How Stay-at-Home Orders Interact with COVID-19 Misperceptions and Individuals' Social Distancing Intentions.

The COVID-19 pandemic is a health emergency in which public health policy, such as state-mandated stay-at-home orders, has the potential to reduce the speed of disease transmission and prevent the overwhelming of hospital infrastructure and unnecessary deaths. Using the Ideological Health Spirals Model (IHSM), this analysis examines how state-mandated stay-at-home orders affect the relationships among individuals' overall COVID-19 knowledge and beliefs in misinformation, as well as their attitudes, norms, and self-efficacy regarding social distancing and stay-at-home behaviors. Data were collected from a sample of 1000 adults living in the U.S. in Spring 2020. Path analyses showed that the stay-at-home orders moderated the relationship between knowledge and self-efficacy in the context of performing social distancing behaviors. Results also indicate that intention to socially distance was associated with attitudes, norms, and self-efficacy. These results demonstrate that stay-at-home orders have the capacity to bolster the effect of knowledge and beliefs on key determinants of intention.