Coupled dynamics of behaviour and disease contagion among antagonistic groups

Disease transmission and behaviour change are both fundamentally social phenomena. Behaviour change can have profound consequences for disease transmission, and epidemic conditions can favour the more rapid adoption of behavioural innovations. We analyse a simple model of coupled behaviour change and infection in a structured population characterised by homophily and outgroup aversion. Outgroup aversion slows the rate of adoption and can lead to lower rates of adoption in the later-adopting group or even behavioural divergence between groups when outgroup aversion exceeds positive ingroup influence. When disease dynamics are coupled to the behaviour-adoption model, a wide variety of outcomes are possible. Homophily can either increase or decrease the final size of the epidemic depending on its relative strength in the two groups and on R(0) for the infection. For example, if the first group is homophilous and the second is not, the second group will have a larger epidemic. Homophily and outgroup aversion can also produce dynamics suggestive of a ‘second wave’ in the first group that follows the peak of the epidemic in the second group. Our simple model reveals dynamics that are suggestive of the processes currently observed under pandemic conditions in culturally and/or politically polarised populations such as the USA.