Sabin Janice, Nosek Brian A, Greenwald Anthony, Rivara Frederick P
University of Washington, School of Medicine, WA, USA.
J Health Care Poor Underserved. 2009 Aug;20(3):896-913. doi: 10.1353/hpu.0.0185.
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.
最近的报告表明，医疗服务提供者对种族的隐性态度导致了种族和族裔在医疗保健方面的差异。然而，对于医生的隐性种族态度却知之甚少。本研究使用种族态度内隐联想测验（IAT）对大量测试者（N = 404,277）进行了种族隐性和显性态度的测量，其中包括一个医生子样本（n = 2,535）。与整个样本一样，医生表现出相对于非裔美国人对美国白人的隐性偏好。我们在白人、非裔美国人、西班牙裔和亚裔医生中以及按医生性别对这些影响进行了研究。除非裔美国医生外，所有测试者的隐性偏见强度均超过了自我报告。平均而言，非裔美国医生对黑人或白人都没有表现出隐性偏好，而且女性表现出的隐性偏见比男性少。未来的研究应该探讨医生对种族的隐性态度是否以及在什么情况下会影响医疗质量。
