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Many policies were put in place during the COVID-19 pandemic in the United States to manage the negative impact of the coronavirus. Limiting severe illness and death was one important objective of these policies, but it is widely acknowledged by public health ethicists that pandemic policies needed to consider other factors. Drawing on semi-structured interviews with 38 people across 17 states who participated in the state-level COVID-19 pandemic policy process, we examine how those actors recounted their engagement with four different objectives over the course of the pandemic: protecting public health with respect to COVID-19 (which we refer to as pathogen-focused disease prevention), protecting the economy, promoting the public’s broader health and wellbeing, and preserving and restoring individual freedoms. We describe the different ways that pathogen-focused disease prevention was thought to have conflicted with, or to have been coherent with, the other three policy objectives over the course of the pandemic. In tracing the shifting relationships between objectives, we highlight four reasons put forward by the participants for why policy changes occurred throughout the pandemic: a change on the part of decisionmaker(s) regarding the perceived acceptability of the negative effects of a policy on one or more policy objectives; a change in the epistemic context; a change in the ‘tools in the toolbox’; and a change in the public’s attitudes that affected the feasibility of a policy. We conclude by considering the ethical implications of the shifting relationships that were described between objectives over the course of the pandemic.
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This content will become publicly available on February 5, 2026
From print to perspective: A mixed-method analysis of the convergence and divergence of COVID-19 topics in newspapers and interviews
In the face of the unprecedented COVID-19 pandemic, various government-led initiatives and individual actions (e.g., lockdowns, social distancing, and masking) have resulted in diverse pandemic experiences. This study aims to explore these varied experiences to inform more proactive responses for future public health crises. Employing a novel “big-thick” data approach, we analyze and compare key pandemic-related topics that have been disseminatedtothe public through newspapers with those collectedfromthe public via interviews. Specifically, we utilized 82,533 U.S. newspaper articles from January 2020 to December 2021 and supplemented this “big” dataset with “thick” data from interviews and focus groups for topic modeling. Identified key topics were contextualized, compared and visualized at different scales to reveal areas of convergence and divergence. We found seven key topics from the “big” newspaper dataset, providing a macro-level view that covers public health, policies and economics. Conversely, three divergent topics were derived from the “thick” interview data, offering a micro-level view that focuses more on individuals’ experiences, emotions and concerns. A notable finding is the public’s concern about the reliability of news information, suggesting the need for further investigation on the impacts of mass media in shaping the public’s perception and behavior. Overall, by exploring the convergence and divergence in identified topics, our study offers new insights into the complex impacts of the pandemic and enhances our understanding of key issues both disseminated to and resonating with the public, paving the way for further health communication and policy-making.
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- Award ID(s):
- 2200173
- PAR ID:
- 10630442
- Editor(s):
- Yang, Yuzhe
- Publisher / Repository:
- PLOS
- Date Published:
- Journal Name:
- PLOS Digital Health
- Volume:
- 4
- Issue:
- 2
- ISSN:
- 2767-3170
- Page Range / eLocation ID:
- e0000736
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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