Combining Explicit and Implicit Measures of Racial Discrimination in Health Research
Combining Explicit and Implicit Measures of Racial Discrimination in Health Research
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DOI：
10.2105/ajph.2009.159517
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发表时间：
2010-08-01
影响因子：
12.7
通讯作者：
Banaji, Mahzarin
中科院分区：
文献类型：
--
作者：
Krieger, Nancy;Carney, Dana;Banaji, Mahzarin
目标.为了改善测量歧视的健康研究，我们试图解决的关注，明确的自我报告的种族歧视可能无法捕捉无意识的cognition. Methods。我们在基于网络的研究中使用了2种评估工具：内隐联想测试的新应用，一种基于计算机的反应时间测试，用于测量个人的自我或群体与种族歧视的受害者或肇事者之间的关联强度，以及一种有效的种族歧视的明确自我报告措施。在442名美国出生的非西班牙裔黑人参与者中，外显和内隐测量，假设，弱相关，并倾向于独立相关的高血压风险与低于大学学位的人。两项指标的调整消除了黑人比白人显著更大的风险（比值比=1.4），将其降低至1.1（95%置信区间=0.7，1.7）。我们的研究结果表明，种族主义和健康的研究的科学严谨性将得到改善，通过调查如何无意识和有意识的心理意识，经历了歧视的身体和心理健康的问题。(Am J公共卫生。2010;100：1485-1492. doi：10. 2105/AJPH.2009.159517）
Objectives. To improve measurement of discrimination for health research, we sought to address the concern that explicit self-reports of racial discrimination may not capture unconscious cognition.Methods. We used 2 assessment tools in our Web-based study: a new application of the Implicit Association Test, a computer-based reaction-time test that measures the strength of association between an individual's self or group and being a victim or perpetrator of racial discrimination, and a validated explicit self-report measure of racial discrimination.Results. Among the 442 US-born non-Hispanic Black participants, the explicit and implicit measures, as hypothesized, were weakly correlated and tended to be independently associated with risk of hypertension among persons with less than a college degree. Adjustments for both measures eliminated the significantly greater risk for Blacks than for Whites (odds ratio =1.4), reducing it to 1.1 (95% confidence interval =0.7, 1.7).Conclusions. Our results suggest that the scientific rigor of research on racism and health will be improved by investigating how both unconscious and conscious mental awareness of having experienced discrimination matter for somatic and mental health. (Am J Public Health. 2010;100:1485-1492. doi:10. 2105/AJPH.2009.159517)