A National Study of Racial-Ethnic Differences in COVID-19 Concerns Among Older Americans: Evidence From the Health and Retirement Study

Objectives Concerns about coronavirus disease 2019 (COVID-19) are an important emotional reaction to the pandemic and represent a key pandemic-related mental health outcome. We provide the first population-based evidence of racial-ethnic differences in COVID-19 concerns among older Americans during the COVID-19 outbreak. Methods We analyzed data from the 2020 Health and Retirement Study COVID-19 project. The sample included 2,879 respondents (aged 50 and older) who were interviewed from June to September 2020 and had completed measures on COVID-19 concerns and other key covariates. Ordinary least squares regression models were estimated to assess racial-ethnic differences in COVID-19 concerns. Formal mediation analysis was conducted to test potential mediating roles of exposures to COVID-19 risks, preexisting health status, and socioeconomic resources in accounting for racial-ethnic differences in COVID-19 concerns. Results Non-Hispanic Black and Hispanic Americans showed significantly greater concerns about the COVID-19 pandemic than non-Hispanic White Americans. Racial-ethnic minority older adults also had higher proportions of knowing someone who had contracted or died from COVID-19 than White older adults. Unequal exposures to COVID-19 risks by race-ethnicity and, to a lesser degree, preexisting health inequalities accounted for only part of the racial-ethnic differences in COVID-19 concerns. Discussion Our findings call for more research and policy interventions to lessen the disproportionate burden of COVID-19 experienced by older adults of racial-ethnic minority groups.

Automated summary

This study provides evidence of racial-ethnic differences in COVID-19 concerns among older Americans. Non-Hispanic Black and Hispanic Americans showed greater concerns about the pandemic compared to non-Hispanic White Americans. Unequal exposures to COVID-19 risks and preexisting health inequalities partially accounted for these differences.