Colorblind Racial Ideology and Physician Use of Race in Medical Decision-Making.
Colorblind Racial Ideology and Physician Use of Race in Medical Decision-Making.
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DOI：
10.1007/s40615-021-01141-1
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发表时间：
2022-10
影响因子：
3.9
通讯作者：
Cunningham B
中科院分区：
文献类型：
--
作者：
Okah E;Thomas J;Westby A;Cunningham B
色盲是一种意识形态，它最大限度地减少了系统性种族主义在塑造少数种族结果方面的作用。坚持色盲的医生可能不太可能质疑种族主义在产生健康差异方面的作用，也不太可能挑战基于种族的治疗。本研究评估了医生色盲和使用种族在医疗决策之间的关联。这是一项横断面调查研究，于2019年9月对明尼苏达州家庭医生学会的成员进行了调查。该调查包括人口统计学和实践问题以及两项措施：色盲种族态度量表（CoBRAS;测量对种族特权，制度歧视和公然种族问题的无知）和临床评价中的种族属性（RACE;测量种族在医疗决策中的使用）。多变量回归分析评估了CoBRAS和RACE之间的关系。我们的反应率为17%（267/1595）。在控制医生人口统计学和实践特征的多变量分析中，CoBRAS评分与种族呈正相关（β=0.05，p=0.02）。当使用CoBRAS分量表代替CoBRAS总分时，只有对机构歧视的不了解与种族呈正相关（β=0.18，p=0.01）。坚持色盲种族意识形态的医生，特别是那些否认制度性种族主义的医生，更有可能在医疗决策中使用种族。由于使用种族可能是由于色盲的种族意识形态，因此由于对系统性种族主义如何影响健康的理解不足，需要更多的医生教育种族主义作为一种健康风险。
Colorblindness is an ideology that minimizes the role of systemic racism in shaping outcomes for racial minorities. Physicians who adhere to colorblindness may be less likely to interrogate the role of racism in generating health disparities and less likely to challenge race-based treatment. This study evaluates the association between physician colorblindness and the use race in medical decision-making. This is a cross-sectional survey study, conducted in September 2019, of members of the Minnesota Academy of Family Physicians. The survey included demographic and practice questions and two measures: Color-blind Racial Attitudes Scale (CoBRAS; measuring unawareness of racial privilege, institutional discrimination, and blatant racial issues) and Racial Attributes in Clinical Evaluation (RACE; measuring the use of race in medical decision-making). Multivariable regression analyses assessed the relationship between CoBRAS and RACE. Our response rate was 17% (267/1595). In a multivariable analysis controlling for physician demographic and practice characteristics, CoBRAS scores were positively associated with RACE (β=0.05, p=0.02). When CoBRAS subscales were used in place of the overall CoBRAS score, only unawareness of institutional discrimination was positively associated with RACE (β=0.18, p=0.01). Physicians who adhere to a color-blind racial ideology, particularly those who deny institutional racism, are more likely to use race in medical decision-making. As the use of race may be due to a colorblind racial ideology, and therefore due to a poor understanding of how systemic racism affects health, more physician education about racism as a health risk is needed.
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DOI：
10.1159/000133307
发表时间：
2008-01-01
期刊：
COMMUNITY GENETICS
影响因子：
--
作者：
Warshauer-Baker, Esther;Bonham, Vence L.;McBride, Colleen M.
通讯作者：
McBride, Colleen M.
DOI：
10.1016/s0140-6736(20)32076-6
发表时间：
2020-10-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
Cerdeña JP;Plaisime MV;Tsai J
通讯作者：
Tsai J
影响因子：
3.9
作者：
Neville, HA;Lilly, RL;Browne, L
通讯作者：
Browne, L
影响因子：
3.9
作者：
Sellers, Sherrill L.;Cunningham, Brooke A.;Bonham, Vence L.
通讯作者：
Bonham, Vence L.
影响因子：
2.3
作者：
Su, Yu;Behar-Horenstein, Linda S.
通讯作者：
Behar-Horenstein, Linda S.