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Who does COVID-19 hurt most? Perceptions of unequal impact and political implications

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  • Gollust, Sarah E.
  • Haselswerdt, Jake

Abstract

While the overall impact of the COVID-19 pandemic on U.S. population health has been devastating, it has not affected everyone equally. The risks of hospitalization and death from the disease are relatively low for the population as a whole, but much higher for specific subpopulations defined by age, health status, and race or ethnicity. The extent to which Americans perceive these disparities is an open question, with potentially important political implications. Recognition of unequal impacts may prime concerns about justice and fairness, making Americans more concerned and willing to support government intervention. On the other hand, belief that the pandemic primarily threatens “other people” or out-groups may reduce, rather than increase, a person's concern. Partisanship and media consumption habits are also likely to play a role in these perceptions, as they do in most issues related to COVID-19. In this paper, we use original survey data from the Cooperative Election Study (N = 1000) to explore Americans' perceptions of which groups are most harmed by the pandemic, the demographic and political determinants of these perceptions, and the relationship of these perceptions with their opinions about COVID-related mitigation policy. We find that, on average, people perceived accurately that certain groups (e.g., Black Americans, older people) were more affected, but these group perceptions varied by demographic and political characteristics of respondents. We find, in contrast with recent experimental evidence, that the perception that populations of color were harmed was associated with more support for pandemic mitigation strategies. More research should investigate the relationships among pandemic politics and the racial dynamics of the target populations most affected.

Suggested Citation

  • Gollust, Sarah E. & Haselswerdt, Jake, 2023. "Who does COVID-19 hurt most? Perceptions of unequal impact and political implications," Social Science & Medicine, Elsevier, vol. 323(C).
  • Handle: RePEc:eee:socmed:v:323:y:2023:i:c:s027795362300182x
    DOI: 10.1016/j.socscimed.2023.115825
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    References listed on IDEAS

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    1. Elizabeth Rigby & Joe Soss & Bridget C. Booske & Angela M. K. Rohan & Stephanie A. Robert, 2009. "Public Responses to Health Disparities: How Group Cues Influence Support for Government Intervention," Social Science Quarterly, Southwestern Social Science Association, vol. 90(5), pages 1321-1340, December.
    2. Vladimir Gimpelson & Daniel Treisman, 2018. "Misperceiving inequality," Economics and Politics, Wiley Blackwell, vol. 30(1), pages 27-54, March.
    3. Jonathon P. Schuldt & Adam R. Pearson & Neil A. Lewis jr. & Ashley Jardina & Peter K. Enns, 2022. "Inequality and Misperceptions of Group Concerns Threaten the Integrity and Societal Impact of Science," The ANNALS of the American Academy of Political and Social Science, , vol. 700(1), pages 195-207, March.
    4. Sam Harper & Nicholas B King & Meredith E Young, 2013. "Impact of Selective Evidence Presentation on Judgments of Health Inequality Trends: An Experimental Study," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-7, May.
    5. Skinner-Dorkenoo, Allison L. & Sarmal, Apoorva & Rogbeer, Kasheena G. & André, Chloe J. & Patel, Bhumi & Cha, Leah, 2022. "Highlighting COVID-19 racial disparities can reduce support for safety precautions among White U.S. residents," Social Science & Medicine, Elsevier, vol. 301(C).
    6. Harell, Allison & Lieberman, Evan, 2021. "How information about race-based health disparities affects policy preferences: Evidence from a survey experiment about the COVID-19 pandemic in the United States," Social Science & Medicine, Elsevier, vol. 277(C).
    7. Michael Tesler, 2012. "The Spillover of Racialization into Health Care: How President Obama Polarized Public Opinion by Racial Attitudes and Race," American Journal of Political Science, John Wiley & Sons, vol. 56(3), pages 690-704, July.
    8. Rodriguez, Javier M. & Geronimus, Arline T. & Bound, John & Dorling, Danny, 2015. "Black lives matter: Differential mortality and the racial composition of the U.S. electorate, 1970–2004," Social Science & Medicine, Elsevier, vol. 136, pages 193-199.
    9. Javier M. Rodriguez & Arline T. Geronimus & John Bound & Danny Dorling, 2015. "Black Lives Matter: Differential Mortality and the Racial Composition of the U.S. Electorate, 1970–2004," Mathematica Policy Research Reports a15cece510b4443cbc5526423, Mathematica Policy Research.
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