现代种族主义有助于整体减少疼痛管理和"一个适合所有人"的方法
Mollie A Ruben1, Adele E Weaver1, Lynda A R Stein1
1Department of Psychology, University of Rhode Island, Kingston, RI, United States.
Health psychology report
|September 17, 2025
概括
医疗保健提供者的现代种族主义导致了疼痛管理中的种族差异. 那些现代种族主义较低的人为黑人患者提供了更多的疼痛缓解,与那些种族主义较高的人不同.
科学领域:
- 健康差异 在健康上的差异
- 医学社会科学 医学社会科学
- 疼痛管理研究 疼痛管理研究
背景情况:
- 种族和族裔少数群体,包括黑人,拉丁裔和亚洲人,报告疼痛水平更高,在疼痛治疗方面面临着比白人患者更大的差异.
- 提供者隐含的偏见,特别是现代种族主义,可能会减少对这些差异的认识,影响疼痛管理决策.
- 了解提供者偏见如何影响疼痛护理对于解决医疗保健中的不平等至关重要.
研究的目的:
- 研究医疗保健提供者的现代种族主义水平与他们的疼痛管理决策之间的关系.
- 检查患者的种族和性别认同如何影响疼痛管理.
- 根据提供者的现代种族主义水平和患者特征,识别疼痛管理中的差异.
主要方法:
- 一项跨部门调查研究涉及762名参与者,对种族和性别多样性进行了抽样.
- 参与者被随机分配来评估20个急性伤害患者的小组,根据患者的种族和性别而有所不同.
- 参与者评价了获得的疼痛管理,并自我报告了他们对现代种族主义的程度.
主要成果:
- 与其他种族群体相比,低于现代种族主义的提供者给黑人患者提供了更多的疼痛管理.
- 现代种族主义高的提供者在所有种族群体中提供了类似的,但总体上较小的疼痛管理.
- 在白人提供者中,男性对黑人患者的疼痛管理处方比女性少.
结论:
- 现代种族主义是痛苦管理中的种族差异的重要预测因素.
- 参与者的性别和种族身份也在疼痛管理决策中发挥作用.
- 这些发现凸显了解决提供者偏见的必要性,以减少疼痛护理中的不平等.
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