Racial disparities in knowledge, attitudes and practices related to COVID-19 in the USA.
Adolescent
Adult
Black or African American
/ statistics & numerical data
Aged
Aged, 80 and over
Asian
/ statistics & numerical data
Betacoronavirus
COVID-19
Coronavirus Infections
/ epidemiology
Ethnicity
/ statistics & numerical data
Female
Health Knowledge, Attitudes, Practice
Hispanic or Latino
/ statistics & numerical data
Humans
Male
Middle Aged
Odds Ratio
Pandemics
Pneumonia, Viral
/ epidemiology
Race Factors
SARS-CoV-2
Socioeconomic Factors
Surveys and Questionnaires
White People
/ statistics & numerical data
Young Adult
African-Americans
COVID-19
public health
race
socioeconomics factors
Journal
Journal of public health (Oxford, England)
ISSN: 1741-3850
Titre abrégé: J Public Health (Oxf)
Pays: England
ID NLM: 101188638
Informations de publication
Date de publication:
18 Aug 2020
18 Aug 2020
Historique:
received:
04
05
2020
revised:
05
05
2020
accepted:
06
05
2020
pubmed:
4
6
2020
medline:
1
9
2020
entrez:
4
6
2020
Statut:
ppublish
Résumé
Recent reports indicate racial disparities in the rates of infection and mortality from the 2019 novel coronavirus (coronavirus disease 2019 [COVID-19]). The aim of this study was to determine whether disparities exist in the levels of knowledge, attitudes and practices (KAPs) related to COVID-19. We analyzed data from 1216 adults in the March 2020 Kaiser Family Foundation 'Coronavirus Poll', to determine levels of KAPs across different groups. Univariate and multivariate regression analysis was used to identify predictors of KAPs. In contrast to White respondents, Non-White respondents were more likely to have low knowledge (58% versus 30%; P < 0.001) and low attitude scores (52% versus 27%; P < 0.001), but high practice scores (81% versus 59%; P < 0.001). By multivariate regression, White race (odds ratio [OR] 3.06; 95% confidence interval [CI]: 1.70-5.50), higher level of education (OR 1.80; 95% CI: 1.46-2.23) and higher income (OR 2.06; 95% CI: 1.58-2.70) were associated with high knowledge of COVID-19. Race, sex, education, income, health insurance status and political views were all associated with KAPs. Racial and socioeconomic disparity exists in the levels of KAPs related to COVID-19. More work is needed to identify educational tools that tailor to specific racial and socioeconomic groups.
Sections du résumé
BACKGROUND
BACKGROUND
Recent reports indicate racial disparities in the rates of infection and mortality from the 2019 novel coronavirus (coronavirus disease 2019 [COVID-19]). The aim of this study was to determine whether disparities exist in the levels of knowledge, attitudes and practices (KAPs) related to COVID-19.
METHODS
METHODS
We analyzed data from 1216 adults in the March 2020 Kaiser Family Foundation 'Coronavirus Poll', to determine levels of KAPs across different groups. Univariate and multivariate regression analysis was used to identify predictors of KAPs.
RESULTS
RESULTS
In contrast to White respondents, Non-White respondents were more likely to have low knowledge (58% versus 30%; P < 0.001) and low attitude scores (52% versus 27%; P < 0.001), but high practice scores (81% versus 59%; P < 0.001). By multivariate regression, White race (odds ratio [OR] 3.06; 95% confidence interval [CI]: 1.70-5.50), higher level of education (OR 1.80; 95% CI: 1.46-2.23) and higher income (OR 2.06; 95% CI: 1.58-2.70) were associated with high knowledge of COVID-19. Race, sex, education, income, health insurance status and political views were all associated with KAPs.
CONCLUSIONS
CONCLUSIONS
Racial and socioeconomic disparity exists in the levels of KAPs related to COVID-19. More work is needed to identify educational tools that tailor to specific racial and socioeconomic groups.
Identifiants
pubmed: 32490519
pii: 5850538
doi: 10.1093/pubmed/fdaa069
pmc: PMC7313911
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
470-478Commentaires et corrections
Type : CommentIn
Informations de copyright
© The Author(s) 2020. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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