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新冠疫情早期不同种族群体的预防性健康行为差异

Preventive health behaviour differences across racial groups during the early stages of COVID-19.

作者信息

Mitchell Jordan, Li Xiao, Decker Phillip, Park Jae Man

机构信息

Healthcare Administration Department, College of Business, University of Houston-Clear Lake, Houston, USA.

Department of Management, Policy and Community Health, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, USA.

出版信息

J Infect Prev. 2024 Sep;25(5):166-181. doi: 10.1177/17571774241238659. Epub 2024 Mar 14.

Abstract

BACKGROUND

Throughout the COVID-19 pandemic, the practice of preventative health behaviours had been used disparately across different racial groups. This study seeks to identify any differences in preventative health behaviours across racial groups, controlling for other socio-demographic factors.

METHODS

A US national survey study was electronically conducted from July through November 2020, to measure racial/ethnic differences in health preventive behaviours about COVID-19. We performed 2-part regression models to assess whether preventive health behaviours differed by race and ethnicity. Specifically, we employed generalized logistic regressions for investigating the predictors of the use of complementary or alternative medicine (CAM), or stay-at-home strategy, then performed ordinal logistic regression to examine the predictors of social distancing, face mask wearing, and hand hygiene strategy practice.

RESULTS

The results show that non-White respondents were more likely to practice social distancing, mask wearing, and hand hygiene strategy to prevent COVID-19, compared to their White counterparts. Additionally, the findings indicate that individuals who experienced COVID-19-related racial abuse or depression had a higher likelihood of practicing preventive health behaviours.

DISCUSSION

We found ethnicity can be a predictor of health preventive behaviours, in accordance with previous research. The causes of these disparities will require further investigation in order to be addressed.

摘要

背景

在整个新冠疫情期间,预防性健康行为在不同种族群体中的实践情况存在差异。本研究旨在确定不同种族群体在预防性健康行为方面的差异,并控制其他社会人口因素。

方法

2020年7月至11月进行了一项美国全国性调查研究,以衡量新冠疫情期间不同种族/族裔在健康预防行为方面的差异。我们采用两部分回归模型来评估预防性健康行为是否因种族和族裔而异。具体而言,我们使用广义逻辑回归来研究补充或替代医学(CAM)使用情况或居家策略的预测因素,然后进行有序逻辑回归以检验社交距离、佩戴口罩和手部卫生策略实践的预测因素。

结果

结果表明,与白人受访者相比,非白人受访者更有可能采取社交距离、佩戴口罩和手部卫生策略来预防新冠病毒。此外,研究结果表明,经历过与新冠病毒相关的种族歧视或抑郁的个体采取预防性健康行为的可能性更高。

讨论

我们发现,种族可以作为健康预防行为的一个预测因素,这与之前的研究一致。这些差异的原因需要进一步调查以便解决。

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