Imagining a Personalized Scenario Selectively Increases Perceived Risk of Viral Transmission for Older Adults

Nat Aging. 2021 Aug;1(8):677-683. doi: 10.1038/s43587-021-00095-7. Epub 2021 Aug 5.

Abstract

The COVID-19 pandemic has created a serious and prolonged public-health emergency. Older adults have been at substantially greater risk of hospitalization, ICU admission, and death due to COVID-19; as of February 2021, over 81% of COVID-19-related deaths in the U.S. occurred for people over the age of 651,2. Converging evidence from around the world suggests that age is the greatest risk factor for severe COVID-19 illness and for the experience of adverse health outcomes3,4. Therefore, effectively communicating health-related risk information requires tailoring interventions to older adults' needs5. Using a novel informational intervention with a nationally-representative sample of 546 U.S. residents, we found that older adults reported increased perceived risk of COVID-19 transmission after imagining a personalized scenario with social consequences. Although older adults tended to forget numerical information over time, the personalized simulations elicited increases in perceived risk that persisted over a 1-3 week delay. Overall, our results bear broad implications for communicating information about health risks to older adults, and they suggest new strategies to combat annual influenza outbreaks.

Keywords: COVID-19; aging; cognition; decision-making; episodic simulation; memory; risk perception; socioemotional selectivity.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Letter
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • COVID-19* / epidemiology
  • Humans
  • Pandemics
  • Risk Factors