A Trainee-Led Social Media Advocacy Campaign to Address COVID-19 Inequities

Pediatrics. 2021 Mar;147(3):e2020028456. doi: 10.1542/peds.2020-028456. Epub 2020 Dec 17.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on the health of people globally. Yet, not all people are being affected by this crisis equally. In the United States, this pandemic has exacerbated long-standing inequities and entrenched structural racism. At the onset of the crisis, few data were available detailing the demographic characteristics of individuals with COVID-19. However, as data emerged, it became apparent that communities of color were disproportionately affected. To illustrate these inequities, we analyzed publicly available race and ethnicity data on COVID-19 cases and deaths and were one of the first groups to compile these findings. We launched a social media campaign to highlight these racial and ethnic inequities and raise awareness among public and elected officials. Given the tremendous amount of missing data, we demanded transparency in state reporting of race and ethnicity data. Using both messaging and mapping tools, we publicized state and city efforts to address these inequities, focusing on the creation of task forces tackling the racial inequities of COVID-19. As racial and ethnic data on COVID-19 cases and mortality became more widely reported, statistics emerged about the downstream effects of these inequities. Despite initial false reassurance that COVID-19 largely spared children, the pandemic has exacerbated many social needs, leading to significant negative impacts on children. For example, as pediatricians, we saw how worsening food insecurity was affecting children. Using social media and infographics, we launched an additional stage of the campaign to illustrate these inequities and highlight advocacy opportunities.

MeSH terms

  • COVID-19 / epidemiology
  • COVID-19 / ethnology*
  • COVID-19 / psychology
  • Child
  • Consumer Advocacy*
  • Food Insecurity
  • Health Policy
  • Health Status Disparities*
  • Healthcare Disparities*
  • Humans
  • Pandemics
  • Racism* / prevention & control
  • SARS-CoV-2
  • Social Media*
  • United States / epidemiology