Racial Disparities in the Perceived Risk of COVID-19 and in Getting Needed Medical Care.
Racial Disparities in the Perceived Risk of COVID-19 and in Getting Needed Medical Care.
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DOI：
10.1007/s40615-021-01191-5
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发表时间：
2023-03
影响因子：
3.9
通讯作者：
Encinosa W
中科院分区：
文献类型：
--
作者：
Kumar V;Encinosa W
2019冠状病毒病大流行对少数民族人口感染率、住院率和死亡率的影响尤为严重。然而，人们对更广泛的种族差异知之甚少，人们对这种流行病的恐惧和看法以及获得治疗的情况知之甚少。研究在COVID-19感知风险和获得医疗服务方面的差异。利用2020年5月进行的具有全国代表性的斯坦福大学医学院冠状病毒态度和行为调查，我们在关于COVID-19感知风险的八项措施中研究了种族和民族差异。我们使用回归分析来控制10个社会经济、人口统计学和健康变量的风险调整认知。黑人受访者认为疫情不会在2020年夏季结束的可能性比白人受访者高15个百分点(92%对77%，p <。01)，并且觉得有必要保护家人免受COVID-19感染的可能性比其他任何种族都高19个百分点（81%对62%，p < 0.01）。拉丁裔受访者对在公共场所感染新冠病毒的恐惧程度比白人受访者高10个百分点（55%对45%，p < 0.01）。黑人受访者比白人受访者认为如果感染需要医疗护理的可能性高20个百分点(71%对51%，p <。01)，认为自己需要住院的可能性高出18个百分点（59%对41%，p < 0.01）。黑人受访者认为如果感染新冠病毒，医院没有足够能力治疗的比例比白人受访者高12个百分点（41%对29%，p < 0.05）。在2019冠状病毒病大流行之初，种族和族裔群体对与COVID-19相关的感知风险和对医疗保健的不信任存在差异。随着我们进入后covid新常态，新政策必须确保理解和扭转医疗保健系统中这种普遍恐惧和不信任的原因。在线版本包含补充材料，可在10.1007/s40615-021-01191-5获得。
The COVID-19 pandemic disproportionately affected minorities in population rates of infection, hospitalization, and mortality. However, little is known about the broader racial disparities in fears and perceptions about the pandemic and getting treated. To examine disparities in perceived risks of COVID-19 and getting medical care. Using the nationally representative Stanford University School of Medicine Coronavirus Attitudes and Behaviors Survey fielded in May of 2020, we examine racial and ethnic disparities in eight measures on the perceived risks of COVID-19. We use regression analysis to risk adjust perceptions controlling for 10 socioeconomic, demographic, and health variables. Black respondents were 15 percentage points more likely than White respondents to believe the pandemic would not end by Summer 2020 (92% vs 77%, p < .01), and were 19 percentage points more likely than any other race to feel a need to protect their family from COVID-19 (81% vs 62%, p < .01). Latinx respondents were 10 percentage points more fearful than White respondents of catching COVID-19 in public places (55% vs 45%, p < 0.01). Black respondents were 20 percentage points more likely than White respondents to think they would need medical care if infected (71% vs 51%, p < .01), and 18 percentage points more likely to think they would need to be hospitalized (59% vs 41%, p < .01). The proportion of Black respondents believing that the hospital would not have enough capacity to treat them if infected with COVID-19 was 12 percentage points higher than White respondents (41% vs 29%, p < 0.05). Disparities in the COVID-19-related perceived risks and mistrust in healthcare across racial and ethnic groups existed at the beginning of the COVID-19 pandemic. As we enter into a post-COVID New Normal, new policies must ensure that the causes of this widespread fear and distrust in the healthcare system are understood and reversed. The online version contains supplementary material available at 10.1007/s40615-021-01191-5.
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