在儿科患者中隐含的种族偏见:了解患者的观点
Taylor M Adams1, Ryan Guzek, Ravinder Brar
1From the Department of Orthopaedic Surgery, Clinical Research Assistant, Boston Children's Hospital, Boston, MA (Adams), the Division of Orthopaedic Surgery, Resident, University of Iowa, Iowa City, IA (Guzek), and the Department of Orthopaedic Surgery, Pediatric Orthopaedic Surgeon, Southern California Permanente Medical Group, Ontario, CA (Brar).
The Journal of the American Academy of Orthopaedic Surgeons
|September 20, 2024
概括
儿科骨科患者显示轻微隐性亲白人偏见,通过种族隐性关联测试 (IAT) 测量. 儿童没有观察到明确的种族偏见,这表明隐性和明确的偏见之间存在分离.
科学领域:
- 儿科健康 儿科健康
- 心理学 心理学 心理学
- 医学偏见研究研究医学偏见研究
背景情况:
- 隐含的种族偏见通过隐含的关联测试 (IAT) 记录在成年人身上,包括整形外科医生.
- 新兴研究表明隐含的种族偏见也可能存在于儿童身上.
- 从历史上来看,使用克拉克娃娃测试来评估儿童的明确种族偏好.
研究的目的:
- 调查儿科骨科患者中隐含和明确的种族偏见的存在.
- 在儿科人口中比较隐式和显式的种族偏见措施.
主要方法:
- 一项前性,横截面调查对96名儿科骨科患者 (7-18岁) 在一家三级儿科医院进行.
- 该调查将克拉克娃娃测试用于明确偏见评估和种族隐性关联测试 (IAT) 用于隐性偏见评估.
- 标准D-分数被用来量化IAT结果隐性偏差的大小.
主要成果:
- 儿科患者在IAT测试中呈现出轻微的总体亲白人隐性偏差 (M = 0.22).
- 在白人/欧洲裔美国人和西班牙裔/拉丁裔患者中观察到最强的亲白人隐性偏见 (M = 0.35).
- 黑人/非洲裔美国患者没有显著的隐性种族偏见 (M = -0.13),并且在种族群体之间没有发现明显的明确偏见.
结论:
- 这项研究提供了隐含的种族偏见的证据,特别是儿童骨科患者中轻微的亲白人偏见.
- 研究结果表明,在儿童和青少年时期,隐性和明确的种族偏见之间存在分离.
- 建议进行进一步的研究,以了解和解决儿科整形医疗保健中的偏见.
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