Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, United States of America.
Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN, United States of America.
Prev Med. 2020 Dec;141:106278. doi: 10.1016/j.ypmed.2020.106278. Epub 2020 Oct 4.
As with many other infectious and chronic conditions, the COVID-19 crisis in the United States (U.S.) reveals severe inequities in health. The objective of this study was to describe public perceptions of disparities in mortality from COVID-19 and examine correlates of those perceptions. We fielded a nationally-representative survey in late April 2020, asking participants how much they agreed with four statements describing group-level COVID-19 disparities: older people compared to younger, people with chronic health conditions compared to those without, poorer people compared to wealthier, and Black people compared to white people. We also measured personal characteristics, experience with COVID-19, and information sources. Overall agreement with age- and health condition-related disparities was high (>80%) while agreement with socioeconomic (SES) and racial disparities was lower (52%). Higher education and income were generally associated with greater agreement with disparities. Partisanship and information sources used were associated with perceptions of SES- and racial-disparities, with Democrats and those attune to national news-but not Fox cable news-more likely to perceive these disparities. As of April 2020, information about age- and health condition-related disparities in COVID-19 was well known by the U.S. public, while information about social disparities was less recognized and varied along socioeconomic and partisan lines.
与许多其他传染病和慢性病一样,美国(U.S.)的 COVID-19 危机揭示了健康方面的严重不平等。本研究的目的是描述公众对 COVID-19 死亡率差异的看法,并探讨这些看法的相关因素。我们在 2020 年 4 月下旬进行了一项全国代表性调查,询问参与者他们对描述群体层面 COVID-19 差异的四项陈述的同意程度:与年轻人相比,老年人;与没有慢性健康状况的人相比,患有慢性健康状况的人;与富人相比,穷人;与白人相比,黑人。我们还测量了个人特征、COVID-19 经历和信息来源。总体而言,对年龄和健康状况相关差异的一致程度较高(>80%),而对社会经济(SES)和种族差异的一致程度较低(52%)。较高的教育程度和收入通常与更大程度的差异一致。党派和使用的信息来源与 SES 和种族差异的看法有关,民主党人和关注全国新闻的人(但不是 Fox 有线电视新闻)更有可能察觉到这些差异。截至 2020 年 4 月,美国公众对 COVID-19 中与年龄和健康状况相关的差异的信息已经很熟悉,而关于社会差异的信息则不太被认可,并且沿着社会经济和党派界限而有所不同。