# Mask wearing as a prosocial behavior: Proposing and testing the moral norms activation model

**Authors:** Monique M. Turner, Youjin Jang, Ruth Heo, Qijia Ye, Rachel Wade, Maria Knight Lapinski, Tai-Quan Peng

PMC · DOI: 10.1371/journal.pone.0322921 · 2025-05-09

## TL;DR

This study explores how moral norms and guilt influence mask-wearing during the pandemic, showing how awareness and social values can drive public health behaviors.

## Contribution

The study introduces the Moral Norms Activation Model, a novel framework linking moral norms and prosocial health behaviors.

## Key findings

- Awareness of consequences directly predicts moral norms, which influence prosocial behaviors like mask-wearing.
- Anticipated guilt mediates the relationship between moral norms and health behaviors.
- Perceived severity and collective orientation strengthen the link between moral norms and behavior.

## Abstract

The aim of this study was to develop and test a model of prosocial prevention behavior during COVID-19, termed the Moral Norms Activation Model (MNAM). This model examines how moral norms, influenced by awareness of consequences, predict prosocial prevention behaviors, such as mask-wearing, and the role of perceived severity and collective orientation as moderating factors. We conducted a survey during the early months of the COVID-19 pandemic with a nationally representative sample of U.S. adults (N = 8,778). The survey measured awareness of consequences, moral norms, anticipated guilt, perceived severity, collective orientation, and self-reported mask-wearing behavior. A series of regressions was used to test the proposed model and interactions. Findings supported the MNAM, demonstrating that awareness of consequences was a significant direct predictor of moral norms. These moral norms, in turn, predicted prosocial prevention behavior, mediated by anticipated guilt. The moderating effects of perceived severity and collective orientation were also significant, reinforcing the strength of the association between moral norms and behavior in individuals with high collective orientation and greater perceived severity. The results highlight the critical role of moral norms and anticipated guilt in promoting prosocial health behaviors during a collective health crisis. The MNAM provides a novel framework for understanding how individual psychological processes contribute to public health behaviors. These findings suggest that public health campaigns emphasizing moral responsibility and awareness of consequences could enhance compliance with preventive measures.

## Linked entities

- **Diseases:** COVID-19 (MONDO:0100096)

## Full-text entities

- **Diseases:** COVID-19 (MESH:D000086382)

## Figures

11 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12063822/full.md

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Source: https://tomesphere.com/paper/PMC12063822