The authors are with the Center for Health Policy Research, University of California, Los Angeles. Ninez A. Ponce is also with the Fielding School of Public Health, University of California, Los Angeles.
Am J Public Health. 2022 Oct;112(10):1446-1453. doi: 10.2105/AJPH.2022.306977.
To summarize data collection on anti-Asian American and Native Hawaiian/Pacific Islander (AANHPI) experiences during COVID-19 and measure the associations of anti-AANHPI hate incidents with mental health, health access, and public safety among AANHPI adults. We cataloged COVID-19 surveys conducted in 2020 and 2021 on anti-AANHPI experiences. We then analyzed the 2020 California Health Interview Survey (CHIS) AANHPI COVID-19 module by constructing a variable of experiencing or witnessing a hate incident and estimating its associations with serious psychological distress, forgone care, and perceived neighborhood safety. Estimates of being a victim of a hate incident ranged from 6% to 30%. In the CHIS, 28% of respondents experienced or witnessed a hate incident. Experiencing or witnessing a hate incident was significantly associated with serious psychological distress (adjusted odds ratio [AOR] = 5.33), forgoing care (AOR = 2.27), and not feeling safe in one's neighborhood (AOR = 2.70). Evidence from a multitude of data sources corroborates the toll of hate incidents suffered by AANHPIs. Findings regarding the negative effects of anti-AANHPI hate on mental health, health access, and public safety compel public and private investment to end victimization of AANHPI communities. (. 2022;112(10):1446-1453. https://doi.org/10.2105/AJPH.2022.306977).
总结关于在 COVID-19 期间反亚裔美国人和夏威夷原住民/太平洋岛民(AANHPI)经历的数据收集,并衡量反 AANHPI 仇恨事件与 AANHPI 成年人的心理健康、获得医疗保健和公共安全之间的关联。我们列出了 2020 年和 2021 年进行的关于反 AANHPI 经历的 COVID-19 调查。然后,我们通过构建经历或目睹仇恨事件的变量来分析 2020 年加利福尼亚健康访谈调查(CHIS)AANHPI COVID-19 模块,并估计其与严重心理困扰、放弃护理和感知邻里安全的关联。遭受仇恨事件的估计比例从 6%到 30%不等。在 CHIS 中,28%的受访者经历或目睹了仇恨事件。经历或目睹仇恨事件与严重心理困扰(调整后的优势比[OR] = 5.33)、放弃护理(OR = 2.27)和在自己的社区感到不安全(OR = 2.70)显著相关。来自多种数据源的证据证实了 AANHPIs 遭受仇恨事件的代价。关于反 AANHPI 仇恨对心理健康、获得医疗保健和公共安全的负面影响的发现,促使公共和私营部门投资以结束对 AANHPI 社区的迫害。(. 2022;112(10):1446-1453. https://doi.org/10.2105/AJPH.2022.306977)。
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