隐含的性健康刻板印象及其与诊断和管理建议的关系
Luis M Rivera1, Rubab Qureshi2, Nkechi Mbadugha3
1Department of Psychology, Rutgers University.
概括
医疗保健提供者隐含的偏见对性少数群体男性 (SMM) 的诊断和治疗建议产生负面影响. 在医疗保健环境中解决这些隐含的刻板印象可以提高SMM的护理质量.
科学领域:
- 卫生公平研究 卫生公平研究
- 医学教育 医学教育
- 医疗保健的心理学.
背景情况:
- 性少数民族男性 (SMM) 面临着严重的健康差异.
- 医疗保健提供者所持的隐含的性健康刻板印象可能会导致这些不平等.
- 这些刻板印象可以表现为隐含的行动偏见,影响临床决策.
研究的目的:
- 在医疗保健专业人员中测试隐含的偏见在行动假设.
- 调查隐含的刻板印象如何影响SMM的诊断和管理.
- 检查提供者隐性偏见对患者护理的影响.
主要方法:
- 执业护士和医生助理 (NPPA) 参与者完成了一项隐性性健康刻板印象的测量.
- 参与者为一名患有性传播感染的男性患者提供了诊断和治疗建议.
- 患者病例研究涉及与男性或女性伴侣发生性关系.
主要成果:
- 在NPPA中,参与者表现出隐含的行动偏见.
- 当患者与男性伴侣发生关系时,更强烈的隐性刻板印象与不太准确的诊断和建议相关.
- 当患者与女性伴侣发生关系时,没有观察到这种效应.
结论:
- 医疗保健提供者隐含的行动偏见可能是SMM健康不平等的原因.
- 对隐性偏见的教育提供者可以减轻刻板印象的影响.
- 干预措施可以提高SMM的提供者与患者接触的护理质量.
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