Psychological and Brain Sciences, Indiana University, Bloomington, USA.
Department of Gender Studies, Indiana University, Bloomington, USA.
J Behav Med. 2022 Oct;45(5):760-770. doi: 10.1007/s10865-022-00332-3. Epub 2022 Jun 10.
Medical avoidance is common among U.S. adults, and may be emphasized among members of marginalized communities due to discrimination concerns. In the current study, we investigated whether this disparity in avoidance was maintained or exacerbated during the onset of the COVID-19 pandemic. We assessed the likelihood of avoiding medical care due to general-, discrimination-, and COVID-19-related concerns in an online sample (N = 471). As hypothesized, marginalized groups (i.e., non-White race, Latinx/e ethnicity, non-heterosexual sexual orientation, high BMI) endorsed more general- and discrimination-related medical avoidance than majoritized groups. However, marginalized groups were equally likely to seek COVID-19 treatment as majoritized groups. Implications for reducing medical avoidance among marginalized groups are discussed.
美国成年人中普遍存在医疗回避现象，由于担心受到歧视，边缘化群体中的这种现象可能更为突出。在当前的研究中，我们调查了在 COVID-19 大流行期间，这种回避差异是否得到维持或加剧。我们在一个在线样本（N=471）中评估了由于一般、歧视和 COVID-19 相关问题而回避医疗的可能性。正如假设的那样，边缘化群体（即非白种人、拉丁裔/西班牙裔、非异性恋性取向、高 BMI）比多数群体更倾向于出于一般和歧视相关的原因回避医疗。然而，边缘化群体寻求 COVID-19 治疗的可能性与多数群体相同。讨论了减少边缘化群体医疗回避的意义。
