隐含和明确的体重偏差在助产士:人口统计学特征的变化
Heather M Bradford1,2, Rebecca M Puhl3, Julia C Phillippi2
1Georgetown University School of Nursing, Washington, District of Columbia.
Journal of midwifery & women's health
|March 15, 2024
概括
助产士的体重偏差与较低的体重指数 (BMI) 和年龄较大有关. 黑人助产士的偏见比白人助产士的偏见少,突出了医疗保健提供者偏见的人口差异.
科学领域:
- 医疗保健的不平等 医疗保健的不平等
- 医学社会学 医学社会学
- 公共卫生 公共卫生
背景情况:
- 体重偏差在医疗保健机构中很普遍.
- 关于围产期护理提供者之间的体重偏差存在有限的定量数据.
- 在助产士中体重偏差的人口变化并未得到充分理解.
研究的目的:
- 为了检查美国助产士认证委员会 (AMCB) 认证的助产士之间的体重偏差.
- 根据年龄,认证以来的年龄,BMI,种族,种族和地理区域来调查体重偏差的变化.
- 在全国分娩助产士样本中量化隐式和显式体重偏差.
主要方法:
- 在线调查通过电子邮件列表服务器,社交媒体和专业网络分发.
- 使用隐性关联测试对隐性权重偏差的评估.
- 使用反脂肪态度问卷 (AFA),脂肪恐惧症量表 (FPS) 和偏好瘦人 (PTP) 衡量显式体重偏差的测量.
主要成果:
- 2,106名助产士参与了调查,在美国4个地区认定为黑人或白人.
- 较低的BMI和年轻的年龄与较高的隐性和显式体重偏差相关.
- 在调整后,年龄和BMI是显著的预测因素;黑人助产士在一些措施上表现出较低的明确偏差.
- 隐含偏见因年龄和认证以来的年龄而异,年龄较小/经验较少的助产士的水平较低.
结论:
- 这是第一个关于助产士体重偏差的人口变化的定量研究.
- 需要对各种样本进行进一步的研究.
- 研究体重偏差对临床决策和护理质量的影响是有必要的.
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