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Article: Associations of racial and ethnic discrimination with adverse changes in exercise and screen time during the COVID-19 pandemic in the United States

TitleAssociations of racial and ethnic discrimination with adverse changes in exercise and screen time during the COVID-19 pandemic in the United States
Authors
KeywordsCOVID-19
Exercise
Life style
Racial and ethnic discrimination
Screen time
Issue Date28-Jan-2023
PublisherKorean Society of Epidemiology
Citation
Epidemiology and Health, 2023, v. 45, p. 1-9 How to Cite?
Abstract

OBJECTIVES

During the coronavirus disease 2019 (COVID-19) pandemic, a growing prevalence of racial and ethnic discrimination occurred when many Americans struggled to maintain healthy lifestyles. This study investigated the associations of racial and ethnic discrimination with changes in exercise and screen time during the pandemic in the United States.

METHODS

We included 2,613 adults who self-identified as non-Hispanic White, non-Hispanic Black, non-Hispanic Asian, or Hispanic from the Health, Ethnicity, and Pandemic study, a cross-sectional survey conducted among a nationally representative sample of United States adults between October and November 2020. We assessed self-reported racial and ethnic discrimination by measuring COVID-19-related racial and ethnic bias and examined its associations with changes in exercise and screen time using multivariable logistic regression models. We analyzed data between September 2021 and March 2022.

RESULTS

COVID-19-related racial and ethnic bias was associated with decreased exercise time among non-Hispanic Asian (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.13 to 1.89) and Hispanic people (OR, 1.91; 95% CI, 1.32 to 2.77), and with increased screen time among non-Hispanic Black people (OR, 1.94; 95% CI, 1.33 to 2.85), adjusting for age, sex, education, marital status, annual household income, insurance, and employment status.

CONCLUSIONS

Racial and ethnic discrimination may have adversely influenced exercise and screen time changes among racial and ethnic minorities during the COVID-19 pandemic in the United States. Further studies are needed to investigate the mechanisms through which racial and ethnic discrimination can impact lifestyles and to develop potential strategies to address racial and ethnic discrimination as a barrier to healthy lifestyles.


Persistent Identifierhttp://hdl.handle.net/10722/331840
ISSN
2023 Impact Factor: 2.2
2023 SCImago Journal Rankings: 0.782
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorXia, Tong-
dc.contributor.authorGee, Gilbert C-
dc.contributor.authorLi, Jian-
dc.contributor.authorLiu, Xinyue-
dc.contributor.authorDai, Jin-
dc.contributor.authorShi, Lu-
dc.contributor.authorZhang, Donglan-
dc.contributor.authorChen, Zhuo-
dc.contributor.authorHan, Xuesong-
dc.contributor.authorLi, Yan-
dc.contributor.authorLi, Hongmei-
dc.contributor.authorWen, Ming-
dc.contributor.authorSu, Dejun-
dc.contributor.authorChen, Liwei-
dc.date.accessioned2023-09-21T06:59:22Z-
dc.date.available2023-09-21T06:59:22Z-
dc.date.issued2023-01-28-
dc.identifier.citationEpidemiology and Health, 2023, v. 45, p. 1-9-
dc.identifier.issn2092-7193-
dc.identifier.urihttp://hdl.handle.net/10722/331840-
dc.description.abstract<p><strong>OBJECTIVES</strong></p><p>During the coronavirus disease 2019 (COVID-19) pandemic, a growing prevalence of racial and ethnic discrimination occurred when many Americans struggled to maintain healthy lifestyles. This study investigated the associations of racial and ethnic discrimination with changes in exercise and screen time during the pandemic in the United States.<strong></strong><br></p><p><strong>METHODS</strong></p><p>We included 2,613 adults who self-identified as non-Hispanic White, non-Hispanic Black, non-Hispanic Asian, or Hispanic from the Health, Ethnicity, and Pandemic study, a cross-sectional survey conducted among a nationally representative sample of United States adults between October and November 2020. We assessed self-reported racial and ethnic discrimination by measuring COVID-19-related racial and ethnic bias and examined its associations with changes in exercise and screen time using multivariable logistic regression models. We analyzed data between September 2021 and March 2022.</p><p><strong>RESULTS</strong></p><p>COVID-19-related racial and ethnic bias was associated with decreased exercise time among non-Hispanic Asian (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.13 to 1.89) and Hispanic people (OR, 1.91; 95% CI, 1.32 to 2.77), and with increased screen time among non-Hispanic Black people (OR, 1.94; 95% CI, 1.33 to 2.85), adjusting for age, sex, education, marital status, annual household income, insurance, and employment status.</p><p><strong>CONCLUSIONS</strong></p><p>Racial and ethnic discrimination may have adversely influenced exercise and screen time changes among racial and ethnic minorities during the COVID-19 pandemic in the United States. Further studies are needed to investigate the mechanisms through which racial and ethnic discrimination can impact lifestyles and to develop potential strategies to address racial and ethnic discrimination as a barrier to healthy lifestyles.</p>-
dc.languageeng-
dc.publisherKorean Society of Epidemiology-
dc.relation.ispartofEpidemiology and Health-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectCOVID-19-
dc.subjectExercise-
dc.subjectLife style-
dc.subjectRacial and ethnic discrimination-
dc.subjectScreen time-
dc.titleAssociations of racial and ethnic discrimination with adverse changes in exercise and screen time during the COVID-19 pandemic in the United States-
dc.typeArticle-
dc.identifier.doi10.4178/epih.e2023013-
dc.identifier.scopuseid_2-s2.0-85159730492-
dc.identifier.volume45-
dc.identifier.spage1-
dc.identifier.epage9-
dc.identifier.eissn2092-7193-
dc.identifier.isiWOS:001086904000001-
dc.identifier.issnl2092-7193-

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