Racial disparities in knowledge, attitudes and practices related to COVID-19 in the USA
Racial disparities in knowledge, attitudes and practices related to COVID-19 in the USA
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DOI：
10.1093/pubmed/fdaa069
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发表时间：
2020-09-01
影响因子：
4.4
通讯作者：
Kebebew, Electron
中科院分区：
文献类型：
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作者：
Alobuia, Wilson M.;Dalva-Baird, Nathan P.;Kebebew, Electron
背景最近的报告显示，2019年新型冠状病毒（2019冠状病毒病[COVID-19]）的感染率和死亡率存在种族差异。本研究的目的是确定与COVID-19相关的知识，态度和实践（KAP）水平是否存在差异。方法我们分析了2020年3月凯撒家庭基金会“冠状病毒民意调查”中1216名成年人的数据，以确定不同群体的KAP水平。结果与白色被调查者相比，非白色被调查者的知识得分低（58%比30%; P < 0.001），态度得分低（52%比27%; P <0.001），而实践得分高（81%比59%; P < 0.001）。通过多变量回归分析，白色人种（比值比[OR] 3.06; 95%置信区间[CI]：1.70-5.50）、较高教育水平（OR 1.80; 95% CI：1.46-2.23）和较高收入（OR 2.06; 95% CI：1.58-2.70）与对COVID-19的高认知相关。种族、性别、教育、收入、健康保险状况和政治观点都与KAP相关。结论种族和社会经济差异存在于COVID-19相关KAP水平中。需要开展更多的工作，以确定适合特定种族和社会经济群体的教育工具。
Background Recent reports indicate racial disparities in the rates of infection and mortality from the 2019 novel coronavirus (coronavirus disease 2019 [COVID-19]). The aim of this study was to determine whether disparities exist in the levels of knowledge, attitudes and practices (KAPs) related to COVID-19.Methods We analyzed data from 1216 adults in the March 2020 Kaiser Family Foundation 'Coronavirus Poll', to determine levels of KAPs across different groups. Univariate and multivariate regression analysis was used to identify predictors of KAPs.Results In contrast to White respondents, Non-White respondents were more likely to have low knowledge (58% versus 30%; P < 0.001) and low attitude scores (52% versus 27%; P < 0.001), but high practice scores (81% versus 59%; P < 0.001). By multivariate regression, White race (odds ratio [OR] 3.06; 95% confidence interval [CI]: 1.70-5.50), higher level of education (OR 1.80; 95% CI: 1.46-2.23) and higher income (OR 2.06; 95% CI: 1.58-2.70) were associated with high knowledge of COVID-19. Race, sex, education, income, health insurance status and political views were all associated with KAPs.Conclusions Racial and socioeconomic disparity exists in the levels of KAPs related to COVID-19. More work is needed to identify educational tools that tailor to specific racial and socioeconomic groups.