Lewis Neil A, Porticella Norman, Liu Jiawei, Taylor Teairah, Michener Jamila, Barry Colleen L, Nagler Rebekah H, Gollust Sarah, Moore Steven T, Fowler Erika Franklin, Niederdeppe Jeff
Department of Communication, Cornell University, Ithaca, NY, USA; Division of General Internal Medicine, Weill Cornell Medicine, New York, NY, USA; Jeb E. Brooks School of Public Policy, Cornell University, Ithaca, NY, USA.
Department of Communication, Cornell University, Ithaca, NY, USA.
Soc Sci Med. 2025 Jul;377:118096. doi: 10.1016/j.socscimed.2025.118096. Epub 2025 Apr 24.
Although U.S. health disparities are well-documented, the very communities that bear the brunt of those disparities are, ironically, underrepresented in scientific efforts to understand and address them. In two experiments (total N = 9523), we explored the consequences of omitting those perspectives for efforts to understand and address disparities in the COVID-19 pandemic. We found that, by prioritizing the perspectives of White Americans, studies of pandemic disparities likely missed important insights. Specifically, we purposively sampled the four largest racial and ethnic groups in the U.S. and found that people of color were consistently more concerned, and more willing to engage in both individual and collective efforts to address health disparities, than their White counterparts. In addition, messages highlighting structural drivers of health disparities further bolstered support for inequality mitigating policies.
尽管美国的健康差异有充分的文献记载,但具有讽刺意味的是,那些首当其冲承受这些差异的社区,在旨在理解和解决这些差异的科学努力中却代表性不足。在两项实验(总样本量N = 9523)中,我们探讨了在理解和应对新冠疫情中的差异时忽略这些观点的后果。我们发现,通过优先考虑美国白人的观点,关于疫情差异的研究可能错过了重要的见解。具体而言,我们有目的地对美国四个最大的种族和族裔群体进行了抽样,发现有色人种比他们的白人同行一直更关注健康差异,并且更愿意参与个人和集体努力来解决健康差异问题。此外,强调健康差异的结构性驱动因素的信息进一步增强了对不平等缓解政策的支持。