Contact and role modeling predict bias against lesbian and gay individuals among early-career physicians: A longitudinal study.
Bias
Longitudinal studies
Medical education
Sexual minorities
Sexual orientation
Journal
Social science & medicine (1982)
ISSN: 1873-5347
Titre abrégé: Soc Sci Med
Pays: England
ID NLM: 8303205
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
01
11
2018
revised:
05
07
2019
accepted:
13
07
2019
pubmed:
9
8
2019
medline:
26
8
2020
entrez:
9
8
2019
Statut:
ppublish
Résumé
Physician bias against sexual minorities can hinder the delivery of high-quality health care and thus contribute to the disproportionate prevalence of negative health outcomes within this population. Medical students' interpersonal experiences within the context of medical school may contribute to this bias. The goal of the current research was to examine the relationship between these interpersonal experiences, reported by heterosexual, cisgender medical students, and explicit and implicit bias against lesbians and gay individuals, reported two years later during second year of medical residency. Data were collected by surveying students (n = 2940) from a stratified sample of U.S. medical schools in fall 2010 (first semester of medical school), spring 2014 (final semester of medical school), and spring 2016 (second year of medical residency). Amount and favorability of contact with LGBT individuals, reported during the final semester of medical school, predicted lower levels of explicit bias against lesbian and gay individuals during second year of medical residency. Additionally, exposure to negative role modeling, also reported during the final semester of medical school, predicted higher levels of explicit bias against lesbian and gay individuals during second year of medical residency. Amount of contact with LGBT individuals - and in particular, with LGBT medical students - predicted lower levels of implicit bias against lesbian and gay individuals during second year of medical residency. Neither favorability of contact with LGBT individuals nor exposure to negative role modeling predicted implicit bias against lesbian and gay individuals during second year of medical residency. These results suggest that interpersonal experiences during medical school can systematically shape heterosexual, cisgender physicians' subsequent explicit and implicit bias against lesbian and gay individuals.
Identifiants
pubmed: 31391147
pii: S0277-9536(19)30416-2
doi: 10.1016/j.socscimed.2019.112422
pmc: PMC6744977
mid: NIHMS1535912
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
112422Subventions
Organisme : NIDDK NIH HHS
ID : K01 DK095924
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL085631
Pays : United States
Organisme : NHLBI NIH HHS
ID : R21 HL135070
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.
Références
Pers Soc Psychol Bull. 2017 Mar;43(3):300-312
pubmed: 28903689
Am Psychol. 2019 Jul-Aug;74(5):569-586
pubmed: 30550298
J Gen Intern Med. 2017 Nov;32(11):1193-1201
pubmed: 28766125
J Pers Soc Psychol. 2006 May;90(5):751-83
pubmed: 16737372
J Exp Soc Psychol. 2010 Mar 1;46(2):436-440
pubmed: 20228874
J Appl Psychol. 2007 Jul;92(4):1103-18
pubmed: 17638468
Soc Psychiatry Psychiatr Epidemiol. 2016 Feb;51(2):289-301
pubmed: 26298574
Soc Sci Med. 2018 Jan;196:158-165
pubmed: 29190536
J Lesbian Stud. 2012;16(2):199-219
pubmed: 22455342
Acad Med. 2011 Aug;86(8):996-1009
pubmed: 21670661
J Pers Soc Psychol. 2009 Apr;96(4):843-56
pubmed: 19309206
Psychol Bull. 2003 Sep;129(5):674-697
pubmed: 12956539
BMC Med Ethics. 2017 Mar 1;18(1):19
pubmed: 28249596
Acad Med. 2015 May;90(5):652-9
pubmed: 25674912
Acad Med. 2015 May;90(5):634-44
pubmed: 25692563
Prev Sci. 2018 Apr;19(3):284-294
pubmed: 27040106
AIDS Behav. 2018 Apr;22(4):1122-1138
pubmed: 29151200
Adv Med Educ Pract. 2017 Jan 13;8:63-73
pubmed: 28144171
J Surg Educ. 2014 Nov-Dec;71(6):e47-52
pubmed: 24974336
J Pers Soc Psychol. 2009 Jul;97(1):17-41
pubmed: 19586237
J Pers Soc Psychol. 2006 Aug;91(2):268-80
pubmed: 16881764
J Gen Intern Med. 2015 Dec;30(12):1748-56
pubmed: 26129779
J Appl Psychol. 2002 Dec;87(6):1191-9
pubmed: 12558225
Acad Med. 2005 Aug;80(8):786
pubmed: 16043537
Am J Public Health. 2015 Sep;105(9):1831-41
pubmed: 26180976
J Exp Soc Psychol. 2012 Nov;48(6):1267-1278
pubmed: 23524616
Adv Health Sci Educ Theory Pract. 2014 Dec;19(5):751-8
pubmed: 24515602
JAMA. 2011 Sep 7;306(9):971-7
pubmed: 21900137
Psychol Sci. 2019 Feb;30(2):174-192
pubmed: 30605364
Aust Fam Physician. 2015 Aug;44(8):573-8
pubmed: 26510146
Acad Med. 1998 Apr;73(4):403-7
pubmed: 9580717
J Consult Clin Psychol. 2003 Feb;71(1):53-61
pubmed: 12602425
Med Educ. 2015 Oct;49(10):983-92
pubmed: 26383070
Am J Public Health. 2016 May;106(5):918-20
pubmed: 26985610
Acad Med. 2001 May;76(5):432-4
pubmed: 11346517
J Gen Intern Med. 2015 Jan;30(1):9-16
pubmed: 25190140
J Appl Psychol. 2003 Oct;88(5):879-903
pubmed: 14516251
Behav Res Methods. 2007 May;39(2):175-91
pubmed: 17695343
Acad Med. 2015 May;90(5):645-51
pubmed: 25674910
Soc Sci Med. 2018 Jul;209:169-173
pubmed: 29807627
Acad Med. 2014 Mar;89(3):482-9
pubmed: 24448052
J Soc Psychol. 2013 May-Jun;153(3):351-74
pubmed: 23724704
J Behav Med. 2015 Feb;38(1):1-8
pubmed: 23864353
J Pers Soc Psychol. 2002 Jan;82(1):62-8
pubmed: 11811635
J Pers Soc Psychol. 2006 Jan;90(1):1-20
pubmed: 16448307
Perspect Psychol Sci. 2013 Sep;8(5):521-48
pubmed: 26173210
BMC Public Health. 2016 Aug 17;16(1):807
pubmed: 27534616
J Pers Soc Psychol. 2003 Aug;85(2):197-216
pubmed: 12916565
Acad Med. 2014 Apr;89(4):550-4
pubmed: 24556777
Med Care. 2016 Jun;54(6):547-54
pubmed: 26974678