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Medical avoidance among marginalized groups: the impact of the COVID-19 pandemic.
Holder-Dixon, Amani R; Adams, Olivia R; Cobb, Tianna L; Goldberg, Alison J; Fikslin, Rachel A; Reinka, Mora A; Gesselman, Amanda N; Price, Devon M.
  • Holder-Dixon AR; Psychological and Brain Sciences, Indiana University, Bloomington, USA. amholder@iu.edu.
  • Adams OR; Department of Gender Studies, Indiana University, Bloomington, USA.
  • Cobb TL; The Kinsey Institute, Indiana University, Bloomington, USA.
  • Goldberg AJ; Department of Communication, George Mason University, Fairfax, USA.
  • Fikslin RA; Hunter Alliance for Research and Translation, Hunter College, City University of New York, New York, USA.
  • Reinka MA; Basic and Applied Social Psychology (BASP) PhD Program, Department of Psychology, Graduate Center of the City University of New York, New York, USA.
  • Gesselman AN; Hunter Alliance for Research and Translation, Hunter College, City University of New York, New York, USA.
  • Price DM; Basic and Applied Social Psychology (BASP) PhD Program, Department of Psychology, Graduate Center of the City University of New York, New York, USA.
J Behav Med ; 45(5): 760-770, 2022 10.
Article in English | MEDLINE | ID: covidwho-2048387
ABSTRACT
Medical avoidance is common among U.S. adults, and may be emphasized among members of marginalized communities due to discrimination concerns. In the current study, we investigated whether this disparity in avoidance was maintained or exacerbated during the onset of the COVID-19 pandemic. We assessed the likelihood of avoiding medical care due to general-, discrimination-, and COVID-19-related concerns in an online sample (N = 471). As hypothesized, marginalized groups (i.e., non-White race, Latinx/e ethnicity, non-heterosexual sexual orientation, high BMI) endorsed more general- and discrimination-related medical avoidance than majoritized groups. However, marginalized groups were equally likely to seek COVID-19 treatment as majoritized groups. Implications for reducing medical avoidance among marginalized groups are discussed.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Acceptance of Health Care / Vulnerable Populations / Healthcare Disparities / Pandemics / Social Marginalization / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Adult / Female / Humans / Male Country/Region as subject: North America Language: English Journal: J Behav Med Year: 2022 Document Type: Article Affiliation country: S10865-022-00332-3

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Acceptance of Health Care / Vulnerable Populations / Healthcare Disparities / Pandemics / Social Marginalization / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Adult / Female / Humans / Male Country/Region as subject: North America Language: English Journal: J Behav Med Year: 2022 Document Type: Article Affiliation country: S10865-022-00332-3