The Challenges of Contact Tracing as U.S. Battles COVID-19

Author:Murphy  |  View: 23169  |  Time: 2025-03-20 13:12:10

For example, this survey finds that 58% of U.S. adults say they would be very or somewhat likely to speak with a public health official who contacted them by phone or text message to speak with them about the coronavirus outbreak. Roughly three-quarters (77%) report they would be at least somewhat comfortable sharing information with a public health official about the places they have recently visited. A smaller share – 49% – say they would be similarly comfortable sharing location data from their cellphone. And fully 93% of adults say they definitely or probably would quarantine themselves for at least 14 days if they were told they should do so by a public health official because they had the coronavirus.

Yet the survey also shows that portions of Americans could be hard to reach and relatively uncomfortable engaging with public health officials as part of the contact tracing process related to the coronavirus outbreak. For instance, 41% of those who were asked about their views on speaking with a public health official who might contact them about the coronavirus outbreak via phone or text say they would be not at all or not too likely to do so. A similar share (40%) of those who were asked about speaking with a public official who showed up at their residence to talk about COVID-19 say the same thing.

This study also examines several other factors that might affect people's level of engagement and comfort with the contact tracing process. First, it looks at Americans' openness to answering phone calls from unknown numbers and finds some evidence that even starting the contact tracing process might not be easy in many cases. Just 19% of Americans say they generally answer their cellphones when an unknown phone number calls. Some 67% say they don't answer but would check a voicemail if one is left. And 14% say they generally don't answer and would ignore a voicemail.

At the same time, shares of Americans say people pretend to be someone else in order to steal other people's personal information with some frequency. Some nine-in-ten Americans think it is often (49%) or sometimes (42%) the case that people do this.

For some, those concerns also apply to public health organizations. About four-in-ten Americans (41%) say they are not at all or not too confident that public health organizations will keep their personal records safe. Republicans and those who lean to the Republican Party are more likely to say this than Democrats and Democratic leaners (51% vs. 31%).

People's views about contact tracing and related issues like privacy and data security could have a critical impact on the success of contact tracing programs and the trajectory of the pandemic.

This survey also explored the degree to which people are worried about others pretending to be someone else in order to steal people's personal information – an issue that

Americans' concerns about the safety of their personal data is an important backdrop to their views about various aspects of contact tracing programs. In addition to coping with Americans' wariness about picking up their phones and their perceptions about the frequency of scams, contact tracers face another struggle: Some adults say they would not be likely to speak with a public health official by phone or text message or in person.

In this survey, Americans were asked specifically about how they would respond to outreach by public health officials trying to contact them to speak about the coronavirus outbreak. Half of respondents were asked how likely they would be to speak with a public health official on the phone or via text message about the coronavirus outbreak, and the remainder were asked how they would respond to a public health official who showed up at their residence. About four-in-ten Americans (41%) who were asked about their likelihood of speaking with a public health official if they contacted them by phone or text message say that they would be not at all or not too likely to do this, and 40% of those asked about speaking with an official who showed up at their residence say they would be not at all or not too likely to do the same.

People's stated likelihood of speaking with an official varies somewhat by the mode of contact when examining Americans' views by gender, age, and race and ethnicity. Women and men are about equally likely to say they would talk with a public health official via phone or text message, but women are less likely to report they would speak in person: 44% of women, compared with 36% of men, say they would be not at all or not too likely to speak with a public health official who showed up at their residence. Younger adults are less likely than their older counterparts to say they would speak with a public health official via phone or text, despite their relative willingness to generally answer the phone for unknown numbers. Some 49% of those ages 18 to 29 say they would be not at all or not too likely to speak with a public health official in this manner, compared with 34% of those 65 and older.

There are also differences in people's reported likelihood of speaking with a public health official by income and education. For instance, 30% of Americans with a bachelor's degree or higher say they would be not at all or not too likely to speak by phone or text message, compared with 44% of those with some college and 48% of those with a high school diploma or less; and 35% of those with at least a bachelor's degree say they would be not at all or not too likely to speak in person, compared with 42% each of those with a high school diploma or less or some college. A similar pattern applies by income. Those with relatively low and middle incomes are less likely to say they'd be likely to speak with a public health official about the coronavirus outbreak compared with those from households with the highest incomes.

Finally, there are clear partisan differences in what Americans say about their likelihood of speaking with a public health official, and the differences are larger when the issue is phone- or text-based contact than for in-person contact. Half of Republicans say they would be not at all or not too likely to do so via phone or text, compared with 31% of Democrats. These differences persist when considering ideology. For example, 52% of conservative Republicans versus 26% of liberal Democrats say they would be not at all or not too likely to speak by phone or text, and 47% of conservative Republicans versus 30% of liberal Democrats say the same about speaking with a public health official in person if they showed up at their residence.

Some express discomfort sharing information with a public health official about where they have been, whom they were in physical contact with

Americans report high levels of willingness to quarantine if advised to do so by a public health official because they had the coronavirus. But they offer mixed reports about how difficult it would be to do this.

Half of the Americans surveyed were asked about whether they would act on the advice of a public health official to quarantine because they had the coronavirus, while the other half were asked about the difficulty of doing so. Over nine-in-ten adults (93%) say they definitely (73%) or probably (20%) would act on advice to quarantine for 14 days if told they had the coronavirus. Just 2% say they definitely would not follow that request, and 5% report they probably would not do so.

Although the vast majority of Americans who identify with either party say that they would definitely or probably quarantine, partisan differences again emerge. Some 88% of Republicans say they would definitely or probably act on advice to quarantine, while 97% of Democrats say the same. Republicans are 26 percentage points less likely than Democrats to say they definitely would quarantine, with 59% of this group saying so compared with 85% of Democrats.

Women are also more likely than men to report they would definitely quarantine (80% vs. 65%). Additionally, Black (76%) or Hispanic adults (80%) are more likely to report this than White adults (70%). And those with at least a bachelor's degree are more likely to report they would definitely quarantine; 79% of college-educated adults say so, compared with 71% of those with some college and 69% of those with a high school diploma or less.

Education and income again play a role when it comes to the difficulty people might have in quarantining. Some 35% of those with a high school diploma or less report it would be very or somewhat difficult to quarantine, compared with 29% of those with a bachelor's degree. And Americans are less likely to express difficulty as their income rises: 38% of adults from households with lower incomes, 30% of those from households in the middle income category and 26% of those with higher incomes say it would be very or somewhat difficult to quarantine.

The 32% of Americans who said that they would find it very or somewhat difficult to quarantine for 14 days were similarly asked why that would be so. Some 40% of this group said a major reason would be that they have too many other obligations; 39% say the same about being be unable to miss work. Less frequently cited as major reasons were concern about being isolated from others (23%), being unable to arrange child care (22%) and just not thinking it's necessary (21%).

In all, 48% of adults say they would be comfortable or likely to engage with all three key steps of the contact tracing process

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In addition, Americans' comfort with and likelihood of engaging with the process are also related to their general tendency to pick up the phone; for example, 54% of those who would answer a call on their cellphone from an unknown number say they would be comfortable or likely to engage with every step, compared with 33% of those who would ignore both a call and a voicemail.

Looking specifically at likelihood of speaking with a contact tracer by phone or text (the first step in the process), 68% of those who would generally answer the phone say they would be very or somewhat likely to speak with a contact tracer by phone or text, compared with 58% of those who would not answer but check a voicemail and 42% of those who would not answer and ignore a voicemail.

Finally, those who think others often pretend to be someone else to steal others' personal information are less likely to be comfortable or likely to engage with these key contract tracing and isolation steps. Roughly four-in-ten of those who say that people often pretend to be someone else to steal others' personal information say they are also comfortable or likely to engage with the entire process, compared with about half of those who say people sometimes do this (52%) or rarely or never do this (51%).

About six-in-ten Americans are confident public health organizations will protect their records from hackers or unauthorized users, but Republicans are less confident

In light of general

One important consideration, then, is whether those who express less confidence that public health organizations will keep their records safe from hackers or unauthorized users are less likely to say they'd be comfortable or likely to engage with key contact tracing protocols.

This survey finds that this is indeed the case. Examining the group of individuals asked about their comfort or likely engagement with all three steps, we find that fully seven-in-ten of those who are very confident that public health organizations will protect their personal records from hackers or unauthorized users also say that they would be comfortable or likely to engage with all three steps of the process. That compares with smaller shares of those who express less confidence (56% of those who are somewhat confident, 36% of those who are not too confident and 21% of those who are not at all confident).

Three-quarters of Americans think it is acceptable for public health officials to share personal information with infectious disease researchers, yet smaller shares say this for other groups

Once again, Republicans and Democrats vary in their views of the acceptability of sharing information with other entities, particularly when it comes to sharing data with state and local elected officials and with researchers who study infectious diseases. Republicans are 17 percentage points more likely than Democrats to think it is very or somewhat unacceptable for information to be available for use by state and local elected officials and by researchers who study infectious diseases. Partisans are more similar in their views of personal information being made available to health insurance companies or pharmaceutical companies.

Tags: Coronavirus (COVID-19) COVID-19 & Politics COVID-19 & Science Health Policy Mobile Online Privacy & Security Privacy Rights Trust in Government

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