Sources of Information and Health Care Experiences Related to COVID-19 among Women Involved in Criminal Legal System in Three U.S. Cities.
Sources of Information and Health Care Experiences Related to COVID-19 among Women Involved in Criminal Legal System in Three U.S. Cities.
复制标题
DOI：
10.31038/awhc.2020351
复制
发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Ramswamy M
中科院分区：
文献类型：
--
作者：
Lorvick J;Hemberg J;Cropsey K;Wickliffe J;Faust A;Comfort M;Ramswamy M
美国刑事法律的（CL）系统中的女性是COVID-19大流行的几个驱动因素的联系点，包括监禁、贫困、慢性疾病和种族主义。美国有125万女性被监禁或接受社区监督（缓刑或假释）。我们介绍了在疫情初期COVID-19对CL系统中女性（N=344）的影响。参与者来自美国三个城市正在进行的宫颈癌风险研究的社区环境：伯明翰，亚拉巴马，奥克兰，加州和堪萨斯城，横跨堪萨斯和密苏里州。在COVID-19检测和对该病毒的易感性方面发现了区域差异，但在COVID相关的医疗中断方面没有发现差异。我们发现，在有关COVID的可信信息来源方面，种族/民族存在差异。黑人女性选择电视作为最信任的信息来源的几率更高，而白色女性更有可能将政府或社会服务机构作为最信任的信息来源。值得注意的是，15%的女性表示，她们不相信任何有关COVID-19的信息来源。由于医疗虐待和结构性种族主义的双重遗留问题，COVID-19对对医疗和政府机构高度不信任的人群产生了不成比例的影响。我们的研究结果强调，需要创新的战略，以达到这些群体的准确和及时的信息。
Women in the United States criminal legal (CL) system are at the nexus of several drivers of the COVID-19 pandemic, including incarceration, poverty, chronic illness and racism. There are 1.25 million women incarcerated or on community supervision (probation or parole) in the U.S. We present findings regarding the impact of COVID-19 on women in the CL system (N=344) during the early days of the pandemic. Participants were drawn from community settings in an ongoing study of cervical cancer risk in three U.S. cities: Birmingham, Alabama, Oakland, California and Kansas City, which straddles the states of Kansas and Missouri. Regional differences were found in COVID-19 testing and perceived susceptibility to the virus, but not in COVID-related disruptions to health care. We found differences by race/ethnicity in trusted sources of information about COVID. Black women had higher odds of choosing TV as their most trusted source of information, while White women were more likely to cite government or social service agencies as their most trusted source. Notably, 15% of women said they did not trust any source of information regarding COVID-19. COVID-19 disproportionately impacts populations with high levels of mistrust towards medical and government institutions, a result of the twin legacies of medical mistreatment and structural racism. Our findings underscore the need for innovative strategies to reach these groups with accurate and timely information.