Hagiwara Nao, Slatcher Richard B, Eggly Susan, Penner Louis A
a Department of Psychology , Virginia Commonwealth University.
b Department of Psychology , Wayne State University.
Health Commun. 2017 Apr;32(4):401-408. doi: 10.1080/10410236.2016.1138389. Epub 2016 Jun 16.
Physician racial bias can negatively affect Black patients' reactions to racially discordant medical interactions, suggesting that racial bias is manifested in physicians' communication with their Black patients. However, little is known about how physician racial bias actually influences their communication during these interactions. This study investigated how non-Black physicians' racial bias is related to their word use during medical interactions with Black patients. One hundred and seventeen video-recorded racially discordant medical interactions from a larger study were transcribed and analyzed using Linguistic Inquiry and Word Count (LIWC) software. Physicians with higher levels of implicit racial bias used first-person plural pronouns and anxiety-related words more frequently than physicians with lower levels of implicit bias. There was also a trend for physicians with higher levels of explicit racial bias to use first-person singular pronouns more frequently than physicians with lower levels of explicit bias. These findings suggest that non-Black physicians with higher levels of implicit racial bias may tend to use more words that reflect social dominance (i.e., first-person plural pronouns) and anxiety when interacting with Black patients.
医生的种族偏见会对黑人患者对种族不协调的医疗互动的反应产生负面影响，这表明种族偏见在医生与黑人患者的沟通中有所体现。然而，对于医生的种族偏见在这些互动中实际如何影响他们的沟通，我们知之甚少。本研究调查了非黑人医生的种族偏见与他们在与黑人患者进行医疗互动时的用词之间的关系。使用语言查询与字数统计（LIWC）软件对来自一项更大规模研究的117次视频记录的种族不协调医疗互动进行了转录和分析。隐性种族偏见程度较高的医生比隐性偏见程度较低的医生更频繁地使用第一人称复数代词和与焦虑相关的词汇。显性种族偏见程度较高的医生也有比显性偏见程度较低的医生更频繁地使用第一人称单数代词的趋势。这些发现表明，隐性种族偏见程度较高的非黑人医生在与黑人患者互动时可能倾向于使用更多反映社会主导地位的词汇（即第一人称复数代词）和焦虑相关词汇。
