General and Tailored COVID-19 Health Messaging to Minorities in the United States

Background: The paucity of public health messages that directly address communities of color might contribute to racial and ethnic disparities in knowledge and behavior related to coronavirus disease 2019 (COVID-19). Objective: To determine whether physician-delivered prevention messages affect know...

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Main Authors: Alsan, Marcella (Author), Stanford, Fatima Cody (Author), Banerjee, Abhijit (Author), Breza, Emily (Author), Chandrasekhar, Arun G. (Author), Eichmeyer, Sarah (Author), Goldsmith-Pinkham, Paul (Author), Ogbu-Nwobodo, Lucy (Author), Olken, Benjamin (Author), Torres, Carlos (Author), Sankar, Anirudh (Author), Vautrey, Pierre-Luc (Author), Duflo, Esther (Author)
Other Authors: Massachusetts Institute of Technology. Department of Economics (Contributor)
Format: Article
Language:English
Published: American College of Physicians, 2021-06-11T20:07:30Z.
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Online Access:Get fulltext
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001 130934
042 |a dc 
100 1 0 |a Alsan, Marcella  |e author 
100 1 0 |a Massachusetts Institute of Technology. Department of Economics  |e contributor 
700 1 0 |a Stanford, Fatima Cody  |e author 
700 1 0 |a Banerjee, Abhijit  |e author 
700 1 0 |a Breza, Emily  |e author 
700 1 0 |a Chandrasekhar, Arun G.  |e author 
700 1 0 |a Eichmeyer, Sarah  |e author 
700 1 0 |a Goldsmith-Pinkham, Paul  |e author 
700 1 0 |a Ogbu-Nwobodo, Lucy  |e author 
700 1 0 |a Olken, Benjamin  |e author 
700 1 0 |a Torres, Carlos  |e author 
700 1 0 |a Sankar, Anirudh  |e author 
700 1 0 |a Vautrey, Pierre-Luc  |e author 
700 1 0 |a Duflo, Esther  |e author 
245 0 0 |a General and Tailored COVID-19 Health Messaging to Minorities in the United States 
246 3 3 |a Comparison of Knowledge and Information-Seeking Behavior After General COVID-Comparison of Knowledge and Information-Seeking Behavior After General COVID-19 Public Health Messages and Messages Tailored for Black and Latinx Communities: A Randomized Controlled Trial 
260 |b American College of Physicians,   |c 2021-06-11T20:07:30Z. 
856 |z Get fulltext  |u https://hdl.handle.net/1721.1/130934 
520 |a Background: The paucity of public health messages that directly address communities of color might contribute to racial and ethnic disparities in knowledge and behavior related to coronavirus disease 2019 (COVID-19). Objective: To determine whether physician-delivered prevention messages affect knowledge and information-seeking behavior of Black and Latinx individuals and whether this differs according to the race/ethnicity of the physician and tailored content. Design: Randomized controlled trial. (Registration: ClinicalTrials.gov, NCT04371419; American Economic Association RCT Registry, AEARCTR-0005789) Setting: United States, 13 May 2020 to 26 May 2020. Participants: 14 267 self-identified Black or Latinx adults recruited via Lucid survey platform. Intervention: Participants viewed 3 video messages regarding COVID-19 that varied by physician race/ethnicity, acknowledgment of racism/inequality, and community perceptions of mask wearing. Measurements: Knowledge gaps (number of errors on 7 facts on COVID-19 symptoms and prevention) and information-seeking behavior (number of web links demanded out of 10 proposed). Results: 7174 Black (61.3%) and 4520 Latinx (38.7%) participants were included in the analysis. The intervention reduced the knowledge gap incidence from 0.085 to 0.065 (incidence rate ratio [IRR], 0.737 [95% CI, 0.600 to 0.874]) but did not significantly change information-seeking incidence. For Black participants, messages from race/ethnicity-concordant physicians increased information-seeking incidence from 0.329 (for discordant physicians) to 0.357 (IRR, 1.085 [CI, 1.026 to 1.145]). Limitations: Participants' behavior was not directly observed, outcomes were measured immediately postintervention in May 2020, and online recruitment may not be representative. Conclusion: Physician-delivered messages increased knowledge of COVID-19 symptoms and prevention methods for Black and Latinx respondents. The desire for additional information increased with race-concordant messages for Black but not Latinx respondents. Other tailoring of the content did not make a significant difference. 
520 |a National Science Foundation (Award 2029880) 
655 7 |a Article 
773 |t Annals of Internal Medicine