4.6 Article

COVID-19-Related Discrimination Among Racial/Ethnic Minorities and Other Marginalized Communities in the United States

期刊

AMERICAN JOURNAL OF PUBLIC HEALTH
卷 112, 期 3, 页码 453-466

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AMER PUBLIC HEALTH ASSOC INC
DOI: 10.2105/AJPH.2021.306594

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资金

  1. Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health
  2. National Institute on Aging, National Institutes of Health [2 P30 AG015272]

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This study aims to determine the prevalence of COVID-19-related discrimination among major US racial/ethnic groups and estimate associations between discrimination, race/ethnicity, and other sociodemographic characteristics. The study found that COVID-19-related discrimination is common, and it appears that the pandemic has exacerbated preexisting resentment against racial/ethnic minorities and marginalized communities. Additionally, Asian and American Indian/Alaska Native adults are most likely to experience such discrimination.
Objectives. To determine the prevalence of COVID-19-related discrimination among major US racial/ethnic groups and estimate associations between discrimination, race/ethnicity, and other sociodemographic characteristics. Methods. We conducted a nationally representative online survey of 5500 American Indian/Alaska Native, Asian, Black/African American, Hawaiian/Pacific Islander, Latino (English and Spanish speaking), White, and multiracial adults from December 2020 to February 2021. Associations between sociodemographic characteristics and COVID-19-related discrimination were estimated via multinomial logistic regression. Results. A total of 22.1% of the participants reported experiencing discriminatory behaviors, and 42.7% reported that people acted afraid of them. All racial/ethnic minorities were more likely than White adults to experience COVID-19-related discrimination, with Asian and American Indian/Alaska Native adults being most likely to experience such discrimination (discriminatory behaviors: adjusted odd ratio [AOR] 52.59; 95% confidence interval [CI] = 1.73, 3.89; and AOR=2.67; 95% CI=1.76, 4.04; people acting afraid: AOR=1.54; 95% CI=1.15, 2.07; and AOR=1.84; 95% CI=1.34, 2.51). Limited English proficiency, lower education, lower income, and residing in a big city or the East South Central census division also increased the prevalence of discrimination. Conclusions. COVID-19-related discrimination is common, and it appears that the pandemic has exacerbated preexisting resentment against racial/ethnic minorities and marginalized communities. Efforts are needed to minimize and discredit racially driven language and discrimination around COVID-19 and future epidemics.

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