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Featured Article: Gender Bias in Pediatric Pain Assessment
Brian D Earp1, Joshua T Monrad1, Marianne LaFrance1
1Yale University.
Journal of Pediatric Psychology
|January 8, 2019
Summary
Adults rated boys as experiencing more pain than girls, even with identical pain behaviors. Explicit gender stereotypes, like boys being stoic, influenced these biased pediatric pain assessments.
Area of Science:
- Pediatric healthcare
- Psychology
- Social sciences
Background:
- Accurate pain assessment is crucial in pediatrics.
- Previous research suggests potential gender bias in adult ratings of children's pain.
- A 2014 study found boys were rated as experiencing more pain than girls.
Purpose of the Study:
- To replicate and extend findings on gender bias in pediatric pain assessment.
- To investigate the role of explicit gender stereotypes in these judgments.
- To confirm and clarify previous observations of biased pain ratings.
Main Methods:
- A direct replication and extension study was conducted with open data.
- Participants viewed a video of a child in pain, described as either a boy or a girl.
- Adults rated the child's pain experience, displayed pain, and agreement with gender stereotypes.
Main Results:
- Replicating prior work, boys were rated as experiencing more pain than girls.
- This bias persisted despite identical clinical situations and pain behaviors.
- Controlling for explicit gender stereotypes eliminated the observed gender bias.
Conclusions:
- Explicit gender stereotypes may significantly bias adult assessments of pediatric pain.
- Beliefs about boys being stoic or girls being emotive can influence pain ratings.
- Addressing these stereotypes is vital for accurate pain evaluation in children.
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