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新冠疫情期间少数族裔对医疗的不信任:态度、行为及心理健康结果

Medical mistrust in racial minorities during the COVID-19 pandemic: Attitudes, actions and mental health outcomes.

作者信息

Wang Pei, Zhu Yutong, Jin Zexi, Deng Wisteria

机构信息

School of Public Health, Yale University, New Haven, Connecticut, United States of America.

Department of Psychology, Yale University, New Haven, Connecticut, United States of America.

出版信息

PLOS Glob Public Health. 2024 Dec 13;4(12):e0003871. doi: 10.1371/journal.pgph.0003871. eCollection 2024.

DOI:10.1371/journal.pgph.0003871
PMID:39671401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11642957/
Abstract

Numerous studies have demonstrated that minority groups had a higher level of medical mistrust than non-minority groups, and minority communities were criticized for noncompliance with the public health guidelines during the COVID-19 pandemic. This study explores racial minorities' attitudes and actual behavioral responses to the COVID-19 pandemic public health guidelines. A total of 221 adults responded to an online survey (mean age = 41.5; 48.0% female; 24.4% non-White). Study results indicate that racial minorities have lower trust in public health guidelines compared to non-minority groups but have taken more actions according to the public health guidelines. Analysis also uncovers the mediating roles of perceived pandemic severity and perceived public health action benefits, on the relation between minority status and public health compliance. This study contextualizes how racial minorities respond to public health crises in action, and the dissonance between that and their historical mistrust of medical authorities. This work highlights the importance of recognizing the minority's historical burden and fostering trust in government and professionals during public health crisis.

摘要

众多研究表明,少数群体比非少数群体对医疗的不信任程度更高,并且在新冠疫情期间,少数族裔社区因未遵守公共卫生指南而受到批评。本研究探讨了少数族裔对新冠疫情公共卫生指南的态度及实际行为反应。共有221名成年人参与了一项在线调查(平均年龄 = 41.5岁;48.0%为女性;24.4%为非白人)。研究结果表明,与非少数群体相比,少数族裔对公共卫生指南的信任度较低,但根据公共卫生指南采取的行动更多。分析还揭示了感知到的疫情严重程度和感知到的公共卫生行动益处,在少数群体身份与公共卫生合规之间关系中的中介作用。本研究将少数族裔在行动中对公共卫生危机的反应,以及这与他们历史上对医疗当局的不信任之间的不一致情况进行了背景化分析。这项工作强调了在公共卫生危机期间认识到少数群体的历史负担并增进对政府和专业人员信任的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9c/11642957/3dbb570962f1/pgph.0003871.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9c/11642957/57e8d548a038/pgph.0003871.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9c/11642957/29f29891154c/pgph.0003871.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9c/11642957/3dbb570962f1/pgph.0003871.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9c/11642957/57e8d548a038/pgph.0003871.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9c/11642957/29f29891154c/pgph.0003871.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df9c/11642957/3dbb570962f1/pgph.0003871.g003.jpg

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