Louis residents have had disproportionate rates of illness and death from COVID-19 (1,2). Further research is needed on the use of communication strategies based on lay individuals’ explanatory frameworks for COVID-19–related racial disparities to enhance support for equitable public policy. Messaging that highlights racism may be less effective among the White population than the Black population in the US, whereas narratives that include the theme of individual choice may appeal broadly. This work identifies a need for improved health communication about racial disparities in COVID-19–related illness and death. Both Black and White participants identified lack of personal responsibility among young Black people as a source of these disparities. Black interview participants addressed issues of systemic racism, inequitable allocation of COVID-19 vaccines, and institutional mistrust, whereas White participants did not directly acknowledge the role of racism. Lay explanatory frameworks for racial disparities in COVID-19 included vaccine mistrust, lack of personal responsibility, low perceived susceptibility to COVID-19, pre-existing conditions or genetic predisposition, institutional racism, barriers to care, low socioeconomic status, insufficient information on COVID-19, and the inability to work remotely. We disaggregated coded excerpts by race, age, education, and income to examine emerging themes. Directed content analysis identified participants’ explanatory frameworks for racial disparities in COVID-19–related illness and death. Louis residents about their experiences during the COVID-19 pandemic. Louis residents.įrom August 16, 2021, through May 20, 2022, we conducted semistructured interviews among a convenience sample of 54 St. This qualitative exploratory study examined the explanatory frameworks for COVID-19–related racial disparities in St. Public health explanations for the disproportionate share of COVID-19–related illness and death among the Black population often differ from lay explanations, which can affect the public’s support for policies that address these disparities. Messaging that highlights racism may be less effective among the White population than the Black population in the US, whereas narratives that include the theme of individual choice may appeal to both. What are the implications for public health practice? Both groups emphasized personal responsibility. Although Black interview participants acknowledged the role of racism, White participants did not. Louis residents gave for COVID-19–related racial disparities in St. This difference affects how people perceive their own health risks and their support for policies that address health disparities. Public health and lay explanations for racial disparities in health outcomes often differ.
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