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Published on: November 10, 2023
COVID-19, Coronavirus, Wuhan Virus, or China Virus? Understanding How to "Do No Harm" When Naming an Infectious
Theodore C Masters-Waage1, Nilotpal Jha1, Jochen Reb1
1Lee Kong Chian School of Business, Singapore Management University, Singapore, Singapore.
Insights
Infectious disease naming conventions, like "Spanish flu," do not increase sinophobia or anxiety. This study found no evidence that virus names impact public perception or stigmatization, suggesting naming concerns may be overstated.
Area of Science:
- Social Psychology
- Public Health
- Epidemiology
Background:
- Official scientific names are recommended over place-specific names for infectious diseases to prevent stigmatization.
- Concerns exist regarding potential negative consequences of place-specific disease naming, such as sinophobia.
- Empirical evidence supporting these negative consequences of infectious disease nomenclature is limited.
Purpose of the Study:
- To empirically investigate the impact of infectious disease naming on sinophobia and public perception during the COVID-19 pandemic.
- To test hypotheses that place-specific names increase sinophobia and scientific names increase anxiety and risk aversion.
- To provide evidence regarding the importance of naming conventions in public health communication.
Main Methods:
- Two preregistered studies (N = 504; N = 412) were conducted across three countries.
- Study 1 occurred during the early outbreak (April 2020), and Study 2 later in the pandemic (August 2020).
- Bayesian analyses were used to assess the impact of disease naming on sinophobia, anxiety, risk aversion, and beliefs about contagiousness and mortality.
Main Results:
- No evidence was found that place-specific names (e.g., "Wuhan Virus") increased sinophobia.
- No impact was observed for scientific names (e.g., "COVID-19") on anxiety, risk aversion, or perceptions of contagiousness and mortality.
- Bayesian analyses provided strong support for the null hypothesis across all tested outcomes, indicating no significant effects of naming.
Conclusions:
- The study provides no empirical evidence that infectious disease naming impacts attitudes toward Chinese individuals or virus perceptions.
- Results suggest that concerns about the stigmatizing effects of place-specific disease names may be overstated.
- The importance placed on infectious disease nomenclature in public health policy may warrant re-evaluation based on current evidence.
Abstract:
When labeling an infectious disease, officially sanctioned scientific names, e.g., "H1N1 virus," are recommended over place-specific names, e.g., "Spanish flu." This is due to concerns from policymakers and the WHO that the latter might lead to unintended stigmatization. However, with little empirical support for such negative consequences, authorities might be focusing on limited resources on an overstated issue. This paper empirically investigates the impact of naming against the current backdrop of the 2019-2020 pandemic. The first hypothesis posited that using place-specific names associated with China (e.g., Wuhan Virus or China Virus) leads to greater levels of sinophobia, the negative stigmatization of Chinese individuals. The second hypothesis posited that using a scientific name (e.g., Coronavirus or COVID-19) leads to increased anxiety, risk aversion, beliefs about contagiousness of the virus, and beliefs about mortality rate. Results from two preregistered studies [N = 504; N = 412], conducted across three countries with the first study during the early outbreak (April 2020) and the second study at a later stage of the pandemic (August 2020), found no evidence of any adverse effects of naming on sinophobia and strong support for the null hypothesis using Bayesian analyses. Moreover, analyses found no impact of naming on anxiety, risk aversion, beliefs about contagiousness of the virus, or beliefs about mortality rate, with mild to strong support for the null hypothesis across outcomes. Exploratory analyses also found no evidence for the effect of naming being moderated by political affiliation. In conclusion, results provide no evidence that virus naming impacted individual's attitudes toward Chinese individuals or perceptions of the virus, with the majority of analyses finding strong support for the null hypothesis. Therefore, based on the current evidence, it appears that the importance given to naming infectious diseases might be inflated.
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