ArticlePatient education and counseling2020
Individuation and implicit racial bias in genetic counseling communication.
Article in Patient education and counseling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Effects of Implicit Racial Bias and Standardized Patient Race on Genetic Counseling Students' Patient-Centered Communication.Health communication · 2025Trial
- A Qualitative Exploration of Primary Care Clinicians' Perceptions of Hypertensive Black Patients.Journal of racial and ethnic health disparities · 2025Article
- The effect of media aids in genetic carrier screening education among patients with infertility.F&S reports · 2025Article
- Aboriginal families living with MJD in remote Australia: questions of access and equity.International journal for equity in health · 2024Article
- Reflections on 'common' genetic medical history questions: Time to examine the what, why, and how.Patient education and counseling · 2024Article
- Article
- Implicit and explicit racial prejudice and stereotyping toward Black (vs. White) Americans: The prevalence and variation among genetic counselors in North America.Journal of genetic counseling · 2023Article
- The completion of indicated paternal prenatal genetic and carrier testing at a public hospital in Los Angeles, California.Genetics in medicine open · 2023Article
- Investigating disparity in access to Australian clinical genetic health services for Aboriginal and Torres Strait Islander people.Nature communications · 2022Article
- "I Didn't Really Have a Choice": Qualitative Analysis of Racial-Ethnic Disparities in Diabetes Technology Use Among Young Adults with Type 1 Diabetes.Diabetes technology & therapeutics · 2021Article
- Applied Racial/Ethnic Healthcare Disparities Research Using Implicit Measures.Social cognition · 2020Article
- Genetic counselor implicit bias and its effects on cognitive and affective exchanges in racially discordant simulations.Journal of genetic counseling · 2020Article
- Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala.Global health, science and practice · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesGenetic counselors (GCs) can frame information in either general terms (i.e., population risks) or individual terms (i.e., tailoring to specific client characteristics). We investigated whether informational framing might reflect GCs' implicit racial bias.
methodsWe analyzed previously videotaped genetic counseling sessions with white and minority (Black and Latino) simulated clients (SCs) and modeled the relationship between sixty GCs' implicit racial bias, as measured by the Implicit Association Test (IAT), and informational framing (general or individual) as characterized by the Roter Interaction Analysis System.
resultsHigher (more pro-white) IAT scores predicted less informational individuation for minority relative to white SCs. Similarly, higher IAT predicted fewer facilitation and activation statements to minority relative to white SCs. With higher IAT-scoring GCs, minority SCs disclosed less psychosocial and lifestyle information, and asked fewer medical questions (all p < 0.05).
conclusionGCs' racial implicit bias may be associated with less individualized communication style when counseling minority clients. PRACTICE IMPLICATIONS: Future research should address whether increasing informational individuation can ameliorate negative consequences of implicit bias and help providers reframe perceptions of minority patients in individual rather than categorical terms.
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