Document Detail

Assessment of biases against Latinos and African Americans among primary care providers and community members.
MedLine Citation:
PMID:  23153155     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We assessed implicit and explicit bias against both Latinos and African Americans among experienced primary care providers (PCPs) and community members (CMs) in the same geographic area.
METHODS: Two hundred ten PCPs and 190 CMs from 3 health care organizations in the Denver, Colorado, metropolitan area completed Implicit Association Tests and self-report measures of implicit and explicit bias, respectively.
RESULTS: With a 60% participation rate, the PCPs demonstrated substantial implicit bias against both Latinos and African Americans, but this was no different from CMs. Explicit bias was largely absent in both groups. Adjustment for background characteristics showed the PCPs had slightly weaker ethnic/racial bias than CMs.
CONCLUSIONS: This research provided the first evidence of implicit bias against Latinos in health care, as well as confirming previous findings of implicit bias against African Americans. Lack of substantive differences in bias between the experienced PCPs and CMs suggested a wider societal problem. At the same time, the wide range of implicit bias suggested that bias in health care is neither uniform nor inevitable, and important lessons might be learned from providers who do not exhibit bias.
Irene V Blair; Edward P Havranek; David W Price; Rebecca Hanratty; Diane L Fairclough; Tillman Farley; Holen K Hirsh; John F Steiner
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-11-15
Journal Detail:
Title:  American journal of public health     Volume:  103     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-10     Completed Date:  2013-02-21     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  92-8     Citation Subset:  AIM; IM    
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MeSH Terms
African Americans / statistics & numerical data*
Attitude of Health Personnel*
Health Care Surveys
Hispanic Americans / statistics & numerical data*
Middle Aged
Physician-Patient Relations
Primary Health Care / manpower*
Racism / ethnology*
Stereotyped Behavior
Young Adult
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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