Phân Biệt Nhận Thức Ở Australia Trong Thời Gian Đại Dịch COVID-19: Một Nghiên Cứu Dài Hạn

Lomash Sood1, Caroline Gurvich1, Alexandra Lavale1, Natalie Thomas2, Jayashri Kulkarni1, Elizabeth HX Thomas1
1Monash Alfred Psychiatry Research Centre, Central Clinical School, Monash University and The Alfred Hospital, Melbourne, Australia
2Department of Biochemistry & Pharmacology, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia

Tóm tắt

Đã có nhiều báo cáo toàn cầu về sự gia tăng phân biệt đối xử trong thời gian đại dịch COVID-19 so với thời kỳ trước đại dịch, mặc dù điều này chưa được khai thác sâu sắc ở Australia. Mục tiêu của nghiên cứu là mô tả hành vi phân biệt đối xử mà các nhóm được xác định là có nguy cơ cao nhất bị phân biệt (tức là những người có nguồn gốc châu Á hoặc nhân viên y tế) trải qua từ thời kỳ trước đại dịch đến thời kỳ đại dịch tại Australia. Từ tháng 4 năm 2020 đến tháng 9 năm 2021, 1479 người lớn Australia đã hoàn thành thang đo phân biệt hàng ngày (EDS). Đầu tiên, các tham gia được yêu cầu xem xét lại sự phân biệt mà họ trải qua trước đại dịch COVID-19 và sau đó xem xét những trải nghiệm trong tháng qua trong thời gian đại dịch. Các tham gia được mời lặp lại bước cuối cùng này mỗi 2 tháng. Nhìn chung, có sự giảm điểm EDS từ thời kỳ trước đại dịch đến thời kỳ đại dịch. Trong thời kỳ đại dịch, các đồ thị quỹ đạo trung bình theo thời gian cho thấy rằng sự thay đổi trong điểm EDS ở các nhóm 'nhân viên y tế không phải người châu Á' và 'nhân viên y tế người châu Á' có xu hướng phản ánh sự dao động của số ca COVID-19 ở Australia. Các phát hiện của chúng tôi gợi ý về sự đoàn kết xã hội trong cộng đồng Australia nói chung trong thời gian đại dịch, nhưng vẫn nhấn mạnh cần dành nguồn lực cho các nhóm có nguy cơ cao hơn về việc trải qua phân biệt đối xử trong các mối đe dọa sức khỏe cộng đồng trong tương lai.

Từ khóa

#phân biệt đối xử #COVID-19 #Australia #nhân viên y tế #nghiên cứu dài hạn

Tài liệu tham khảo

World Health Organization. Addressing human rights as key to the COVID-19: response, 21 April 2020. World Health Organization; 2020. Rogers K, Jakes L, Swanson A. Trump defends using ‘Chinese virus’ label, ignoring growing criticism The. New York Times; 2020. p. 18. Haokip T. From ‘Chinky’ to ‘Coronavirus’: racism against Northeast Indians during the COVID-19 pandemic. Asian Ethn. 2021;22(2):353–73. Miconi D, Li ZY, Frounfelker RL, et al. Socio-cultural correlates of self-reported experiences of discrimination related to COVID-19 in a culturally diverse sample of Canadian adults. Int J Intercult Relat. 2021;81:176–92. Gray C, Hansen K. Did COVID-19 lead to an increase in hate crimes toward Chinese people in London? J Contemp Crim Justice. 2021;37(4):569–88. He J, He L, Zhou W, et al. Discrimination and social exclusion in the outbreak of COVID-19. Int J Environ Res Public Health. 2020;17(8):2933. Chiang PP, Yang C-c, Tsai J-Y. Emotional response and behavioral coping associated with experienced and media discrimination among Asians and Asian Americans in the United States. Race Soc Probl. 2023;15(2):115–26. Policy AP, Council P. Stop AAPI hate reporting center. 2020. Adja K, Golinelli D, Lenzi J, et al. Pandemics and social stigma: who’s next? Italy's experience with COVID-19. Public Health. 2020;185:39. Fang J, Renaldi E, Yang S. Australians urged to ‘show kindness’ amid reports of COVID-19 racial discrimination complaints’. ABC News; 2020. p. 3. Kamp A, Denson N, Sharples R, et al. Asian Australians’ experiences of online racism during the COVID-19 pandemic. Soc Sci. 2022;11(5):227. Shin W, Wang WY, Song J. COVID-racism on social media and its impact on young Asians in Australia. Asian J Commun. 2023;33(3):228–45. Bhatti OA, Rauf H, Aziz N, et al. Violence against healthcare workers during the COVID-19 pandemic: a review of incidents from a lower-middle-income country. Ann Glob Health. 2021;87(1) Iyengar KP, Jain VK, Vaishya R. Current situation with doctors and healthcare workers during COVID-19 pandemic in India. Postgrad Med J. 2022;98(e2):e121–e2. Dye TD, Alcantara L, Siddiqi S, et al. Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cross-sectional global study. BMJ Open. 2020;10(12):e046620. Jecker NS, Takahashi S. Shaming and stigmatizing healthcare workers in Japan during the COVID-19 pandemic. Public Health Ethics. 2021;14(1):72–8. Semple S, Cherrie JW. COVID-19: protecting worker health. Ann Work Expo Health. 2020;64(5):461–4. Aacharya RP, Shah A. Ethical dimensions of stigma and discrimination in Nepal during COVID-19 pandemic. Ethics, Med Public Health. 2020;14:100536. Iyengar KP, Jain VK, Vaishya R. Current situation with doctors and healthcare workers during COVID-19 pandemic in India. Postgrad Med J. 2020 Ramaci T, Barattucci M, Ledda C, et al. Social stigma during COVID-19 and its impact on HCWs outcomes. Sustainability. 2020;12(9):3834. Dobson H, Malpas CB, Burrell AJ, et al. Burnout and psychological distress amongst Australian healthcare workers during the COVID-19 pandemic. Australasian Psychiatry. 2021;29(1):26–30. Northwood K, Siskind D, Suetani S, et al. An assessment of psychological distress and professional burnout in mental health professionals in Australia during the COVID-19 pandemic. Australas Psychiatry. 2021;29(6):628–34. Jun J, Woo B, Kim JK, et al. Asian Americans’ communicative responses to COVID-19 discrimination in application of co-cultural theory. Howard J Commun. 2021;32(3):309–27. Borkowska M, Laurence J. Coming together or coming apart? Changes in social cohesion during the COVID-19 pandemic in England. Eur Soc. 2021;23(sup1):S618–S36. Jewett RL, Mah SM, Howell N, et al. Social cohesion and community resilience during COVID-19 and pandemics: a rapid scoping review to inform the United Nations research roadmap for COVID-19 recovery. Int J Health Serv. 2021;51(3):325–36. Cook MJ, Dri GG, Logan P, et al. COVID-19 down under: Australia’s initial pandemic experience. Int J Environ Res Public Health. 2020;17(23):8939. Ramirez M. FBI says Texas stabbing that targeted Asian-American family was hate crime fueled by coronavirus fears. The Dallas Morning News; 2020. p. 31. Stobart A, Duckett S. Australia’s Response to COVID-19. Health Econ Policy Law. 2022;17(1):95–106. Gurvich C, Thomas N, Thomas EH, et al. Coping styles and mental health in response to societal changes during the COVID-19 pandemic. Int J Soc Psychiatry. 2021;67(5):540–9. Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81. Williams DR, Yu Y, Jackson JS, et al. Racial differences in physical and mental health: socio-economic status, stress and discrimination. J Health Psychol. 1997;2(3):335–51. Kim G, Sellbom M, Ford K-L. Race/ethnicity and measurement equivalence of the everyday discrimination scale. Psychol Assess. 2014;26(3):892–900. https://doi.org/10.1037/a0036431. Clark R, Coleman AP, Novak JD. Initial psychometric properties of the everyday discrimination scale in black adolescents. J Adolesc. 2004;27:363–8. Wilson L. Perceived discrimination and mental health of Arab Americans and the moderating role of coping styles. Howard University; 2021. Ulusoy N, Nienhaus A, Brzoska P. Investigating discrimination in the workplace. Translation and validation of the Everyday Discrimination Scale for nursing staff in Germany. BMC Nurs. 2023;22(1):1–8. Gonzales KL, Noonan C, Goins RT, et al. Assessing the everyday discrimination scale among American Indians and Alaska natives. Psychol Assess. 2016;28(1):51. Peek ME, Nunez-Smith M, Drum M, et al. Adapting the everyday discrimination scale to medical settings: reliability and validity testing in a sample of African American patients. Ethn Dis. 2011;21(4):502. O'Brien J. Coronavirus (COVID-19) in Australia 2021 Available from: https://www.covid19data.com.au/. Australian Bureau of Statistics. Cultural diversity: census. Canberra, Australia Moloney K, Moloney S. Australian quarantine policy: from centralization to coordination with mid-pandemic COVID-19 shifts. Public Adm Rev. 2020;80(4):671–82. Migone AR. The influence of national policy characteristics on COVID-19 containment policies: a comparative analysis. Policy Design and Practice. 2020;3(3):259–76. Zhang L, Cruz-Gonzalez M, Lin Z, et al. Association of everyday discrimination with health outcomes among Asian and non-Asian US older adults before and during the COVID-19 pandemic. Front Public Health. 2022;10:953155. Lee S, Waters SF. Asians and Asian Americans’ experiences of racial discrimination during the COVID-19 pandemic: impacts on health outcomes and the buffering role of social support. Stig Health. 2021;6(1):70. Mishra C, Rath N. Social solidarity during a pandemic: through and beyond Durkheimian Lens. Soc Sci Humanit Open. 2020;2(1):100079. Australian Bureau of Statistics. Census of population and housing: reflecting Australia—stories from the census, 2016. Australia: Canberra; 2017. Metz I, Ng ES, Cornelius N, et al. A comparative review of multiculturalism in Australia, Canada, the United Kingdom, the United States and South Africa. In: Research handbook of international and comparative perspectives on diversity management; 2016. Blair K, Dunn K, Kamp A, et al. Challenging racism project 2015-16. National Survey Report; 2017.