Physicians' implicit and explicit attitudes about race by MD race, ethnicity, and gender.

Physicians' implicit and explicit attitudes about race by MD race, ethnicity, and gender.
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DOI:
10.1353/hpu.0.0185
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发表时间:
2009-08
影响因子:
1.4
通讯作者:
Rivara FP
Rivara FP
中科院分区:
医学4区
文献类型:
--
作者:
Sabin J;Nosek BA;Greenwald A;Rivara FP

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最近的报告表明,提供者对种族的含蓄态度导致了种族和民族医疗保健的差异。然而,人们对医生含蓄的种族态度知之甚少。本研究采用种族态度内隐联想测验(IAT)对大样本(N=404,277)被试(包括医生亚样本(n=2,535))进行了种族态度内隐和外显的测量。与整个样本一样,医生们对美国白人比对美国黑人有一种隐含的偏好。我们检查了白人、非裔美国人、西班牙裔和亚裔MD的这些影响,并按医生性别进行了分析。除非裔美国医学博士外,所有受试者的内隐偏见强度都超过了自我报告。平均而言,非裔美国人的医学博士并没有表现出对黑人或白人的内隐偏好,女性表现出的内隐偏见比男性少。未来的研究应该探索MD对种族的内隐态度是否以及在什么条件下影响医疗质量。
Recent reports suggest that providers’ implicit attitudes about race contribute to racial and ethnic health care disparities. However, little is known about physicians’ implicit racial attitudes. This study measured implicit and explicit attitudes about race using the Race Attitude Implicit Association Test (IAT) for a large sample of test takers (N = 404,277), including a sub-sample of medical doctors (MDs) (n = 2,535). Medical doctors, like the entire sample, showed an implicit preference for White Americans relative to Black Americans. We examined these effects among White, African American, Hispanic, and Asian MDs and by physician gender. Strength of implicit bias exceeded self-report among all test takers except African American MDs. African American MDs, on average, did not show an implicit preference for either Blacks or Whites, and women showed less implicit bias than men. Future research should explore whether, and under what conditions, MDs’ implicit attitudes about race affect the quality of medical care.
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