Implicit and explicit racial prejudice among medical professionals: updated estimates from a population-based study.
Implicit and explicit racial prejudice among medical professionals: updated estimates from a population-based study.
复制标题
DOI：
10.1016/j.lana.2023.100489
复制
发表时间：
2023-05
期刊：
影响因子：
--
通讯作者：
Hagiwara, Nao
中科院分区：
文献类型：
--
作者：
Green, Tiffany L.;Vu, Hoa;Swan, Laura E. T.;Luo, Dian;Hickman, Ellen;Plaisime, Marie;Hagiwara, Nao
关键词：
先前的研究提供了美国医生中隐性和显性反黑人偏见的证据。然而，我们对医生和非医生医护人员相对于普通人群的种族偏见是否存在差异知之甚少。使用普通最小二乘模型和来自哈佛隐式项目（2007-2019）的数据，我们评估了自我报告的职业地位（医生，非医生医疗保健工作者）与对黑人，阿拉伯穆斯林，亚洲人和美洲原住民人口的内隐（N = 1，500，268）和外显偏见（N = 1，429，677）之间的关联，净人口统计学特征。我们使用STATA 17进行所有统计分析。医生和非医生医护人员表现出更多的隐性和显性的反黑人和反阿拉伯穆斯林的偏见比一般人群。在控制人口统计学因素后，这些差异对于医生来说变得不显著，但对于非医生的医护人员来说仍然存在（β = 0.027和0.030，p < 0.01）。人口统计学控制在很大程度上解释了两组中的反亚裔偏见，医生和非医生医护人员分别表现出相对较低（β =-0.124，p < 0.01）和相似水平的反本土内隐偏见。最后，非医生的白色医护人员表现出最高水平的反黑人偏见。人口统计学特征解释了医生之间的种族偏见，但不完全是非医生的医疗保健工作者。需要更多的研究来了解非医生医疗保健工作者偏见水平升高的原因和后果。通过承认隐含和明确的偏见作为系统性种族主义的重要反映，这项研究强调了需要了解医疗服务提供者和系统在产生健康差距中的作用。、研究基金、、及（）。
Prior research provides evidence of implicit and explicit anti-Black prejudice among US physicians. However, we know little about whether racialized prejudice varies among physicians and non-physician healthcare workers relative to the general population. Using ordinary least squares models and data from Harvard's Project Implicit (2007–2019), we assessed the associations between self-reported occupational status (physician, non-physician healthcare worker) and implicit (N = 1,500,268) and explicit prejudice (N = 1,429,677) toward Black, Arab-Muslim, Asian, and Native American populations, net of demographic characteristics. We used STATA 17 for all statistical analyses. Physicians and non-physician healthcare workers exhibited more implicit and explicit anti-Black and anti-Arab-Muslim prejudice than the general population. After controlling for demographics, these differences became non-significant for physicians but remained for non-physician healthcare workers (β = 0.027 and 0.030, p < 0.01). Demographic controls largely explained anti-Asian prejudice among both groups, and physicians and non-physician healthcare workers exhibited comparatively lower (β = −0.124, p < 0.01) and similar levels of anti-Native implicit prejudice, respectively. Finally, white non-physician healthcare workers exhibited the highest levels of anti-Black prejudice. Demographic characteristics explained racialized prejudice among physicians, but not fully among non-physician healthcare workers. More research is needed to understand the causes and consequences of elevated levels of prejudice among non-physician healthcare workers. By acknowledging implicit and explicit prejudice as important reflections of systemic racism, this study highlights the need to understand the role of healthcare providers and systems in generating health disparities. , Research Fund, , the and the ().
登录
查看更多内容
影响因子：
7.6
作者：
Greenwald, AG;Nosek, BA;Banaji, MR
通讯作者：
Banaji, MR
影响因子：
2
作者：
Baugh, Aaron D.;Vanderbilt, Allison A.;Baugh, Reginald F.
通讯作者：
Baugh, Reginald F.
影响因子：
5.7
作者：
Rae, James R.;Newheiser, Anna-Kaisa;Olson, Kristina R.
通讯作者：
Olson, Kristina R.
影响因子：
12.7
作者：
Small-Rodriguez, Desi;Akee, Randall
通讯作者：
Akee, Randall
影响因子：
1.4
作者：
Sabin J;Nosek BA;Greenwald A;Rivara FP
通讯作者：
Rivara FP