Racial Disparities in Medical Crowdfunding: The Role of Sharing Disparity and Humanizing Narratives.

IF 3 3区 医学 Q1 COMMUNICATION Health Communication Pub Date : 2024-11-01 Epub Date: 2024-03-06 DOI:10.1080/10410236.2023.2289765
Xun Zhu
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Abstract

Americans have increasingly turned to online crowdfunding to pay for healthcare costs, but our understanding of the inequalities in medical crowdfunding remains limited. This study investigates racial disparities in medical crowdfunding outcomes and examines the role of communication in amplifying, altering, or even reducing the disparities. Using data from 1,127 medical crowdfunding campaigns on GoFundMe, the study found that beneficiaries of color received significantly fewer donations than their White counterparts. The differences in donations between racial groups were partly attributable to sharing disparities. Campaigns for beneficiaries of color were shared less via e-mail or social media than campaigns for White beneficiaries. Campaign narratives with more humanizing details about beneficiaries were associated with more donations. However, humanizing details did not predict more shares, nor were they linked to smaller disparities in campaign outcomes between racial groups. Post-hoc analyses showed that more humanizing details were linked to fewer campaign donations for male beneficiaries of color. The findings contribute to the scholarship addressing the intersections of communication and health inequality on digital platforms.

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医疗众筹中的种族差异:分享差异和人性化叙事的作用。
美国人越来越多地通过网络众筹来支付医疗费用,但我们对医疗众筹中的不平等现象的了解仍然有限。本研究调查了医疗众筹结果中的种族差异,并探讨了沟通在扩大、改变甚至减少差异中的作用。通过使用 GoFundMe 上 1127 个医疗众筹活动的数据,研究发现有色人种受益人收到的捐款明显少于白人受益人。种族群体之间的捐款差异部分归因于分享差异。通过电子邮件或社交媒体分享给有色人种受益人的活动少于分享给白人受益人的活动。活动叙述中包含更多关于受益人的人性化细节与更多捐款相关。然而,人性化细节并不能预测更多的分享,也与种族群体间活动结果的较小差异无关。事后分析表明,人性化细节越多,有色人种男性受益人的竞选捐款就越少。这些发现为研究数字平台上传播与健康不平等的交叉问题提供了新的视角。
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来源期刊
CiteScore
8.20
自引率
10.30%
发文量
184
期刊介绍: As an outlet for scholarly intercourse between medical and social sciences, this noteworthy journal seeks to improve practical communication between caregivers and patients and between institutions and the public. Outstanding editorial board members and contributors from both medical and social science arenas collaborate to meet the challenges inherent in this goal. Although most inclusions are data-based, the journal also publishes pedagogical, methodological, theoretical, and applied articles using both quantitative or qualitative methods.
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