Implicit stereotyping and medical decisions: unconscious stereotype activation in practitioners' thoughts about African Americans.
Abstract
OBJECTIVES
We investigated whether stereotypes unconsciously influence the thinking and behavior of physicians, as they have been shown
to do in other professional settings, such as among law enforcement personnel and teachers.
METHODS
We conducted 2 studies to examine whether stereotypes are implicitly activated in physicians. Study 1 assessed what diseases
and treatments doctors associate with African Americans. Study 2 presented these (and control terms) to doctors as part of
a computerized task. Subliminal images of African American and White men appeared prior to each word, and reaction times to
words were recorded.
RESULTS
When primed with an African American face, doctors reacted more quickly for stereotypical diseases, indicating an implicit
association of certain diseases with African Americans. These comprised not only diseases African Americans are genetically
predisposed to, but also conditions and social behaviors with no biological association (e.g., obesity, drug abuse).
CONCLUSIONS
We found implicit stereotyping among physicians; faces they never consciously saw altered performance. This suggests that
diagnoses and treatment of African American patients may be biased, even in the absence of the practitioner's intent or awareness.
Links
Authors
Moskowitz GB, Stone J, Childs A
Institution
Psychology Department, Lehigh University, Bethlehem, PA, USA. gbm@lehigh.edu
Source
American journal of public health 102:5 2012 May pg 996-1001MeSH
African AmericansAttitude of Health Personnel
Communication
Decision Making
Health Personnel
Healthcare Disparities
Humans
Physician-Patient Relations
Stereotyping
Pub Type(s)
Journal ArticleResearch Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Language
eng
PubMed ID
22420815
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