Racial Bias Beliefs Related to COVID-19 Among Asian Americans, Native Hawaiians, and Pacific Islanders: Findings From the COVID-19 Effects on the Mental and Physical Health of Asian Americans and Pacific Islanders Survey Study (COMPASS).

Racial Bias Beliefs Related to COVID-19 Among Asian Americans, Native Hawaiians, and Pacific Islanders: Findings From the COVID-19 Effects on the Mental and Physical Health of Asian Americans and Pacific Islanders Survey Study (COMPASS).
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DOI:
10.2196/38443
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发表时间:
2022-08-09
影响因子:
7.4
通讯作者:
Meyer, Oanh L.
Meyer, Oanh L.
中科院分区:
医学2区
文献类型:
--
作者:
Park, Van Ta;Tsoh, Janice Y.;Dougan, Marcelle;Nam, Bora;Tzuang, Marian;Vuong, Quyen N.;Bang, Joon;Meyer, Oanh L.

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在新冠肺炎大流行期间,有关针对亚裔美国人、夏威夷原住民和太平洋岛民个人的种族偏见的报告有所增加。然而,不同的亚裔美国人、夏威夷原住民和太平洋岛民群体(直接或作为此类经历的见证者)在多大程度上感知和经历了新冠肺炎对他们种族的人产生了负面影响,这一点并没有得到太多关注。本研究利用全国性多语种调查--“新冠肺炎对亚裔美国人和太平洋岛民身心健康的影响调查研究”(COMPASS)的数据,对亚裔美国人、夏威夷原住民和太平洋岛民中与“新冠肺炎”相关的种族偏见信念及其相关因素进行了实证研究。Compass的参与者是亚裔美国人、夏威夷原住民和太平洋岛民,他们会说英语、汉语(广东话或普通话)、韩语、萨摩亚语或越南语,并在调查期间(2020年10月至2021年5月)居住在美国。参与者通过网络、电话或面对面完成了调查。使用冠状病毒种族偏见量表(CRBS)评估新冠肺炎对亚裔美国人、夏威夷土著和太平洋岛民的种族偏见信念。参与者被要求在5分的利克特量表上对他们同意9个陈述的程度进行评分(即,1=强烈不同意,5=强烈同意)。多变量线性回归被用来检验人口统计、健康和新冠肺炎相关特征与感知到的种族偏见之间的关联。共有5068名参与者完成了调查(平均年龄45.4岁,SD 16.4岁;范围18-97岁)。总体而言,在过去6个月(新冠肺炎大流行期间),73.97%(3749/5068)的人同意或强烈同意≥1新冠肺炎相关的种族偏见信念。在9种种族偏见信念中,参与者的平均得分为2.59(SD 0.96,范围1-5)。调整后的分析显示,与亚裔印度人相比,华裔、菲律宾人、苗族、日本人、韩国人、越南人和其他或多文化背景的人的CRBS平均得分显著高于亚洲印第安人,而夏威夷原住民和太平洋岛民之间的平均CRBS得分没有显著差异。非异性恋者的CRBS平均得分高于异性恋者,具有统计学意义。与60岁的参与者相比,年轻的参与者(30岁、30-39岁、40-49岁和50-59岁)的平均≥得分显著更高。在美国出生的参与者的平均CRBS分数显著高于在外国出生的参与者,而那些英语水平有限的人(相对于那些报告没有限制的人)的平均CRBS分数更低。许多COMPASS参与者报告称,由于新冠肺炎大流行,他们存在种族偏见。相关的社会人口背景以及个人、社区和社会层面上先前存在的和新冠肺炎特有的因素与大流行期间被认为是亚洲人的种族偏见有关。这些发现突显了解决种族偏见给亚裔美国人、夏威夷原住民和太平洋岛民社区带来的负担以及其他与新冠肺炎相关的后遗症的重要性。
During the COVID-19 pandemic, there have been increased reports of racial biases against Asian American and Native Hawaiian and Pacific Islander individuals. However, the extent to which different Asian American and Native Hawaiian and Pacific Islander groups perceive and experience (firsthand or as a witness to such experiences) how COVID-19 has negatively affected people of their race has not received much attention. This study used data from the COVID-19 Effects on the Mental and Physical Health of Asian Americans and Pacific Islanders Survey Study (COMPASS), a nationwide, multilingual survey, to empirically examine COVID-19–related racial bias beliefs among Asian American and Native Hawaiian and Pacific Islander individuals and the factors associated with these beliefs. COMPASS participants were Asian American and Native Hawaiian and Pacific Islander adults who were able to speak English, Chinese (Cantonese or Mandarin), Korean, Samoan, or Vietnamese and who resided in the United States during the time of the survey (October 2020 to May 2021). Participants completed the survey on the web, via phone, or in person. The Coronavirus Racial Bias Scale (CRBS) was used to assess COVID-19–related racial bias beliefs toward Asian American and Native Hawaiian and Pacific Islander individuals. Participants were asked to rate the degree to which they agreed with 9 statements on a 5-point Likert scale (ie, 1=strongly disagree to 5=strongly agree). Multivariable linear regression was used to examine the associations between demographic, health, and COVID-19–related characteristics and perceived racial bias. A total of 5068 participants completed the survey (mean age 45.4, SD 16.4 years; range 18-97 years). Overall, 73.97% (3749/5068) agreed or strongly agreed with ≥1 COVID-19–related racial bias belief in the past 6 months (during the COVID-19 pandemic). Across the 9 racial bias beliefs, participants scored an average of 2.59 (SD 0.96, range 1-5). Adjusted analyses revealed that compared with Asian Indians, those who were ethnic Chinese, Filipino, Hmong, Japanese, Korean, Vietnamese, and other or multicultural had significantly higher mean CRBS scores, whereas no significant differences were found among Native Hawaiian and Pacific Islander individuals. Nonheterosexual participants had statistically significant and higher mean CRBS scores than heterosexual participants. Compared with participants aged ≥60 years, those who were younger (aged <30, 30-39, 40-49, and 50-59 years) had significantly higher mean CRBS scores. US-born participants had significantly higher mean CRBS scores than foreign-born participants, whereas those with limited English proficiency (relative to those reporting no limitation) had lower mean CRBS scores. Many COMPASS participants reported racial bias beliefs because of the COVID-19 pandemic. Relevant sociodemographic contexts and pre-existing and COVID-19–specific factors across individual, community, and society levels were associated with the perceived racial bias of being Asian during the pandemic. The findings underscore the importance of addressing the burden of racial bias on Asian American and Native Hawaiian and Pacific Islander communities among other COVID-19–related sequelae.
DOI: 10.1176/appi.ps.201500453
发表时间: 2017-01-01
影响因子: 3.8
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