关键词: Black COVID-19 Health behavior Health disparity Health literacy Minority Racism Vulnerable populations

Mesh : Humans United States / epidemiology COVID-19 / epidemiology Health Knowledge, Attitudes, Practice Communicable Disease Control Black People Racial Groups Black or African American

来  源:   DOI:10.1007/s40615-023-01518-4   PDF(Pubmed)

Abstract:
Racial minorities have been the focal point of media coverage, attributing the disproportionate impact of COVID-19 to their individual actions; however, the ability to engage in preventative practices can also depend on one\'s social determinants of health. Individual actions can include knowledge, attitudes, and practices (KAPs). Since Black communities are among those disproportionately affected by COVID-19, this scoping review explores what is known about COVID-19 KAPs among Black populations.
A comprehensive literature search was conducted in 2020 for articles written in English from the Medline, Embase, and PsycInfo databases. Reviews, experimental research, and observational studies were included if they investigated at least one of COVID-19 KAP in relation to the pandemic and Black communities in OECD peer countries including Canada, the United States, and the United Kingdom.
Thirty-one articles were included for analysis, and all employed observational designs were from the United States. The following KAPs were examined: 6 (18.8%) knowledge, 21 (65.6%) attitudes, and 22 (68.8%) practices. Black communities demonstrated high levels of adherence to preventative measures (e.g., lockdowns) and practices (e.g., mask wearing), despite a strong proportion of participants believing they were less likely to become infected with the virus, and having lower levels of COVID-19 knowledge, than other racial groups.
The findings from this review support that Black communities highly engage in COVID-19 preventative practices within their realm of control such as mask-wearing and hand washing and suggest that low knowledge does not predict low practice scores among this population.
摘要:
背景:种族少数群体一直是媒体报道的焦点,将COVID-19的不成比例的影响归因于他们的个人行为;然而,参与预防实践的能力也取决于一个人对健康的社会决定因素。个人行动可以包括知识,态度,和实践(KAP)。由于黑人社区是受COVID-19不成比例影响的社区之一,因此本范围审查探讨了黑人人群中关于COVID-19KAP的已知情况。
方法:在2020年对Medline的英文文章进行了全面的文献检索,Embase,和PsycInfo数据库。评论,实验研究,如果他们调查了至少一项与包括加拿大在内的经合组织同行国家的大流行和黑人社区有关的COVID-19KAP,美国,和英国。
结果:纳入31篇文章进行分析,所有采用的观测设计都来自美国。检查了以下KAP:6(18.8%)知识,21(65.6%)的态度,和22项(68.8%)做法。黑人社区表现出对预防措施的高度坚持(例如,封锁)和实践(例如,戴口罩),尽管很大一部分参与者认为他们不太可能感染病毒,COVID-19知识水平较低,比其他种族群体。
结论:这篇评论的结果支持,黑人社区在其控制范围内高度参与COVID-19的预防性做法,例如戴口罩和洗手,并表明知识水平低并不能预测该人群的实践得分低。
公众号