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Health-protective behaviour, social media usage and conspiracy belief during the COVID-19 public health emergency

Psychological Medicine · 2020

In brief

Three UK surveys (N=949; N=2250; N=2254) find that COVID-19 conspiracy beliefs are associated with reduced health-protective behaviors and increased reliance on social media for information. Social media use itself negatively predicts protective behaviors; broadcast media use positively predicts them. The relationship is strongest for YouTube, and survives regression analysis controlling for age and gender, with social media usage emerging as the most powerful predictor of non-engagement in health behaviors.

Contributions

  • Demonstrates negative association between conspiracy beliefs and health-protective behaviors (wearing masks, hand-washing, social distancing) across three independent samples
  • Establishes positive association between conspiracy beliefs and checking social media for COVID-19 information
  • Shows social media use predicts reduced health-protective behaviors independent of conspiracy belief
  • Documents platform-specific effects, with YouTube showing the strongest negative association with protective behaviors
  • Provides evidence that broadcast media (TV/radio) show opposite effect—positive association with protective behaviors

Method

Three online questionnaire surveys of UK adults:

Study 1: Self-selecting panel (N=949); measured conspiracy beliefs, general media preference (legacy vs. social), health-protective behaviors Study 2: Stratified random sample (N=2250); focused on frequency of checking social media for COVID-19 news and specific protective behaviors Study 3: Stratified random sample (N=2254); detailed measurement of knowledge sources including four named platforms (YouTube, Facebook, WhatsApp, Twitter) vs. broadcast/print media

Statistical tests used Mann–Whitney–Wilcoxon U tests for media usage relationships, Fisher's exact test for conspiracy belief associations. Study 3 included linear probability models controlling for demographics, conspiracy belief, and media usage simultaneously.

Results

All three studies supported H.3 (negative relationship between conspiracy beliefs and health-protective behaviors), with strongest effects for beliefs about non-existence of coronavirus (CB.3.3) and exaggeration of deaths (CB.3.4).

Studies 2 and 3 supported H.2.1/H.3.2: Conspiracy belief positively associated with checking social media for COVID-19 information (Study 2: U-test p<0.001; Study 3: 0.62–0.67 effect size).

Study 3 media effects (H.3.1–H.3.4):

  • Broadcast media: small but significant negative correlation with conspiracy beliefs (p<0.001) and positive correlation with protective behaviors (p=0.046)
  • Social media platforms: strong positive correlation with conspiracy beliefs (U=424,640, p<0.001, CI: 0.62–0.67) and strong negative correlation with protective behaviors (U=342,191, p<0.001, CI: 0.35–0.41)
  • YouTube strongest platform effect, followed by Facebook
  • Friends/family as source: weaker effects in same direction as social media

Linear probability model (Table 5): When controlling for demographics, conspiracy belief emerges as stronger predictor of non-engagement than age/gender. Media usage—especially social media—emerges as the most powerful predictor overall (β = -0.39, p<0.001).

Notes

Strengths: Rigorous methodology combining self-selecting and representative samples, multiple independent surveys reduce generalization risk. Detailed media measurement in Study 3 (platform-specific rather than aggregate) reveals YouTube as primary problematic vector. Regression analysis controls for age/gender confounds; shows media effects persist and are substantive. Public health relevance high.

Limitations: All studies rely on self-reported media use and behavior compliance, introducing social-desirability and recall bias. Study 1 used self-selecting sample (younger, more digitally engaged). Correlational design limits causal inference.

Research gaps: Limited investigation of why social media use and conspiracy beliefs co-occur (homophily, algorithmic amplification, lower baseline skepticism?). No mechanism testing of what specific features of social media (algorithmic curation, peer networks, affordances for unverified claims) drive the effects.

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Summarized from the full text. Added 2026-11-13 from a submission by reza. Every statement on this page traces back to the source.