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Article: Association between racial discrimination and delayed or forgone care amid the COVID-19 pandemic

TitleAssociation between racial discrimination and delayed or forgone care amid the COVID-19 pandemic
Authors
KeywordsCare disruption
COVID-19
Ethnicity
Pandemic
Race
Racial discrimination
Issue Date2022
Citation
Preventive Medicine, 2022, v. 162, article no. 107153 How to Cite?
AbstractRacial discrimination has intensified in the U.S. during the COVID-19 pandemic, but how it disrupted healthcare is largely unknown. This study investigates the association of racial discrimination with delaying or forgoing care during the pandemic based on data from a nationally representative survey, the Health, Ethnicity and Pandemic (HEAP) study (n = 2552) conducted in October 2020 with Asians, Hispanics and non-Hispanic Blacks oversampled. Racial discrimination during the pandemic was assessed in three domains: experienced racial discrimination, race-related cyberbullying, and Coronavirus racial bias beliefs. Respondents answered whether they had delayed or forgone any type of healthcare due to the pandemic. Overall, 63.7% of respondents reported delaying or forgoing any healthcare during the pandemic. About 20.3% East/Southeast Asians, 18.6% non-Hispanic Blacks and 15.9% Hispanics reported experiences of racial discrimination, compared with 2.8% of non-Hispanic Whites. Experienced racial discrimination was associated with delaying/forgoing care among non-Hispanic Blacks (Adjusted odds ratios[AOR] = 4.58, 95% confidence interval[CI]: 2.22–9.45), Hispanics (AOR = 3.88, 95%CI: 1.51–9.98), and East/Southeast Asians (AOR = 2.14, 95%CI: 1.22–3.77). Experiencing race-related cyberbullying was significantly associated with delaying/forgoing care among non-Hispanic Blacks (AOR = 1.34, 95%CI: 1.02–1.77) and East/Southeast Asians (AOR = 1.51, 95%CI: 1.19–1.90). Coronavirus racial bias was significantly associated with delaying/forgoing care among East/Southeast Asians (AOR = 1.55, 95%CI: 1.16–2.07). The three domains of racial discrimination were consistently associated with delayed or forgone health care among East/Southeast Asians during the COVID-19 pandemic; some of the associations were also seen among non-Hispanic Blacks and Hispanics. These results demonstrate that addressing racism is important for reducing disparities in healthcare delivery during the pandemic and beyond.
Persistent Identifierhttp://hdl.handle.net/10722/324920
ISSN
2023 Impact Factor: 4.3
2023 SCImago Journal Rankings: 1.690
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZhang, Donglan-
dc.contributor.authorLi, Gang-
dc.contributor.authorShi, Lu-
dc.contributor.authorMartin, Emily-
dc.contributor.authorChen, Zhuo-
dc.contributor.authorLi, Jian-
dc.contributor.authorChen, Liwei-
dc.contributor.authorLi, Yan-
dc.contributor.authorWen, Ming-
dc.contributor.authorChen, Baojiang-
dc.contributor.authorLi, Hongmei-
dc.contributor.authorSu, Dejun-
dc.contributor.authorHan, Xuesong-
dc.date.accessioned2023-02-23T07:28:45Z-
dc.date.available2023-02-23T07:28:45Z-
dc.date.issued2022-
dc.identifier.citationPreventive Medicine, 2022, v. 162, article no. 107153-
dc.identifier.issn0091-7435-
dc.identifier.urihttp://hdl.handle.net/10722/324920-
dc.description.abstractRacial discrimination has intensified in the U.S. during the COVID-19 pandemic, but how it disrupted healthcare is largely unknown. This study investigates the association of racial discrimination with delaying or forgoing care during the pandemic based on data from a nationally representative survey, the Health, Ethnicity and Pandemic (HEAP) study (n = 2552) conducted in October 2020 with Asians, Hispanics and non-Hispanic Blacks oversampled. Racial discrimination during the pandemic was assessed in three domains: experienced racial discrimination, race-related cyberbullying, and Coronavirus racial bias beliefs. Respondents answered whether they had delayed or forgone any type of healthcare due to the pandemic. Overall, 63.7% of respondents reported delaying or forgoing any healthcare during the pandemic. About 20.3% East/Southeast Asians, 18.6% non-Hispanic Blacks and 15.9% Hispanics reported experiences of racial discrimination, compared with 2.8% of non-Hispanic Whites. Experienced racial discrimination was associated with delaying/forgoing care among non-Hispanic Blacks (Adjusted odds ratios[AOR] = 4.58, 95% confidence interval[CI]: 2.22–9.45), Hispanics (AOR = 3.88, 95%CI: 1.51–9.98), and East/Southeast Asians (AOR = 2.14, 95%CI: 1.22–3.77). Experiencing race-related cyberbullying was significantly associated with delaying/forgoing care among non-Hispanic Blacks (AOR = 1.34, 95%CI: 1.02–1.77) and East/Southeast Asians (AOR = 1.51, 95%CI: 1.19–1.90). Coronavirus racial bias was significantly associated with delaying/forgoing care among East/Southeast Asians (AOR = 1.55, 95%CI: 1.16–2.07). The three domains of racial discrimination were consistently associated with delayed or forgone health care among East/Southeast Asians during the COVID-19 pandemic; some of the associations were also seen among non-Hispanic Blacks and Hispanics. These results demonstrate that addressing racism is important for reducing disparities in healthcare delivery during the pandemic and beyond.-
dc.languageeng-
dc.relation.ispartofPreventive Medicine-
dc.subjectCare disruption-
dc.subjectCOVID-19-
dc.subjectEthnicity-
dc.subjectPandemic-
dc.subjectRace-
dc.subjectRacial discrimination-
dc.titleAssociation between racial discrimination and delayed or forgone care amid the COVID-19 pandemic-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ypmed.2022.107153-
dc.identifier.pmid35810933-
dc.identifier.scopuseid_2-s2.0-85134406519-
dc.identifier.volume162-
dc.identifier.spagearticle no. 107153-
dc.identifier.epagearticle no. 107153-
dc.identifier.eissn1096-0260-
dc.identifier.isiWOS:000830831500002-

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