Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Ethn Health. 2021 Jan;26(1):80-93. doi: 10.1080/13557858.2020.1841120. Epub 2020 Nov 5.
Coronavirus disease 2019 (COVID-19) has burgeoned into a pandemic that highlights the countless social and health disparities that have existed in Black communities within the United States for centuries. Recent epidemiological data show that Black communities are being disproportionately impacted by COVID-19, resulting in higher morbidity and mortality rates compared to other racial and ethnic groups. For Black women in particular, a long-standing history of systemic racism and marginalization has resulted in increased vulnerability and susceptibility to certain adverse health outcomes. Recent data show that COVID-19 knowledge rates among Black participants are low, and that Black women who become infected with COVID-19 have higher risks of complications and mortality compared to their non-Black counterparts. Given this data, there is a need to explore where and how Black women are obtaining information that pertains to COVID-19, along with the impacts that COVID-19 may be having on their daily lives.
We conducted interviews with 15 Black women who are clients at a community-based family service center to assess their understanding of COVID-19, determine how they were obtaining COVID-19 information, and evaluate the various impacts that COVID-19 was having on their lives. An initial codebook was developed based on the recorded interviews which included deductive and inductive codes. A thematic analysis of the data was then conducted using MaxQDA (Verbi Software), focusing on Black women's experiences related to COVID-19.
The majority of participants were using a combination of social media platforms and news sources to obtain information about COVID-19. Most participants (79%) expressed confusion, misunderstanding, and mistrust of the information that they were receiving about COVID-19.
In addressing COVID-19-related health disparities within Black communities, it is imperative for trusted entities and organizations within Black communities to provide accurate and tailored information regarding this novel virus.
2019 年冠状病毒病(COVID-19)已迅速蔓延成为一场大流行病,突显了美国黑人社区数百年来存在的无数社会和健康方面的差异。最近的流行病学数据显示,COVID-19 对黑人社区的影响不成比例,导致发病率和死亡率高于其他种族和族裔群体。特别是对于黑人女性而言,长期存在的系统性种族主义和边缘化现象导致她们更容易受到某些不良健康后果的影响。最近的数据显示,黑人参与者对 COVID-19 的了解率较低,感染 COVID-19 的黑人女性与非黑人女性相比,并发症和死亡率更高。鉴于这些数据,需要探讨黑人女性从何处以及如何获取与 COVID-19 相关的信息,以及 COVID-19 可能对她们的日常生活产生的影响。
我们对 15 名在社区家庭服务中心就诊的黑人女性进行了访谈,以评估她们对 COVID-19 的理解,确定她们获取 COVID-19 信息的方式,并评估 COVID-19 对她们生活的各种影响。根据记录的访谈内容,我们首先制定了一个初始代码簿,其中包括演绎和归纳代码。然后,使用 MaxQDA(Verbi Software)对数据进行主题分析,重点关注黑人女性与 COVID-19 相关的经历。
大多数参与者同时使用社交媒体平台和新闻来源获取有关 COVID-19 的信息。大多数参与者(79%)表示对他们收到的有关 COVID-19 的信息感到困惑,误解和不信任。
在解决黑人社区中与 COVID-19 相关的健康差异问题时,黑人社区内的可信赖实体和组织必须提供有关这种新型病毒的准确和量身定制的信息。