples from the dataset of Primary Survey in Japan (PSJ) in the Resilience to COVid-19 in Each Region (RE-COVER) project. The results showed significant main effects of ego-resiliency on depression and stress, and a significant interaction effect of self-restraint and ego-resiliency on depression. We also tested the significance of the moderating effect of ego-resiliency on the relationship between self-restraint and depression. The simple slope of ego-resiliency was only significant for individuals with high self-restraint. Our findings provide empirical evidence on mental health associated with the COVID-19 pandemic among the Japanese population, proving that ego-resiliency functioned to cope with the specific stresses associated with COVID-19.

Who is staying home and who is not? Demographic, socioeconomic, and geographic differences in time spent outside the home during the COVID-19 outbreak in Japan.

Studies have reported that many people changed their going-out behavior in response to the declaration of a state of emergency related to the coronavirus disease 2019 (COVID-19) in Japan. However, individual attributes of those who tended to stay home have not been examined. Therefore, this study examined the demographic, socioeconomic, and geographic characteristics of people who refrained from going out both before and after a state of emergency was declared. Using data from a nationwide online survey, this study retrospectively investigated the relative amount of time spent outside the home between mid-February and mid-May 2020. Multilevel linear regression analysis was performed to examine the association of time outside with demographic, socioeconomic, and geographic characteristics, and with the anxiety related to going out, in each period. Overall, respondents significantly reduced their time spent outside during the study period, especially after a state of emergency was declared. Those who were young, female, living with two or more people, had lower income, were not working, used public transportation, had chronic disease, and lived in large metropolitan areas were more likely to reduce time outside during a part of the study period. However, no significant differences were observed for occupational class, education, and neighborhood population density. Thus, the results showed a reduction in time outside during the COVID-19 outbreak and the existence of demographic, socioeconomic, and geographic differences in going-out behavior. Socioeconomic disparities and neighborhood differences in going-out behavior, and their influence on health should be continuously monitored.

COVID-19 with Stigma: Theory and Evidence from Mobility Data.

This study conducts both theoretical and empirical analyses of how non-legally-binding COVID-19 policies affect people's going-out behavior. The theoretical analysis assumes that under a declared state of emergency, the individual going out suffers psychological costs arising from both the risk of infection and the stigma of going out. Our hypothesis states that under a declared state of emergency people refrain from going out because it entails a strong psychological cost. Then, this study estimates a model using regional mobility data and emergency declarations data to analyze self-restraint behavior under a non-legally binding emergency declaration. The results show that, compared with before the declaration of the state of emergency, going-out behavior was suppressed under the state of emergency and after it was lifted even when going out did not result in penalties, which is consistent with the theoretical analysis.