Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Jul 23, 2024
Open Peer Review Period: Jul 30, 2024 - Sep 24, 2024
Date Accepted: Dec 29, 2024
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

The Impact of Stay-At-Home Mandates on Uncertainty and Sentiments: Quasi-Experimental Study

Biliotti C, Bargagli-Stoffi FJ, Fraccaroli N, Puliga M, Riccaboni M

The Impact of Stay-At-Home Mandates on Uncertainty and Sentiments: Quasi-Experimental Study

J Med Internet Res 2025;27:e64667

DOI: 10.2196/64667

PMID: 40053818

PMCID: 11920662

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Breaking Down the Lockdown: The Impact of Stay-At-Home Mandates on Uncertainty and Sentiments

  • Carolina Biliotti; 
  • Falco J. Bargagli-Stoffi; 
  • Nicolò Fraccaroli; 
  • Michelangelo Puliga; 
  • Massimo Riccaboni

ABSTRACT

Background:

Since the spread of the SARS-CoV-2 virus and the lockdown measures went hand-in-hand, it is difficult to distinguish how public opinion reacted to the lockdown measures from the reactions to COVID-19.

Objective:

We analyze the causal effect of COVID-19 lockdown policies on sentiment and uncertainty using the Italian lockdown in February 2020 as a quasi-experiment. Communities inside and just outside the lockdown area were equally confronted with COVID-19 at the time of the implementation of the policy, offering a form of random allocation of the lockdown. The two areas had also balanced socioeconomic and demographic characteristics before the lockdown, indicating that the definition of the boundaries of the area under strict lockdown approximates a randomized experiment. This allows to identify the causal impact of lockdowns on public emotions, disentangling the changed due to the policy itself, from the changes induced by the spread of the novel virus.

Methods:

We employ Twitter data, natural language models (N = 24,261), and a difference-in-differences approach to compare sentiment changes within (n=1,567) and outside (n=22,694) the lockdown areas before and after the beginning of the lockdown. Tweets are classified into four categories—economics, health, politics, and lockdown policy—to analyze the corresponding emotional responses.

Results:

We find that the lockdown had no significant effect on economic uncertainty (b=0.005, SE=0.007, t(125)=0.70, P =.48) or economic negative sentiment (b=-0.011, SE=0.0089, t(125)=-1.32, P =.19), but increased uncertainty about health (b=0.036, SE=0.0065, t(125)=5.55, P<.001) and the lockdown policy (b=0.026, SE=0.006, t(125)=4.47, P<.001) and negative sentiment towards politics (b=0.025, SE=0.011, t(125)=2.33, P =.02), suggesting that lockdowns have wide externalities beyond health.

Conclusions:

Our results emphasize the need for authorities to use these findings to improve future policies and communication efforts to mitigate uncertainty and social panic.


 Citation

Please cite as:

Biliotti C, Bargagli-Stoffi FJ, Fraccaroli N, Puliga M, Riccaboni M

The Impact of Stay-At-Home Mandates on Uncertainty and Sentiments: Quasi-Experimental Study

J Med Internet Res 2025;27:e64667

DOI: 10.2196/64667

PMID: 40053818

PMCID: 11920662

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.