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美国人对 COVID-19 影响的看法:对种族影响和公平的看法。

Americans' View of the Impact of COVID-19: Perspectives on Racial Impacts and Equity.

机构信息

RAND Corporation.

Robert Wood Johnson Foundation.

出版信息

J Health Polit Policy Law. 2021 Oct 1;46(5):889-924. doi: 10.1215/03616878-9156033.

DOI:10.1215/03616878-9156033
PMID:33765152
Abstract

CONTEXT

The COVID-19 pandemic has had a disparate effect on African Americans and Latinos. But it is unknown how aware the public is of these differences and how the pandemic has changed perceptions of equity and access to health care.

METHODS

We use panel data from nationally representative surveys fielded to the same respondents in 2018 and 2020 to assess views and changes in views over time.

FINDINGS

We found that awareness of inequity is highest among Non-Hispanic Black respondents and higher-income and higher-educated groups, and there have been only small changes in perceptions of inequity over time. However, there have been significant changes in views of the government's obligation to ensure access to health care.

CONCLUSIONS

Even in the face of a deadly pandemic, one that has killed disproportionately more African Americans and Latinos, many in the United States continue not to recognize that there are inequities in access to health care and the impact of COVID-19 on certain groups. But policies to address inequity may be shifting. We will continue to follow these respondents to see whether changes in attitudes endure over time or dissipate.

摘要

背景

新冠疫情对非裔美国人和拉丁裔人群产生了不同的影响。但公众对这些差异的认知程度以及疫情如何改变了对公平和获得医疗保健的看法尚不清楚。

方法

我们使用了 2018 年和 2020 年向相同受访者进行的全国代表性调查的面板数据,以评估随时间变化的观点和看法变化。

发现

我们发现,在非西班牙裔黑人受访者以及高收入和高学历群体中,对不平等的认识最高,而且不平等的看法随时间变化很小。但是,对政府确保获得医疗保健的义务的看法发生了重大变化。

结论

即使面对致命的大流行病,即导致非裔美国人和拉丁裔人群不成比例死亡的大流行病,美国仍有许多人继续不承认在获得医疗保健方面存在不平等现象,以及新冠疫情对某些群体的影响。但是,解决不平等问题的政策可能正在发生变化。我们将继续跟踪这些受访者,以了解态度变化是否会随着时间的推移而持续或消失。

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