Department of Communication, University of Connecticut.
Health Commun. 2023 Oct;38(11):2313-2325. doi: 10.1080/10410236.2022.2067384. Epub 2022 May 9.
During the COVID-19 pandemic, U.S. public health officials have recommended various safety protocols to "stop the spread", and atop the list is wearing a mask. Individuals from particular racial groups have also contended with a surge of racial profiling and race-based discrimination that has positioned mask-wearing as a risky yet health-promoting behavior. Using the health belief model (HBM), this study considers how racism and health intersect by examining the emotions, behavioral intentions, and health outcomes of mask-wearing among Black, Latinx, and Asian individuals. Cross-sectional survey data from 521 participants from across the United States were collected and analyzed using quantitative analyses. Results did not indicate significant differences in mask-wearing intentions between racial groups as predicted by the health belief model constructs; however, group differences in experiences of racism did shape perceptions of and behaviors related to mask-wearing. Mask-wearing was also related to more positive emotional experiences, and social cues to action predicted intentions to wear a mask. Implications for encouraging health-promoting behaviors across diverse populations during public health crises are discussed.
在 COVID-19 大流行期间，美国公共卫生官员推荐了各种安全协议来“阻止传播”，其中最重要的是戴口罩。来自特定种族群体的个人也遭遇了种族貌相和基于种族的歧视的激增，这使得戴口罩成为一种有风险但有益于健康的行为。本研究使用健康信念模型 (HBM)，通过检查黑人群体、拉丁裔群体和亚裔群体戴口罩的情绪、行为意图和健康结果，来探讨种族主义和健康是如何相互交叉的。从美国各地收集了 521 名参与者的横断面调查数据，并使用定量分析进行了分析。结果并没有显示出健康信念模型构念所预测的种族群体之间戴口罩意图的显著差异；然而，种族主义经历的群体差异确实影响了对戴口罩的看法和行为。戴口罩也与更积极的情绪体验有关，行动的社会线索预测了戴口罩的意图。讨论了在公共卫生危机期间鼓励不同人群中促进健康行为的意义。
