Nyman Katherine, Okolie Francesca, Davis Natalie L, Hager Erin, El-Metwally Dina
University of California San Diego School of Medicine, San Diego, CA, USA.
Division of Neonatology, Rady Children's Hospital, San Diego, CA, USA.
J Racial Ethn Health Disparities. 2025 Feb;12(1):473-479. doi: 10.1007/s40615-023-01887-w. Epub 2023 Dec 18.
To assess implicit bias by administrating the Modified Finnegan Score (MFS) for quantifying neonatal opioid withdrawal and to evaluate risk of decreased opioid treatment of Black versus White infants.
Study participants were nurses recruited from a large tertiary care center who received three clinical vignettes portraying withdrawing infants and were randomized to receive an accompanying photo of either a Black or White infant. MFS results were compared for identical vignettes based on race of infant photo.
Out of 275 nurses, 70 completed the survey. In vignette 2, nurses aged ≤35 years scored Black infants lower than White infants (MFS=8.3 ± 2 vs. 9.5 ± 1.2, p=0.012). Nurses with <5 years of experience and ≤10 years of experience also scored Black infants lower for the same vignette (8.2 ± 2.3 vs. 9.6 ± 1.2, p=0.032 and 8.3 ± 2 vs. 9.5 ± 1.2, p=0.0083).
Implicit bias may contribute to the difference in opioid treatment.
通过应用改良芬尼根评分（MFS）来量化新生儿阿片类药物戒断情况，以评估隐性偏见，并评估黑人与白人婴儿阿片类药物治疗减少的风险。
研究参与者是从一家大型三级护理中心招募的护士，他们收到了描绘戒断婴儿的三个临床病例，并被随机分配接受一张黑人或白人婴儿的附带照片。根据婴儿照片的种族，对相同病例的MFS结果进行比较。
在275名护士中，70名完成了调查。在病例2中，年龄≤35岁的护士对黑人婴儿的评分低于白人婴儿（MFS=8.3±2对9.5±1.2，p=0.012）。经验<5年和≤10年的护士对同一病例中黑人婴儿的评分也较低（8.2±2.3对9.6±1.2，p=0.032；8.3±2对9.5±1.2，p=0.0083）。
隐性偏见可能导致阿片类药物治疗的差异。
