Implicit Bias Toward Cervical Cancer: Provider and Training Differences
dc.contributor.author | Liang, Juliana | |
dc.creator | Liang, Juliana | |
dc.date.accessioned | 2019-07-20T02:31:51Z | |
dc.date.available | 2019-07-20T02:31:51Z | |
dc.date.issued | 2019 | |
dc.identifier.uri | http://hdl.handle.net/10150/633439 | |
dc.description | A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine. | |
dc.description.abstract | Implicit prejudice and stereotyping may exist in health care providers automatically without their awareness. These biases often correlate with outcomes that are consequential for the patient. This study examined gynecologic oncology care providers' implicit prejudice and stereotyping toward cervical cancer. Members of professional gynecologic oncology organizations were asked to complete two Implicit Association Tests (IAT) to determine if they implicitly associate cervical cancer with feelings of anger (prejudice) or beliefs about culpability for the disease (stereotypes), compared to ovarian cancer. Linear regression models and Student t-tests examined average levels of implicit bias and moderators of the implicit bias effects. One-hundred seventy-six (132 female, 43 male, 1 nonresponse; mean age = 39.18 years, SD age = 10.58 years) providers were recruited and the final sample included 151 participants (93 physicians and 58 nurses, mean age=38.93, SD age=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 training or implicit bias training demonstrated greater implicit bias than those who had completed such training (p < .05). This study provides the first evidence that gynecologic oncology providers hold implicit biases related to cervical cancer. Interventions designed to target specific groups in gynecologic oncology may help improve interactions with patients. | |
dc.language.iso | en | |
dc.publisher | The University of Arizona. | |
dc.rights | Copyright © is held by the author. Digital access to this material is made possible by the College of Medicine - Phoenix, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author. | |
dc.subject | Obstetrics & Gynecology | |
dc.subject | Implicit Bias | |
dc.subject | Physicians | |
dc.subject.mesh | Gynecology | |
dc.subject.mesh | Oncology | |
dc.title | Implicit Bias Toward Cervical Cancer: Provider and Training Differences | |
dc.type | text | |
dc.type | Electronic Thesis | |
dc.contributor.department | The University of Arizona College of Medicine – Phoenix | |
dc.description.collectioninformation | This item is part of the College of Medicine - Phoenix Scholarly Projects 2019 collection. For more information, contact the Phoenix Biomedical Campus Library at pbc-library@email.arizona.edu. | |
dc.contributor.mentor | Chase, Dana | |
refterms.dateFOA | 2019-07-20T02:31:52Z |