Paula D. Strassle, Stephanie M. Quintero, Jackie Bonilla, Alia Alhomsi, Verónica Santana-Ufret, Ana I. Maldonado, Allana T. Forde, and Anna María Nápoles are with the Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD. Anita L. Stewart is with the Center for Aging in Diverse Communities, Institute for Health & Aging, University of California, San Francisco.
Am J Public Health. 2022 Mar;112(3):453-466. doi: 10.2105/AJPH.2021.306594.
To determine the prevalence of COVID-19-related discrimination among major US racial/ethnic groups and estimate associations between discrimination, race/ethnicity, and other sociodemographic characteristics. We conducted a nationally representative online survey of 5500 American Indian/Alaska Native, Asian, Black/African American, Hawaiian/Pacific Islander, Latino (English and Spanish speaking), White, and multiracial adults from December 2020 to February 2021. Associations between sociodemographic characteristics and COVID-19-related discrimination were estimated via multinomial logistic regression. A total of 22.1% of the participants reported experiencing discriminatory behaviors, and 42.7% reported that people acted afraid of them. All racial/ethnic minorities were more likely than White adults to experience COVID-19-related discrimination, with Asian and American Indian/Alaska Native adults being most likely to experience such discrimination (discriminatory behaviors: adjusted odd ratio [AOR] = 2.59; 95% confidence interval [CI] = 1.73, 3.89; and AOR = 2.67; 95% CI = 1.76, 4.04; people acting afraid: AOR = 1.54; 95% CI = 1.15, 2.07; and AOR = 1.84; 95% CI = 1.34, 2.51). Limited English proficiency, lower education, lower income, and residing in a big city or the East South Central census division also increased the prevalence of discrimination. COVID-19-related discrimination is common, and it appears that the pandemic has exacerbated preexisting resentment against racial/ethnic minorities and marginalized communities. Efforts are needed to minimize and discredit racially driven language and discrimination around COVID-19 and future epidemics. (. 2022;112(3):453-466. https://doi.org/10.2105/AJPH.2021.306594).
为了确定美国主要种族/族裔群体中与 COVID-19 相关的歧视现象的流行程度,并估计歧视、种族/族裔与其他社会人口统计学特征之间的关联。我们于 2020 年 12 月至 2021 年 2 月期间,对美国印第安人/阿拉斯加原住民、亚裔、非裔/美国黑人、夏威夷/太平洋岛民、拉丁裔(英语和西班牙语)、白人和多种族成年人进行了一项全国性的在线调查,调查对象为 5500 人。我们通过多项逻辑回归估计了社会人口统计学特征与 COVID-19 相关歧视之间的关联。共有 22.1%的参与者报告称经历过歧视行为,42.7%的参与者报告称他人对他们表现出恐惧。所有少数族裔比白人成年人更有可能经历与 COVID-19 相关的歧视,其中亚裔和美国印第安人/阿拉斯加原住民成年人最有可能经历此类歧视(歧视行为:调整后的优势比 [AOR] = 2.59;95%置信区间 [CI] = 1.73,3.89;AOR = 2.67;95% CI = 1.76,4.04;他人表现出恐惧:AOR = 1.54;95% CI = 1.15,2.07;AOR = 1.84;95% CI = 1.34,2.51)。英语水平有限、教育程度较低、收入较低、居住在大城市或东南部中心普查区也增加了歧视的发生率。与 COVID-19 相关的歧视很常见,而且似乎大流行加剧了对少数族裔和边缘化社区的固有怨恨。需要努力减少和诋毁与 COVID-19 及未来疫情相关的种族驱动语言和歧视。