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Coronavirus stigmatization and psychological distress among Asians in the United States.

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Title: Coronavirus stigmatization and psychological distress among Asians in the United States.
Authors: Pan, Stephen W., Shen, Gordon C., Liu, Chuncheng, Hsi, Jenny H.
Source: Ethnicity & Health. Jan2021, Vol. 26 Issue 1, p110-125. 16p. 1 Chart, 3 Graphs.
Subjects: Anti-Asian racism, Psychological stress, Asians, Attitude (Psychology), Confidence intervals, Ethnic groups, Group identity, Prejudices, Probability theory, Questionnaires, Racism, Sex distribution, Social stigma, Multiple regression analysis, Psychosocial factors, Socioeconomic factors, Relative medical risk, Cross-sectional method, Descriptive statistics, COVID-19 pandemic
Geographic Terms: United States
Abstract: Coronavirus stigmatization may be disproportionately impacting ethnoracial minority groups in the US. We test three hypotheses: [H1] Asians in the US are more likely to report experiencing coronavirus stigmatization than non-Hispanic Whites; [H2] Coronavirus stigmatization is associated with psychological distress; [H3] Magnitude of association between coronavirus stigmatization and psychological distress is more pronounced among US-born Asians, compared to non-Hispanic Whites. We analyzed cross-sectional survey data from the 10–31 March 2020 wave of the Understanding America Survey, a nationally representative survey of adults in the US. Psychological distress was assessed with the PHQ-4. Measures of association were estimated using multiple logistic regression and survey sampling weights. Predicted probabilities were calculated using marginal standardization (n = 6707). [H1] The adjusted predicted probability of experiencing any coronavirus stigma among foreign-born Asians (11.2%, 95% CI: 5.5–17.0%; E-value = 4.52), US-born Asians (10.9%, 95% CI: 5.8–16.0%; E-value = 4.23), Blacks (8.0%, 95% CI: 5.3–10.7%; E-value = 2.92), and Hispanic Whites (7.3%, 95% CI: 4.6–9.9%; E-value = 2.58) was significantly greater than non-Hispanic Whites (4.5%, 95% CI: 3.7–5.4%). [H2] Individuals reporting any coronavirus stigma experience were significantly more likely to exhibit psychological distress (19.9%, 95% CI: 14.6–25.2% vs 10.6%, 9.6–11.6%; E-value = 3.16). [H3] The overall magnitude of association between experience of any coronavirus stigma and psychological distress was not significantly between US-born Asians and non-Hispanic Whites, though we found gender to mask this effect. US-born Asian females who experienced coronavirus stigmatization were more likely to exhibit psychological distress than non-Hispanic white females who experienced coronavirus stigmatization (relative risk (RR): 10.21, 95% CI: 2.69–38.74 vs 1.24, 95% CI: 0.76–2.01; p < 0.01). Comprehensive measures around care seeking, public awareness, and disaggregated data collection are needed to address ethnoracial coronavirus stigmatization and its impact on psychological health and well-being. [ABSTRACT FROM AUTHOR]
Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Coronavirus stigmatization and psychological distress among Asians in the United States.
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  Data: Coronavirus stigmatization may be disproportionately impacting ethnoracial minority groups in the US. We test three hypotheses: [H1] Asians in the US are more likely to report experiencing coronavirus stigmatization than non-Hispanic Whites; [H2] Coronavirus stigmatization is associated with psychological distress; [H3] Magnitude of association between coronavirus stigmatization and psychological distress is more pronounced among US-born Asians, compared to non-Hispanic Whites. We analyzed cross-sectional survey data from the 10–31 March 2020 wave of the Understanding America Survey, a nationally representative survey of adults in the US. Psychological distress was assessed with the PHQ-4. Measures of association were estimated using multiple logistic regression and survey sampling weights. Predicted probabilities were calculated using marginal standardization (n = 6707). [H1] The adjusted predicted probability of experiencing any coronavirus stigma among foreign-born Asians (11.2%, 95% CI: 5.5–17.0%; E-value = 4.52), US-born Asians (10.9%, 95% CI: 5.8–16.0%; E-value = 4.23), Blacks (8.0%, 95% CI: 5.3–10.7%; E-value = 2.92), and Hispanic Whites (7.3%, 95% CI: 4.6–9.9%; E-value = 2.58) was significantly greater than non-Hispanic Whites (4.5%, 95% CI: 3.7–5.4%). [H2] Individuals reporting any coronavirus stigma experience were significantly more likely to exhibit psychological distress (19.9%, 95% CI: 14.6–25.2% vs 10.6%, 9.6–11.6%; E-value = 3.16). [H3] The overall magnitude of association between experience of any coronavirus stigma and psychological distress was not significantly between US-born Asians and non-Hispanic Whites, though we found gender to mask this effect. US-born Asian females who experienced coronavirus stigmatization were more likely to exhibit psychological distress than non-Hispanic white females who experienced coronavirus stigmatization (relative risk (RR): 10.21, 95% CI: 2.69–38.74 vs 1.24, 95% CI: 0.76–2.01; p &lt; 0.01). Comprehensive measures around care seeking, public awareness, and disaggregated data collection are needed to address ethnoracial coronavirus stigmatization and its impact on psychological health and well-being. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Ethnicity &amp; Health is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=148597057
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13557858.2020.1849570
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 16
        StartPage: 110
    Subjects:
      – SubjectFull: Anti-Asian racism
        Type: general
      – SubjectFull: Psychological stress
        Type: general
      – SubjectFull: Asians
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Ethnic groups
        Type: general
      – SubjectFull: Group identity
        Type: general
      – SubjectFull: Prejudices
        Type: general
      – SubjectFull: Probability theory
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Racism
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Relative medical risk
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Coronavirus stigmatization and psychological distress among Asians in the United States.
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            – D: 01
              M: 01
              Text: Jan2021
              Type: published
              Y: 2021
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