Disparities and distrust: The implications of psychological processes for understanding racial disparities in health and health care
Disparities and distrust: The implications of psychological processes for understanding racial disparities in health and health care
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DOI：
10.1016/j.socscimed.2008.03.019
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发表时间：
2008-08-01
影响因子：
5.4
通讯作者：
Shelton, J. Nicole
中科院分区：
文献类型：
--
作者：
Dovidio, John F.;Penner, Louis A.;Shelton, J. Nicole
本文探讨了对黑人的种族偏见在种族间关系中的作用，以及在美国医疗保健中的种族差异。我们对这些问题的分析主要集中在过去10年发表的关于偏见的研究，以及自2003年美国医学研究所(IOM)小组关于医疗保健中的种族和民族差异的报告以来发表的健康差异研究。最近的社会心理学研究表明，种族偏见是在没有意图或意识的情况下隐含地发生的，也可以是明确地发生的，这些隐含的偏见对于理解不同种族之间的互动如何经常产生不信任具有重要意义。我们进一步说明了这种观点如何能够照亮和整合医疗保健中差异和偏见研究的结果，解决提供者和患者的方向。最后，我们考虑了未来研究和干预的方向。(C)2008年，爱思唯尔有限公司出版。
This paper explores the role of racial bias toward Blacks in interracial relations, and in racial disparities in health care in the United States. Our analyses of these issues focuses primarily on studies of prejudice published in the past 10 years and on health disparity research published since the report of the US Institute of Medicine (IOM) Panel on Racial and Ethnic Disparities in Health Care in 2003. Recent social psychological research reveals that racial biases occur implicitly, without intention or awareness, as well as explicitly, and these implicit biases have implications for understanding how interracial interactions frequently produce mistrust. We further illustrate how this perspective can illuminate and integrate findings from research on disparities and biases in health care, addressing the orientations of both providers and patients. We conclude by considering future directions for research and intervention. (c) 2008 Published by Elsevier Ltd.