米国における臨床医による暗黙の人種偏見と避妊カウンセリング
Kathleen M Morrell1, Jessica L Rosenblum2, Sophia Joslin-Roher1
1Department of Obstetrics & Gynecology, Maimonides Medical Center, Brooklyn, NY, USA.
Journal of women's health (2002)
|September 5, 2025
まとめ
生殖保健の臨床医における暗黙の人種偏見は,避妊の勧告に影響する. 白人の臨床医は偏見を示し,白人の患者よりも黒人の患者に滅菌を推奨し,偏見意識の必要性を強調しました.
科学分野:
- 生殖 健康
- 医学 の 倫理
- 健康 の 格差
背景:
- 人種的・民族的格差は 生殖医療において依然として存在しています
- 臨床医のバイアス,特に暗黙のバイアスは,潜在的に貢献する要因です.
- 以前の研究では 避妊の明示的なバイアスを調べましたが 暗示的なバイアスは まだ研究されていません
研究 の 目的:
- 生殖医療の専門家の間での 暗黙の人種的偏見を定量化するために
- 暗黙のバイアスと避妊の勧告の相関を調査する.
- 臨床医の人種が 偏見や推薦にどう影響するかを調べる
主な方法:
- ニューヨーク市と全国大会で 生殖医療専門医を募集しました
- 人口調査を含むコンピュータベースの評価,避妊に関する臨床ヴィニエット,および人種暗示的関連テスト (IAT).
- ランダム化されたヴィニエットは,同一の患者シナリオを提示し,患者の人種 (白人と黒人) による差異のみを示し,避妊の推奨の可能性を評価した.
主要な成果:
- 合計426人の臨床医 (主に非ヒスパニック系,白人,女性主治医) が分析されました.
- 白人の臨床医は統計的に有意な白人の偏見を示した (p < 0. 001),黒人の臨床医は有意な人種偏見を示さなかった (p = 0. 637).
- 白人の偏見を持つ白人の臨床医は,白人の患者と比較して黒人の患者に不妊手術を勧めることが多い.
結論:
- 暗黙の人種的偏見は 生殖医療の臨床医の間で 人種によって異なります
- 暗黙のバイアスのレベルは,避妊の勧告の違いと直接相関しています.
- 生殖保健の専門家は 公平な避妊カウンセリングを確保するために 隠された偏見を認識し 解決しなければなりません
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