Racial, Ethnic, and Socioeconomic Disparities in COVID-19 Pandemic Worries.

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-10-01 Epub Date: 2024-07-17 DOI:10.1007/s40615-024-02093-y

Christina W Hoven, Anna Krasnova, Michaeline Bresnahan, Xiaoxiao Sun, George Musa, Lupo Geronazzo-Alman, Megan Ryan, Norbert Skokauskas, Lawrence Amsel, Connie Svob, Renee D Goodwin, Heather Zemeck, Keely Cheslack-Postava

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引用次数: 0

Abstract

Background: Racial, ethnic, and socioeconomic health disparities became evident during the COVID-19 pandemic. This study explores whether these disparities extend to the content of worries.

Methods: We surveyed 1,222 participants from three metropolitan New York City (NYC) based cohorts through telephone interviews conducted from March to September 2020. Worries were assessed using 37 dichotomous questionnaire items, and exploratory factor analysis derived ten categories of worry. Factor scores were analyzed in generalized linear mixed models to examine their associations with race/ethnicity and household income, adjusting for covariates.

Results: The most prevalent worry items pertained to U.S. and world politics, American values, health concerns, and return to normalcy. Higher household income was associated with lower worry about economic needs, job/employment, and violence/victimization, while violence/victimization worries were strongly associated with Asian, Hispanic, Black, and multiracial or other race/ethnicity.

Conclusions: During early COVID-19, lower-income and minoritized race and ethnic groups were disproportionately affected by economic and violence/victimization worries, while other worries showed minor variations by income or race/ethnicity.

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COVID-19 流感担忧中的种族、民族和社会经济差异。

背景：在 COVID-19 大流行期间，种族、民族和社会经济方面的健康差异变得非常明显。本研究探讨了这些差异是否会延伸到担忧的内容：我们在 2020 年 3 月至 9 月期间通过电话采访对来自纽约市（NYC）三个大都市队列的 1,222 名参与者进行了调查。我们使用 37 个二分法问卷项目对担忧进行了评估，并通过探索性因子分析得出了 10 个担忧类别。在广义线性混合模型中对因子得分进行了分析，以研究其与种族/族裔和家庭收入的关系，并对协变量进行了调整：结果：最普遍的担忧项目涉及美国和世界政治、美国价值观、健康问题和恢复正常。家庭收入越高，对经济需求、工作/就业和暴力/受害的担忧就越低，而对暴力/受害的担忧则与亚裔、西班牙裔、黑人和多种族或其他种族/族裔密切相关：结论：在 COVID-19 早期，低收入和少数种族及族裔群体受到经济和暴力/受害忧虑的影响尤为严重，而其他忧虑则因收入或种族/族裔而略有不同。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.