ReviewCurrent problems in pediatric and adolescent health care2019
Implicit Bias: What Every Pediatrician Should Know About the Effect of Bias on Health and Future Directions.
Review in Current problems in pediatric and adolescent health care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed.
- The Leaky Pipeline of Injury: Disparities at Multiple Junctures for Children with Head Trauma.The Journal of pediatrics · 2026Article
- A Qualitative Analysis of Pediatricians' Perspectives Regarding Barriers, Facilitators, and Strategies for Providing Timely Autism Spectrum Disorder Screening and Diagnosis.Clinical medicine insights. Pediatrics · 2026Article
- Disparities in Receipt of Early Intervention Services by Toddlers with Autism Diagnoses: an Intersectional Latent Class Analysis of Demographic Factors.Journal of autism and developmental disorders · 2026Article
- Staff perspectives on racial inequities in the neonatal intensive care unit: the REJOICE study.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Navigating the Spanish Healthcare System: Perspectives of Newcomers and Cultural Mediators on Communication, Relationships, and Fear of Deportation.Journal of nursing management · 2026Article
- Promoting Equitable Engagement in Attention-Deficit/Hyperactivity Disorder Care.Pediatric annals · 2025Article
- A Comparative Study of the Perspectives of Long-Stay Immigrants, Nurses and Cultural Mediators on Intercultural Communication: A Secondary Qualitative Analysis.Nursing open · 2024Article
- Community and Patient Features and Health Care Point of Entry for Pediatric Concussion.JAMA network open · 2024Article
- Beyond the Question: Reexamining a Parent's Unusual Request.Pediatrics · 2024Article
- Screening, Diagnosis, and Intervention for Autism: Experiences of Black and Multiracial Families Seeking Care.Journal of autism and developmental disorders · 2024Article
- Implementation of Formal Curriculum on Health Care Disparities in Military Family Medicine Residency.Family medicine · 2024Article
- A scoping review of research on potential impact of implicit bias in healthcare settings for children with acquired brain injuries.Rehabilitation psychology · 2024Article
- Pharmacoequity in Allergy-Immunology: Disparities in Access to Medications for Allergic Diseases and Proposed Solutions in the United States and Globally.The journal of allergy and clinical immunology. In practice · 2024Review
- Racial Disparities in Pediatric Inflammatory Bowel Disease Care: Differences in Outcomes and Health Service Utilization Between Black and White Children.The Journal of pediatrics · 2023Article
- Influence of participant and reviewer characteristics in application scores for a hematology research training program.Blood advances · 2023Article
- A mixed methods study of perceptions of bias among neonatal intensive care unit staff.Pediatric research · 2023Article
- Review of upstream social factors contributing to childhood obesity.Obesity pillars · 2022Review
- Addressing Social Determinants of Health and Mitigating Health Disparities Across the Lifespan in Congenital Heart Disease: A Scientific Statement From the American Heart Association.Journal of the American Heart Association · 2022Review
- Racism, Diminished Returns of Socioeconomic Resources, and Black Middle-Income Children's Health Paradox-Reply.JAMA pediatrics · 2021Article
- Disparities in pediatric psychosocial oncology utilization.Pediatric blood & cancer · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Implicit bias has entered modern discourse as a result of our current sociopolitical climate. It is an area that has been largely explored in the social sciences, and was highlighted in the landmark 2003 IOM report, Unequal Treatment, as a contributor to racial/ethnic health disparities. Implicit bias is the process of unconscious societal attitudes affecting our individual understanding, actions and decisions, thus leading to assumptions about groups. Immigrant populations are particularly at risk in our present-day environment, and as a result experience limited healthcare access and higher levels of psychological distress. There are many measures of implicit bias, but the most highly regarded tool is the Implicit Association Test (IAT), as it is valid and reliable. Some level of pro-White/anti-Black bias has been found in most systematic reviews and studies, although there are less studies on bias towards Latinx populations. Limited evidence exists about the association between implicit bias and health outcomes. However, existing publications have demonstrated clear associations between bias and treatment recommendations, nonverbal communication, adverse birth outcomes and provider communication styles. Implicit biases can be unlearned via debiasing strategies, but these have not been examined extensively amongst health care providers. Future research must rely on more than pre- and post-IAT measurements to examine the effect of these strategies on improving patient outcomes. Additionally, healthcare system leadership must prioritize implicit bias trainings for students and medical staff and make greater tangible efforts to improve workforce diversity as a debiasing strategy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.