(HealthDay News) — Less than half of US adults see a connection between systemic racism and poorer health outcomes, according to a report released by the RAND Corporation and the Robert Wood Johnson Foundation.

Katherine Grace Carman, from the RAND Corporation in Santa Monica, California, and colleagues are conducting four rounds of a national survey of adults living in lower- or middle-income households (with household incomes less than $125,000). This analysis included 4000 people participating in the COVID-19 and the Experiences of Populations at Greater Risk survey from Oct. 9 through Nov. 2, 2020.

The survey revealed that less than half (42.2%) of respondents believe that systemic racism is one of the main reasons people of color have poorer health outcomes, with one-third of respondents overall (32.9%) disagreeing with this notion. Black respondents, however, were much more likely (69.4%) than White respondents (33.2%) to believe that systemic racism affects the health of people of color. The majority of respondents overall (70%) see the pandemic as an opportunity for change. Of those seeing this moment of opportunity, respondents reported expanding access to health care and reducing income inequality should be priorities.

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“Respondents see the impact of low incomes and living in a rural community on a person’s health, but race isn’t viewed with the same gravity,” Carman said in a statement. “Our leaders need to understand that we have a lot more work to do to educate people about the root causes of inequities and then enact policies to ensure better health for all.”


Survey: Attitudes, Views and Values around Health, Equity and Race Amid COVID-19. Robert Wood Johnson Foundation;