PMID- 30739720
STAT- In-Data-Review
LR  - 20190322
IS  - 1095-6859 (Electronic)
IS  - 0090-8258 (Linking)
VI  - 153
IP  - 1
DP  - 2019 Apr
TI  - Implicit bias toward cervical cancer: Provider and training differences.
PG  - 80-86
LID - S0090-8258(19)30055-1 [pii]
LID - 10.1016/j.ygyno.2019.01.013 [doi]
AB  - OBJECTIVE: Implicit prejudice and stereotyping may exist in health care providers
      automatically without their awareness. These biases can correlate with outcomes
      that are consequential for the patient. This study examined gynecologic oncology 
      care providers' implicit prejudice and stereotyping toward cervical cancer.
      METHODS: Members of professional gynecologic oncology organizations were asked to
      complete two Implicit Association Tests to determine if they implicitly associate
      cervical cancer with feelings of anger (prejudice) and beliefs about culpability 
      for the disease (stereotypes), compared to ovarian cancer. Linear models and
      Student t-tests examined average levels of implicit bias and moderators of the
      implicit bias effects. RESULTS: One-hundred seventy-six (132 female, 43 male, 1
      nonresponse; X age=39.18years, SDage=10.58years) providers were recruited and the
      final sample included 151 participants (93 physicians and 58 nurses, X age=38.93,
      SDage=10.59). Gynecologic oncology providers showed significant levels of
      implicit prejudice, X =0.17, SD=0.47, 95% CI: (0.10, 0.25), toward cervical
      cancer patients. They also showed significant levels of implicit stereotyping of 
      cervical cancer patients, X =0.15, SD=0.42, 95% CI: (0.08, 0.21). Whereas
      physicians did not demonstrate significant levels of implicit bias, nurses
      demonstrated greater levels of implicit prejudice and implicit stereotyping.
      Providers without cultural competency/implicit bias training demonstrated greater
      bias than those who had completed such training (p<.05). CONCLUSIONS: This study 
      provides the first evidence that gynecologic oncology providers hold implicit
      biases related to cervical cancer. Interventions may be designed to target
      specific groups in gynecologic oncology to improve interactions with patients.
CI  - Copyright (c) 2019. Published by Elsevier Inc.
FAU - Liang, Juliana
AU  - Liang J
AD  - University of Arizona College of Medicine, Phoenix, USA.
FAU - Wolsiefer, Katherine
AU  - Wolsiefer K
AD  - Department of Psychology, University of Arizona, USA.
FAU - Zestcott, Colin A
AU  - Zestcott CA
AD  - State University of New York at Geneseo, USA.
FAU - Chase, Dana
AU  - Chase D
AD  - University of Arizona College of Medicine, Phoenix, USA; Creighton University at 
      St. Joseph's Hospital and Medical Center, USA.
FAU - Stone, Jeff
AU  - Stone J
AD  - Department of Psychology, University of Arizona, USA. Electronic address:
LA  - eng
PT  - Journal Article
DEP - 20190208
PL  - United States
TA  - Gynecol Oncol
JT  - Gynecologic oncology
JID - 0365304
OT  - Cervical cancer
OT  - Cultural competency
OT  - Implicit bias
EDAT- 2019/02/12 06:00
MHDA- 2019/02/12 06:00
CRDT- 2019/02/12 06:00
PHST- 2018/08/11 00:00 [received]
PHST- 2019/01/07 00:00 [revised]
PHST- 2019/01/13 00:00 [accepted]
PHST- 2019/02/12 06:00 [pubmed]
PHST- 2019/02/12 06:00 [medline]
PHST- 2019/02/12 06:00 [entrez]
AID - S0090-8258(19)30055-1 [pii]
AID - 10.1016/j.ygyno.2019.01.013 [doi]
PST - ppublish
SO  - Gynecol Oncol. 2019 Apr;153(1):80-86. doi: 10.1016/j.ygyno.2019.01.013. Epub 2019
      Feb 8.