Misinformation in Germany during the COVID-19 pandemic

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Misinformation in Germany during the COVID-19 pandemic
Misinformation in Germany during the COVID-19 pandemic

  Christina Leuker1,2*, Lukas Maximilian Eggeling1, Nadine Fleischhut1, John Gubernath1,2,
    Ksenija Gumenik1, Shahar Hechtlinger1, Anastasia Kozyreva1, Larissa Samaan1,3,
                                      & Ralph Hertwig1

              1
                  Max Planck Institute for Human Development, Berlin, Germany
                            2
                              Robert Koch-Institute, Berlin, Germany
                      3
                        Berlin School of Mind and Brain, Berlin, Germany

                            *Corresponding author (leukerc@rki.de)

Author contributions:
Conceptualization (main idea, theory): CL, RH, AK, NF
Funding acquisition: RH
Project administration: CL, NF
Methodology (design, operationalization): CL, LME, NF, SH, LS, AK, RH
Data collection: CL, LS, NF, JG
Data analysis: CL, JG
Writing – original draft: CL
Writing – review & editing: CL, AK, JG, RH

Acknowledgements. We thank Susannah Goss for editing the manuscript and survey
translation; our respondents for participating; and to members of the Center for Adaptive
Rationality at the Max Planck Institute for Human Development and the Science
Communication Group at the Robert Koch-Institute for fruitful discussions.
Competing Interests statement. All authors declare no conflict of interests.
Supplementary Material. Data, analysis code, details of all statistical analyses and survey
questions are provided online (https://osf.io/hz9yq/).

Ethics Approval: The Ethics Board at the Max Planck Institute for Human Development
approved of the study.
Misinformation in Germany during the COVID-19 pandemic
1

Abstract

During the COVID-19 pandemic, citizens have been exposed to vast amounts of mis- and

disinformation. This “infodemic” has undermined key behavioural and pharmacological

measures to contain the pandemic—for instance, by increasing vaccine hesitancy. In a

cross-sectional survey of residents of Germany, we investigated citizens’ perceptions of and

ability to deal with misinformation across three Waves of data collection in 2020/21 (Ntotal =

3324). We observed three main results. First, there was a strong increase in the perceived

prevalence of misinformation in classic and online media and in social interactions over the

course of the pandemic. Second, some—but by no means all—respondents knew how to

identify misinformation. Third, higher susceptibility to misinformation was associated with

support for the far-right AFD party, reliance on tabloids, neighbours and social media for

information and news, lower education, as well as migration background. To help people

navigate the challenges of the infodemic, we propose a two-pronged approach, namely, to

boost individuals’ abilities to discern false from accurate information, and to enrich citizens’

proximate environments (e.g., neighbourhoods with high rates of migration) with reliable,

accessible and high-quality information.

Keywords: perceptions of misinformation, susceptibility to misinformation, boosting, German

sample
Misinformation in Germany during the COVID-19 pandemic
2

Since early 2020, COVID-19 has dominated the information landscape in Germany, both in

private conversations and in the media. People in Germany have been exposed to an

overwhelming amount of information about the virus and ways to curb its spread: statistical

information on infections, mortality and vaccination rates; medical information on symptoms,

treatments and testing; policy information on restrictions and behavioural measures; and as

well as personal accounts of experiences, beliefs and opinions from individuals within

Germany and beyond. Unfortunately, people were also exposed to a large amount of false or

misleading information about these topics. It can be spread deliberately (disinformation) or

unintentionally (misinformation). Concerns over the amount of false and misleading

information being disseminated about COVID-19 are so high that several supranational

organisations have released a joint statement on the need to combat the “infodemic” that is

threatening measures to control the pandemic (WHO, UN, UNICEF, et al., 2020).

        Consequences of online mis- and dis-information can be far-reaching. For instance,

false information on COVID-19 can pose a severe threat to public and private health

(Roozenbeek et al., 2020)—be it the notion that the virus can be cured by injecting bleach,

that SARS-CoV-2 symptoms are no worse than the regular flu, or that COVID-19 vaccines

can lead to infertility in women. In addition, susceptibility to misinformation has been

associated with lower compliance with public health guidance (Freeman et al., 2020; Hornik

et al., 2021) and lower willingness to get vaccinated (Roozenbeek et al., 2020). Moreover,

misinformation also lowers the public’s trust in science (Plohl & Musil, 2021), journalism and

the mainstream media (Linden et al., 2021), and the government (Kim & Cao, 2016).

       Much disinformation is politically motivated, such as the idea that the COVID-19

pandemic is a pretext fabricated by the government to distract citizens from other issues.

Many false claims about COVID-19 have also been publicly shared by prominent political

figures. For example, Brazil's President, Jair Bolsonaro, has consistently made between 55

and 190 false statements per month about COVID-19 since March 2020 (Freitas, 2021;

Statista, 2021). Former U.S. President Donald Trump amplified online hoaxes about treating

the Coronavirus disease with sunlight and disinfectants, undermined public health measures
3

such as systematic testing with statements such as “If we stopped testing right now, we'd

have very few cases, if any,” and spread erroneous epidemiological conclusions—for

example, that “99% of COVID-19 cases are totally harmless” (Greenberg, 2020; Paz, 2020).

Political motivations, opposing ‘mainstream’ media or opinions may be why believing one

false claim often predicts belief in other false claims (Roozenbeek et al., 2020). Sometimes,

this is even the case when two claims are self-contradictory (Betsch et al., 2020; COSMO

Explorer, 2020).

       False information is perceived to be highly prevalent, especially on social media and

online media. Roughly half of the respondents in surveys in the United Kingdom (OFCOM,

2020) and Germany (Leuker et al., 2020) reported being exposed to misinformation daily or

almost daily. A recent content analysis found that roughly one fourth of YouTube videos

about COVID-19 contain misinformation (Li et al., 2020).

       Social media platforms have started to develop and apply interventions to fight

misinformation. For example, Twitter attaches a label and/or warning message to certain

tweets, shows warning messages before people share false or misleading information, or

turns off retweet, like and reply functions (Twitter Misinformation Policy, 2021). More

generally, their misinformation policy encompasses measures of varying force designed to

target information of varying risks of harm—from labeling something as disputed to removing

potentially dangerous content (e.g., the suggestion to inject bleach to cure the virus). TiKToK

reports using a similar policy (TiKToK’s H2 2020 Transparency Report, 2020). At the same

time, social media platforms have begun to work in partnership with the World Health

Organization (WHO) and national health authorities with the goal of amplifying their voices—

for instance, by placing official information in boxes at the top of a page, linking to this

information when users search for certain topics, verifying official accounts, and creating

emojis that foster the spread of information and motivate people to take up certain

behaviours, such as staying at home or getting vaccinated (e.g., #stayathome #vaccinated).
4

These are credible and plausible interventions, though the size of their effects is difficult to

estimate in the absence of open data from social media companies.

        Here, we explored perceptions of misinformation in Germany and sought to identify

further opportunities for interventions using a cross-sectional, quota-representative survey of

the German population at three timepoints in 2020/21 (June 2020, September 2020 and

February 2021, see also Figure 1). The goal was to identify key features of misinformation in

Germany during the pandemic from the perspective of people navigating it. In particular, we

focused on the following four issues:

        First, we examined people’s perceptions of misinformation in Germany. How

frequently did people feel exposed to misinformation over the course of the pandemic? What

do people in Germany consider to be the primary sources and spreaders of misinformation?

        Second, we assessed people's self-reported competences in dealing with

misinformation. How confident are they in their ability to detect false information? How do

they behave when they are uncertain about the accuracy of COVID-19-related information?

What kinds of cues do they deem relevant in discerning true from false information? What

intuitive verification strategies do they enlist?

        Third, we explored people’s susceptibility to misinformation and conspiracy beliefs.

Specifically, respondents judged the extent to which they considered certain statements

(e.g., that the spread of the Coronavirus is related to 5G) to be true or false. Which

conspiracy beliefs were especially convincing?

        Finally, we analyzed to what extent individual differences—in terms of demographic

characteristics, political preferences, information preferences (e.g., sources typically used to

access information on COVID-19), trust in the government and science, and risk

perceptions—were associated with propensity to believe misinformation.

        To briefly foreshadow the results, we found: (1) The perceived prevalence of

misinformation has increased over the course of the pandemic. (2) People are aware of

several cues that can help to detect misinformation, though only a subset of respondents

reported using lateral reading strategies (e.g., cross-checking information on a different
5

website rather than searching for reliability cues within a website). (3) The most believed

false statements in our set include “a SARS-CoV-2 infection is no worse than the flu” and

“the EU has approved dangerous vaccines”. (4) Higher susceptibility to misinformation was

associated with reliance on tabloids, neighbours and social media, lower education and a

migration background. Based on these results, we propose policy recommendations for

combating misinformation in Germany. To help people navigate (mis-)information, we

suggest both boosting individual skills (e.g., by making people aware of cues and strategies

that help identify misinformation) and providing reliable information in people’s proximate

environments (e.g., by providing face-to-face information on vaccines in neighbourhoods with

low take up; or information in the native language).

Methods

Participants

The present data (Ntotal = 3324) were obtained at three Waves of data assessment: early

summer 2020 (29 May–7 June, 2020; NJune = 1110), late summer 2020 (23–29 September,

2020; NSept. = 1109), and winter 2021 (26 January–1 February, 2021; NFebr. = 1105) using the

panel provider Respondi. Each sample is quota-representative of the German population

with respect to an age range (18–69 years), gender, and federal state (see Supplementary

Material S1 for demographic information). The data analyzed here come from a larger survey

on information search surrounding the COVID-19 pandemic, for which respondents received

a flat payment of €1.15 for an average of 23 minutes of their time (interquartile range = 16–

34 minutes) The Institutional Review Board of the Max Planck Institute for Human

Development approved the surveys. Some preliminary results from the first Wave have been

made available in German as part of a technical report on general information search

(Leuker et al., 2020). Figure 1 shows the COVID-19 infection rates in Germany since March

2020, with the three Waves of data collection marked in green.
6

Figure 1. The three Waves of data collection mapped onto the evolution of COVID-19 infections
(rolling 7-day average) and deaths in Germany. Code and visualisation adapted from (Garrett et al.,
2021). Data on frequency of infections from the Robert Koch-Institute (RKI, 2021a).

Measures

Below, we report the variables employed in the current analyses (translated to English). All

original items (in German) along with their English translations are available in

Supplementary Material S2. Note that not all items were collected in all three Waves. The full

surveys for all three Waves, including questions that do not pertain to misinformation and are

not reported here, are posted on the Open Science Framework

(https://osf.io/hz9yq/?view_only=18465817fb32475ca9b731fe6aa34fb1).

Perceptions of misinformation. Respondents’ perceptions of the prevalence, topics, and

sources of misinformation were assessed by three multiple choice questions, worded as

follows: (1) How often per week do you currently come across information on the coronavirus

that you think is false or misleading? [several times a day, every day or almost every day,

several times a week, once a week, several times a month, rarely, never] (2) In your

experience, which topics does false or misleading information on the coronavirus typically

concern? Select all that apply. [list of topics such as “infection rates” or “progress in

treatments”]; (3) In your experience, which of the following institutions and individuals spread
7

false and misleading information about the Coronavirus? Select all that apply. [list of sources

such as “public-sector television”, “social media”, “global health organizations”].

Perceived competence in detecting misinformation. Participants’ self-reported ability to

detect and deal with misinformation was assessed by three multiple choice questions,

worded as follows: (1) How confident are you in your ability to detect false and misleading

information on the coronavirus? [very confident, somewhat confident, not very confident, not

confident at all]; (2) How can you tell that a piece of information could be false or misleading?

Select all that apply. [for a list of all indicators such as “The headline is sensationalist

('clickbait').”, see Figure 3a; not included in Wave 1]; (3) What do you usually do if you are

uncertain whether news or information on the coronavirus is true or false? Select all that

apply. [for a list of all strategies such as “I consult people in my social circle”, see Figure 3b].

Belief in misinformation. In Waves 2 and 3, we also assessed respondents’ beliefs in

misinformation by asking them to rate 12 (Wave 2) or 14 (Wave 3) statements as follows:

“There is much discussion of whether the public is fully informed about the truth on important

topics. Please indicate for each of the following statements on the coronavirus whether you

think it is true or false. [definitely false, probably false, don’t know, probably true, definitely

true].” We included items known to be true, such as “SARS-CoV-2 is a novel coronavirus

identified in early 2020 that is responsible for COVID-19 infections.” and items known to be

false, such as “All alleged “corona deaths” were actually due to other causes.” For each

respondent, we computed the proportion of false statements they believed to be definitely

true or probably true. True statements were reverse coded—here, not believing marks higher

susceptibility to misinformation. A full list of statements, with both their complete wording and

the brief labels used in our tables and figures, is provided in Supplementary Material S2. We

created the list of statements based on publicly available information on conspiracy

narratives and their corrections (Correctiv, 2020; Sessa, 2020) and used fact-checking

organisations’ conclusions on their veracity, based on the best available evidence to date, as

our ground truth (Correctiv, 2020; Sessa, 2020).
8

        Next, we list survey items that we used as covariates/predictors in the regression

analyses.

Agreement with measures & role of the state. In all three Waves, we examined

respondents’ agreement with COVID-19 containment measures and the remit of the state by

asking: (1) Agreement with measures. What do you think of the official rules and measures

to contain the spread of the virus in Germany (e.g., physical distancing, closing shops,

schools and childcare facilities)? [fully inadequate; mostly inadequate; mostly adequate; fully

adequate] (2) Role of the state. To what extent do you agree with the following statements

about the role of the state? [fully disagree, somewhat disagree, neither agree nor disagree,

somewhat agree, fully agree] (a) The state can limit personal freedoms for the public good.

(b) The state can enforce social, political and economic restrictions to protect public welfare

under exceptional (humanitarian) circumstances. (c) The state can limit citizens’ freedom of

movement under exceptional (humanitarian) circumstances.

Trust. In Waves 2 and 3, we assessed respondents’ trust in various groups and institutions

by asking: Do you trust the following groups of people or institutions in dealing with the

coronavirus? [full trust, fairly high trust, neutral, fairly low trust, no trust at all] (a) scientists,

(b) federal government, (c) the Robert Koch-Institute, (d) the Federal Ministry of Health, (e)

doctors, (f) local government, (g) local health authorities.

Sources. In all three Waves, we assessed respondents’ preferred sources of information on

the coronavirus: How long, per day, did you use the following sources (including their

websites) to obtain information on the coronavirus in the last week? [not at all, less than 10

minutes/day, 31–60 minutes/day, 1–2 hours/day, more than 2 hours/day] (a) public-sector

television, (b) private-sector television, (c) regional newspapers, (d) national newspapers, (e)

tabloids, (f) government sources, (g) radio stations, (h) social media, (i) global health

organizations, (j) national health authorities, (k) scientific institutes, (i) local news (e.g.,

website of the place of residence), (j) podcasts, (k) friends and family, (l) neighbors, (m)

colleagues, (n) alternative sources (e.g., websites of independent organizations) [this

response option was not collected in Wave 1].
9

Perceived and actual risk. A set of variables assessed respondents’ perceived and actual

risk of infection: (1) Risk group (self). Do you belong to a risk group for developing severe

COVID-19? [yes, no] (2) Risk group (social circle). Do you know anybody belonging to a risk

group for developing severe COVID-19? (3) Infection (self). Have you been infected with

COVID-19? [yes—confirmed; yes—but not (yet) confirmed; yes—and I have recovered; no—I

don’t think so; no—confirmed; don’t know]; (4) Cases (social circle). Which of the following

statements applies to COVID-19 infections in your social circle? Select all that apply. I know

of ... [untested suspected cases; confirmed cases; recovered cases; deaths; hospitalized

cases; people who have been vaccinated; no cases] (5) Seven-day incidence. To include a

proxy for each respondent’s objective risk of infection at the time of survey completion, we

used the number of new COVID-19 infections recorded over the last 7 days per 100,000

inhabitants (7-day incidence) in the respondent’s federal state. These data were retrieved

from the Robert Koch-Institute’s COVID-19 dashboard (RKI, 2021a), which is based on the

reports of local health authorities (RKI, 2021b), and matched to each respondent using the

postcode they provided.

Demographic information. We collected the following demographic information: (1) highest

educational attainment [never graduated, secondary education (Hauptschule), secondary

education (Realschule), A-level degree, dual education, university degree, doctorate]; (2)

number of people in household, (3) income bracket [€1000 or less, €1000-1999, €2000-

2999, €3000-3999, €4000-4999, €5000-5999, €6000 or more; prefer not to answer]; (4)

Migration background [parents migrated, born in Germany; migrated myself; no migration

background] (5) Location: Please indicate the first four digits of your postcode (optional). (6)

In Wave 3, we asked people for their political affiliation: The terms “left” and “right” are often

used when labelling political attitudes. When it comes to your own political attitudes, where

would you locate yourself on that scale? [7-point Likert scale with endpoints left, right]; (7) If

elections would take place next Sunday, which party would you vote for? [list of parties]. The

variables age, gender and federal state were available from the panel provider.
10

Analyses. We applied Bayesian Generalized Linear Models using Stan in R for regression

analyses with the brms package (Bürkner, 2017). In general, we report the mean of the

posterior distribution of the parameter or statistic of interest and two-sided 95% equal tail

credible intervals (CI) around each value. Our focus is on estimating the effects of particular

predictors and our analyses reflect this goal; in comparing the models and predictors,

however, the crucial issue is whether the CI includes 0 or not. If the interval around a given

coefficient does not include 0, there is a credible (positive or negative) association between

the variables in a given regression model.

Results

Perceptions of misinformation during the COVID-19 pandemic in Germany

The perceived prevalence of misinformation increased over the course of the pandemic. For

example, the proportion of respondents who reported seeing misinformation several times a

day almost doubled, from 9% in June 2020 to 17% in February 2021. Consistent with this,

8% of respondents reported never encountering misinformation in June, relative to just 4% in

February 2021 (see Figure 2).

   How frequently do you come acrossPerceived
                                     misinformation?
                                              frequency of misinformation
                             Never                          Once a week                          Several times a day
                             Rarely                         Several times a week
                             Several times a month          Every day or almost every day

   Febr. 2021     4            21               6       8                  23               21                 17
   Sept. 2020        5              23              8           9               22               18              15
   June 2020             8               27                 6          9               25               16             9
                0%                        25%                              50%               75%                           100%
                                                                    % of respondents

Figure 2. Perceived prevalence of misinformation across the three Waves.

The increase in the perceived prevalence of misinformation in Waves 2 and 3 relative to

Wave 1 was credible (bSept2020 = 0.36, CI = [0.19, 0.52]; bFebr2021 = 0.60, CI = [0.44, 0.76];

regression model using perceived frequency as a dependent variable and Wave as a

predictor).
11

                                           Febr. 21        Sept. 20       June 2020
Topic (brief)                            (% selected)    (% selected)    (% selected)
Statistics                                   42.6            37.5            42.1
Origins of pandemic                          42.3            50.2            61.1
Citizen behaviours                           32.7            36.3              -
Vaccination benefits                         30.1              -               -
Vaccine development                          29.1            38.3              -
Forecasts end of pandemic                    28.0            26.9              -
Treatments                                   24.9            28.9            35.7
Vaccination risks                            24.9              -               -
Scientific findings                          23.2            18.9            25.6
Health impact                                22.4            17.8            20.1
Rules                                        21.5            16.0            14.7
International responses                      18.8            21.3              -
Mental health impact                         18.6            14.9            16.7
Vaccination strategy                         18.5              -               -
Health advice                                18.4            21.6            24.3
Climate impact                               18.2            17.8            18.6
Tests                                        18.1            19.4              -
Regional differences                         16.7            15.9              -
Long Covid                                   16.6            14.9              -
Personal stories                             15.4            13.4            11.3
Easing of restrictions                       14.8              -               -
Reinfection                                  14.5            16.1              -
Economic impact                              14.0            10.3             9.9
Society                                      13.8            16.9              -
Travel warnings                              13.2            16.7              -
Symptoms                                     12.7            12.7            15.3
Health system impact                         12.1            10.7             7.2
Education system impact                      11.4            11.4            11.2
Basic supplies                               11.2            10.5            14.9
Risk factors                                 10.8            11.1              -
Financial advice                             10.4             8.5             4.4
Legal advice                                  9.9             5.0             8.8
Risk groups                                   9.4            10.4              -
Basic services                                7.5             8.1             6.7
Contact person                                7.0              -               -
New waves                                     6.9             9.2              -
Behavioural advice                            6.8             7.2             8.0
Table 1. Perceived topics of misinformation by Wave of data collection, ordered by reported prevalence in Wave
3 (percentage selected). Respondents could select as many topics as they liked; the first page of the survey was
kept identical across Waves, with 19 topics; further topics were added in Wave 2 (total 32 topics) and Wave 3
(total 37 topics). The topic list was generated by the author team. Topics not included in a Wave are marked as
missing cells in the table.
12

       Consistent with earlier research, respondents identified social media as the main

source of misinformation, with 72% of respondents who reported having encountered

misinformation mentioning this source (between 68% in Wave 3 and 79% in Wave 1; see

Supplementary Material S3; Figure S3). As Table 1 shows, in all Waves, the major reported

topics of misinformation were the origins of the pandemic (MJune2020 = 61%, MSept2020 = 50%,

MFebr2021 = 42%) and statistics on, for example, the number of infections (MJune2020 = 42%,

MSept2020 = 38%, MFebr2021 = 43%). In Waves 2 and 3, prominent topics included citizen

behaviours in terms of compliance with measures (MSept2020 = 36%, MFebr2021 = 33%) and

information on vaccine development (MSept2020 = 38%, MFebr2021 = 29%). Note, however, that

the composition of topics changed across the three Waves, with new topics emerging (e.g.,

vaccine development). A complete list of the percentages of respondents who selected each

topic can be found in Table 1.

Perceived competence in detecting and dealing with misinformation

Across all three Waves, a majority of respondents felt confident in their ability to detect

misinformation: 78–87% reported being somewhat or very confident in each Wave. However,

perceived competence was slightly lower in Waves 2 and 3 than in Wave 1 (bSept2020 = -0.14,

CI = [-0.20, -0.08]; bFebr2021 = -0.14, CI = [-0.20, -0.08]). As Figure 3 (panel B) shows,

respondents were able to tell that a piece of information could be false by assessing the

trustworthiness of the source (61–65%), the consistency of the information between sources

(59–60%) and the provision of plausible evidence (56–59%). With the caveat in mind that

these are self-reports and that response options were provided to participants, these are

indeed effective strategies to identify misinformation.

       In fact, lay people have been shown to be quite good at judging the reliability of

sources—so good that it has been suggested that lay peoples’ reliability judgments be added

as a cue to online sources (Pennycook & Rand, 2019).
13

            a)     How confident are you in your ability to detect false and misleading
                   information on the coronavirus?
                                      Confidence in detecting misinformation
                                                   Not confident at all             Somewhat confident
                                                   Not very confident               Very confident

            June 2020          2     13                              58                                             27
            Sept. 2020          4         18                                   59                                        19
            Febr. 2021         2      17                                  58                                         23

                             0%                    25%                   50%                         75%                        100%
                                                                  % of respondents
                                                                                        Indicators
            b)     How can you tell that a piece of information could be false or misleading?

                                                                                                     Sept. 2020               Febr. 2021

                                                                                                                         65
                                                   The source is not trustworthy.                                      61
                                                                                                                      60
                          The information is not consistent with other sources.                                       59
                                                                                                                      59
                                               No plausible evidence is included.                                   56
                                                                                                                   53
   The language is inappropriate, exaggerated, emotional and/or one−sided.                                        52
                                                                                                                 49
                               The source is biased/pursues its own interests.                                  48
                                                                                                                47
                                     The headline is sensationalist ('clickbait').                              47
                                                                                                         36
                                                     The source is not reputable.                      33
                                                                                                       34
                                                  The source is unfamiliar to me.                     31
                                                                                                22
           The information has been flagged as unreliable by fact checkers.                     21
                                                                                         0           25       50       75                  100
                                                                                                      % of respondents
                                                                                                (multiple responses possible)

           c)                                                      Strategy
                  What do you usually do if you are uncertain whether news or information
                  on the coronavirus is true or false?
                                                                                             June 2020             Sept. 2020        Febr. 2021

                                                                                                                   54
                I check the claim on search machines or fact−checking websites.                                 46
                                                                                                                 49
                                                                                                           37
                                                          I ignore the information.                           43
                                                                                                              43
                                                                                                            40
       I check the source/author on search machines or independent websites.                               37
                                                                                                          35
                                                                                                  25
                                               I consult people in my social circle.             22
                                                                                                 23
                                                                                            8
                              I share or use the information if it could be useful.         8
                                                                                           6
                                                                                          5
                            I share or use the information if the news is positive.      4
                                                                                          4
                                                                                         3
                                                                                Other    3
                                                                                         3
                                                                                         0           25        50       75                 100
                                                                                                       % of respondents
                                                                                                 (multiple responses possible)
Figure 3. Perceived competence in detecting and dealing with misinformation on COVID-19. (a) Confidence in
ability to detect misinformation by Wave. (b) Indicators of false or misleading information (multiple responses
possible; Waves 2 and 3 only). (c) Primary strategies used when encountering potential misinformation (multiple
responses possible).

         The strategy of checking claims on independent websites is consistent with using a

lateral reading strategy by switching between websites; this strategy is also used by

professional fact checkers and is deemed both more accurate and less time consuming in
14

identifying misinformation than staying within a webpage and looking for indicators such as

logos and domain names (Wineburg & McGrew, 2017).

        How do people respond when they think that a piece of information could be false?

As Figure 3 (panel C) shows, many respondents said they would ignore the information (37–

43%). Few indicated that they would share it (4–8% across Waves and items), and a very

small subset of respondents in each Wave (3%) described other more idiosyncratic but

common-sense strategies, such as asking their doctor, talking to other well-informed

individuals, awaiting official statements (e.g., on the Robert Koch-Institute’s website), and

reporting the false information.

Belief in misinformation

We presented respondents in Waves 2 and 3 with a set of statements to be judged as true or

false. Overall, the belief in false claims was low (the median across statements and Waves

was 2, corresponding to the judgment that a false statement was “probably false”). The

distribution of responses per statement is shown in Figure 4. As the top panel shows, most

respondents across the two Waves ratedmost false statements as “definitely false”. For two

statements, relating to the vaccination causing infertility in women and False positives in

PCR testing, roughly half of the respondents (45% and 48%, respectively, endorsed the

midpoint option: “don’t know”; see Supplementary Material S4; Figure S4.4). This distribution

of data suggests that these statements were difficult to evaluate; we therefore removed them

from regression analyses aiming at predicting beliefs in misinformation because a higher

rating on those claims cannot be taken to reflect a stronger belief in misinformation.

        The most believed false claim was that an infection with SARS-CoV-2 is no worse

than the flu; between 17% (Wave 2) and 23% (Wave 3) or respondents believed this to be

“probably true” or “definitely true” (MSept2020 = 2.16, CI = [2.08, 2.25]; MFebr2021 = 2.08, CI =

[2.00, 2.17]). The least disputed claim was that the coronavirus exists (MSept2020 = 1.35, CI =

[1.33, 1.40]; MFebr2021 = 1.28, CI = [1.24, 1.33]; means are from posterior predictive

distributions of a Bayesian cumulative regression model using ‘believing in a statement’ [yes
15

or no] as a dependent variable and the statement as a predictor; all values are reported in

Supplementary Material S4; Figure S4.3). Lastly, believing in one claim was moderately

associated with believing in other claims and, conversely, not believing in one claim was

associated with not believing in other claims (see Supplementary Material S4; Figure S4.5).

                                                                                      False statements

                                                                              eld.
                                                                     y withh
                                                    p u rp  osefull
                                      ents a  re                                 s.
                                                                       mpanie
                    e s a nd treatm                  a  c e u tical co
           Vaccin                        pharm
                                                                    tes peo
                                                                              ple.
                               ated by                     anipula
             vir u s was cre              ti c a ll y m                        ns.
         rona                     n gene                              infectio
  The co             v accinatio                         t a gainst
                h e                               te  c
              T
                                   do not
                                            pro                           auses.
                          Masks                                  other c
                                                re    due to
                                    death  s  a                              tion.
                          Corona                                     distrac
                                               n  a  v ir us as a                u.
                                    ing coro                            n the fl
                  e rn m e nt is us                 n o    wo  rse tha
                v                      ction is                                de.
        The go                 −2 infe                               lab−ma
                A  R S−CoV                      S   − C   oV−2 is
            A S                           A  R                                 es.
                                        S                           s vaccin
                                               e  d   d a  ngerou
                                        prov
                                has ap                                                    Definitely
                                                                                                 1 Probably
                                                                                                        2     Don‘t
                                                                                                                3     Probably
                                                                                                                          4    Definitely
                                                                                                                                 5
                     The EU                                                                 false    false    know       true     true

                                                                                      True statements

                                                                     (R)
                                                             exists.
                                             C  o ro navirus       . (R )
                                      The                  in 2020
                                           rs t d e tected         . (R )
                                l virus
                                        fi                 d to 5G
                  − 2 is a nove         −  2  is  unrelate
             CoV                   CoV                                                    Definitely
                                                                                                1 Probably    Don‘t   Probably Definitely
       SARS−              SARS−                                                                        2       3         4       5
                 read of                                                                    false    false     know    true       true
          The sp                                                                                       Belief in statement

Figure 4. Beliefs in misinformation across Waves 2 and 3. Lighter colour indicates stronger belief in
misinformation. Most statements were false (top panel); three were true (bottom panel)—such that a lower belief
in these statements indicates higher susceptibility to misinformation. The true statements were reverse coded (R)
in the analyses, such that higher values indicate a stronger belief in misinformation. Vertical lines indicate means.
Statements are ordered from lowest to highest average belief.

Individual differences: Who tends to believe in misinformation?

Next, we investigated which, if any, individual differences—in demographic characteristics

but also behaviours—predicted belief in misinformation. Figure 5 shows coefficients retrieved

from a multivariate binomial regression that modelled respondents’ belief in false statements

or disbelief in true statements (controlling for individual respondents using a random

intercept (1|respondent) and statement as a fixed effect; and with numeric predictors z-

scored prior to the analysis.). For Figure 5, we ran one regression for Wave 2 and Wave 3
16

each (beliefs in misinformation were not assessed in Wave 1). The same figure but with a

combined regression for Wave 2 and Wave 3 can be found in Supplementary Figure S6. All

coefficients for regressions per Wave and the combined regression are presented in

Supplementary Table S6. In the text, for brevity, we report coefficients for the combined

regression using Wave 2 and Wave 3 data simultaneously.

        As Figure 5 shows, belief in misinformation was associated with lower trust in the

government (bcombined = -0.25, CI = [-0.39, -0.13]), lower trust in the Federal Ministry of Health

(bcombined = -0.24, CI = [-0.38, -0.11]) and lower trust in the Robert Koch-Institute (bcombined = -

0.22, CI = [-0.34, -0.11]). Note that in the separate regression analyses—even though the

effect is in the same direction—some of the credible intervals include or touch 0 (e.g.,

bSept2020,Robert Koch-Institute = -0.17, CI = [-0.35, 0.00], also indicated by the grey color).

        Moreover, respondents who believed in misinformation were more likely to get their

information on COVID-19-related topics from their neighbours (bcombined = 0.26, CI = [0.17,

0.36]), tabloids (bcombined = 0.13, CI = [0.05, 0.22]) or social media (bcombined = 0.21, CI = [0.13,

0.30]). This is in line with previous findings identifying social media as the main driver in

spreading misinformation, as well as with our findings on the subjective sources of

misinformation identified by respondents.

        Conversely, relying on public-sector television (bcombined = -0.15, CI = [-0.24, -0.05]) or

national newspapers (bcombined = -0.11, CI = [-0.19, -0.02]) for COVID-19-related information

was associated with lower belief in false information.

        Personal experience with the infection might also moderate belief in misinformation.

Across waves, there was a positive association between having been infected (bcombined =

0.16, CI = [0.01; 0.33]) or knowing someone who was infected (bcombined = 0.17 , CI = [0.01;

0.33]) and beliefs in misinformation. However, these associations did not emerge reliably in

Wave 2 (although the effect was in the same direction, see Supplementary Figure S6),

perhaps because there were lower numbers of infections and known infections in total in

Wave 2. It is plausible that people who believed in misinformation did not adhere to

protective measures and were therefore more likely to be infected. Indeed, in line with earlier
17

research, we found that people who agreed with current governmental restrictions were less

likely to believe in misinformation (b = -0.18, CI = [-0.26, -0.09]). Similarly, respondents who

did not object to the government curtailing personal freedoms were less inclined to believe in

misinformation (bcombined = -0.35, CI = [-0.44, -0.24]).

        What role do demographic variables play in the propensity to believe misinformation?

Unsurprisingly, a higher level of education was associated with lower belief in misinformation

(bcombined = -0.21, CI = [-0.28, -0.14]). Having a migration background was associated with

higher belief in misinformation (bcombined = 0.43, CI = [0.25, 0.16])—perhaps because

immigrants find it more difficult to discern between reliable and unreliable sources (e.g.,

different German newspapers). We explored to what extent recency of immigration mattered:

Did a respondent’s parents or the respondent themselves immigrate to Germany? We found

a slightly stronger effect of being a first-generation (bcombined = 0.78, CI = [0.41, 1.14]) than a

second-generation immigrant (bcombined = 0.67, CI = [0.37, 0.97]). However, membership of

both groups was reliably associated with higher belief in misinformation than among

respondents without a migration background. The effect of age was inconsistent across

Waves (a positive association in Wave 2 and a negative association in Wave 3), so we do

not interpret it further.

        Finally, voting intentions (assessed in Wave 3 only) were highly predictive of belief in

false information. There was a credible link between the intention to vote for the AFD, a right-

wing populist and in parts extremist political party, and belief in misinformation (bcombined =

0.53, CI = [0.19, 0.90]). At the same time, left/right wing self-placement was not credibly

linked with belief in misinformation—probably because the multiple political parties in

Germany do not map as easily onto the left/right divide as in the United States or the United

Kingdom (Grabow & Pokorny, 2018). The link between belief in misinformation and far-right

political leanings echoes findings from other countries showing that conservative ideology

plays a notable role in the endorsement of conspiracy theories (Linden et al., 2021; Miller et

al., 2016).
18

                                                       Sept. 2020                           Febr. 2021
             Trust: Local health authorities
                              Trust: Doctors
                Trust: Federal government

                                                                                                               Trust
                            Trust: Scientists
              Trust: Robert Koch−Institute
     Trust: The Federal Ministry of Health
                   Trust: Local government
                     Source: Neighbors
                       Source: Tabloids
                  Source: Social media
       Source: Private−sector television
                     Source: Alternative
            Source: Scientific institutes
         Source: Regional newspapers

                                                                                                               Sources
                      Source: Podcasts
    Source: Global health organizations
                 Source: Radio stations
                    Source: Colleagues
                    Source: Local news
                   Source: Government
   Source: National health organizations
        Source: Public−sector television
             Source: Friends and family
          Source: National newspapers
                   Infection (social circle)
                            Infection (self)

                                                                                                               Risk
                    Seven−day incidence
                          Risk group (self)
                 Risk group (social circle)
              Migration background (yes)

                                                                                                               Dem.
                         Gender (female)
                                     Age
                        Education (years)
            Political leaning (left  right)

                                                                                                               Att.
         Current measures (agreement)
        Political intervention (agreement)
                                       AFD
                                  Die Linke

                                                                                                               Party
                                 CDU/CSU
                                       SPD
                                       FDP
                                Die Grünen
                                                −0.4     0.0        0.4     0.8     −0.5       0.0       0.5
                                                               Coefficient on belief in misinformation

Figure 5. Regression analyses predicting individual differences in belief in misinformation in Waves 2 and 3. Dots
and error bars represent means and 95% (50%) highest density intervals of the posterior predictive distribution.
Dem. = demographic characteristics; Att. = attitudinal measures; Party = Political party respondent would vote for
in an upcoming election. Credible associations are shown in red. Results of a multivariate binomial regression
predicting belief in a statement from the covariates shown, controlling for individual respondents using a random
intercept (1|respondent) and statement as a fixed effect. Coefficients in the figure are based on one regression
per data collection. Political leaning and the political party a respondent would vote for in an upcoming election
were only assessed in Wave 3.

         In sum, our data converge with findings from other studies on how belief in

misinformation is associated with, for example, trust in the government, support for freedom-

curtailing public health measures, and leaning toward a right-wing populist agenda. In

addition, we found close links between migration background and misinformation beliefs.

Interestingly, getting information on COVID-19 from one’s neighbours, but not friends, also

appeared to be associated with beliefs in misinformation.
19

Discussion

In autumn 2020, the WHO and other supranational organisations (WHO, UN, UNICEF, et al.,

2020) joined force to publish a statement emphasizing that:

       “Coronavirus disease is the first pandemic in history in which technology and social

       media are being used on a massive scale to keep people safe, informed, productive

       and connected. At the same time, the technology we rely on to keep connected and

       informed is enabling and amplifying an infodemic that continues to undermine the

       global response and jeopardizes measures to control the pandemic.”

Managing this infodemic is a crucial part of controlling the current and future pandemics, as

well as other global crises. States need to provide their citizens with accurate and reliable

information (e.g., on how to avoid infection or get vaccinated) but also actively combat

misinformation. Here, we aim to contribute to such efforts by beginning to measure the

misinformation problem in Germany: How widespread are beliefs in false information? Which

of the false statements presented were most persuasive? Which intuitive competences do

people have for dealing with misinformation? Who is especially prone to misinformation?

       Our findings showed that the perceived prevalence of misinformation increased over

the three Waves of assessment (June 2020, September 2020 and February 2021).

According to our respondents, the topics most contaminated with misinformation are the

origins of the pandemic and statistics on the numbers of infections, hospitalisations and

deaths. In Wave 3, information on vaccines was also often perceived to include falsehoods.

Vaccine misinformation interferes with people's willingness to get vaccinated, particularly

when the misinformation is “scientific-sounding” (Loomba et al., 2021). These findings

paradigmatically illustrate how insidious misinformation can be for the individual believer but

also for the public good. Unfortunately, one of the more popular erroneous beliefs was that

the EU has approved dangerous vaccines. This belief, along with the belief that a
20

coronavirus infection is no worse than the flu (see Figure 5) may thwart the goal of reaching

herd immunity.

       In terms of individual differences, people with right-wing voting intentions, lower trust

in the government, the RKI and the Federal Ministry of Health, and lower levels of education

were more likely to believe in misinformation. These findings converge with findings from the

United Kingdom, Ireland, Mexico, Spain, and the United States (Roozenbeek et al., 2020).

The association with political leaning indicates that the information landscape of the COVID-

19 pandemic may be politically divisive and that the related misinformation and conspiracy

theories may be ideologically motivated and polarized, similarly to other politically divisive

topics, such as vaccination hesitancy or climate science denial (see also Rutjens et al.,

2021). Moreover, respondents with a migration background and those who got information

on the pandemic from their neighbours were more prone to believe in misinformation. These

findings are consistent with the idea that (mis-)information spreads differently in different

social clusters and milieus. In a similar vein, previous research has found geographic

clusters in vaccine refusal (Lieu et al., 2015). Vaccine refusal can also be impacted by beliefs

in misinformation (Roozenbeek et al., 2020), especially misinformation that creates fear

around the vaccine.

       The good news is that a large proportion of our respondents were able to detect

misinformation for most of the statements. In addition, a large proportion of respondents

were able to identify cues that can help to detect misinformation (e.g., untrustworthy sources)

and strategies that can be used to determine the truth of a statement (e.g., cross-checking

sources).

       Some limitations of our study warrant consideration: We relied on self-reports in

closed-ended questions (the “other” option with an open text field was used only

infrequently). Respondents may have given socially desirable answers (e.g., few said they

would share misinformation). Prior research has shown that even when people’s stated

preference is to share only accurate content, the actual decision to share information on

social media is often not related to accuracy (Pennycook et al., 2021). The authors attribute
21

this to inattention rather than motivated reasoning (Pennycook & Rand, 2021). Still, our

finding that only a small fraction of respondents said that they would share false information

is consistent with earlier research: One study found that 0.1% of users were responsible for

sharing 80% of the fake news (Grinberg et al., 2019).

       Another caveat is that the topic list we provided to respondents was updated across

the three Waves as the information landscape evolved. For example, we did not offer the

response option “risks and benefits of vaccinations'' in Wave 1 before vaccines became

available. We made sure, however, that the initial topic list was presented in all three Waves.

Lastly, although our samples are representative of residents living in Germany with respect

to age, gender and federal state, they are biased towards online-literate populations.

       We close by outlining some directions for policy interventions that emerge from our

findings. First, we found that people who rely on their neighbours as a source of information

and/or people with a migration background as well as people with a lower education are, on

average, more likely to believe in misinformation. This speaks for designing COVID-19

prevention measures that target not only the individual but also their social environments

(calls to do so already exist, e.g. see Ärzteblatt, 2021). In this vein, public health authorities

in Germany have begun to roll out vaccination campaigns in neighbourhoods with low

vaccination rates by providing low-threshold, easy-to-understand information on the vaccine

directly on site in face-to-face conversation (dortmund.de, 2021) or through promotional and

educational videos targeting specific immigrant groups (e.g., Arabic speakers; (WDR, 2021).

Second, we found evidence for widespread use of efficient strategies for checking a

statement’s truth status. For instance, roughly half of our respondents described cross-

checking information on independent websites. Such lateral reading strategies have been

found to be a more accurate and less time-consuming way of identifying misinformation than

staying within a webpage and searching for potential truth indicators such as logos and

domain names (Wineburg & McGrew, 2017). Low-threshold training in the use of such

simple strategies as well as related boosting interventions (Hertwig & Grüne-Yanoff, 2017)—

e.g., teaching people to question underlying goals of a particular information source—are
22

thus another entry point for policy interventions (see also Kozyreva et al., 2020). Relatedly,

inoculation interventions aimed at instilling cognitive resilience and competences (e.g., van

der Linden et al., 2020), as well as the widespread availability of easily accessible,

understandable and high-quality information may help to reduce these uncertainties.

Conclusion

In sum, we propose a two-pronged approach to help people navigate on- and offline (mis-

)information in Germany: interventions to boost individual information literacy (e.g., by

educating people about simple cues and strategies for detecting misinformation) but also

investments in the provision of understandable and high-quality information in people’s

proximate environments. It is not a case of the more information the better—but of ensuring

that reliable information is easily accessible in different places. The spread of misinformation

about the coronavirus and vaccination can strongly impact how well countries around the

globe are able to respond to the COVID-19 health crisis. How citizens consume and evaluate

information is a key factor in the spread of misinformation. Investing in both the quality of the

information ecology as well as in citizens’ competence to tell accurate from inaccurate

information therefore promises high returns.
23

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