Evidence map›Paper›PMID 34973153›Full record

ArticleJournal of racial and ethnic health disparities2022

Implicit Racial Attitudes and Associations Among Obstetricians in Hawai'i: a Pilot Study.

Rebecca Delafield, Andrea Hermosura, Hyeong Jun Ahn, Joseph Keaweʻaimoku Kaholokula

Open access · hybridAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 14% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Implicit Bias in Health Professionals: A Scoping Review.International journal of environmental research and public health · 2026
    Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Rebecca DelafieldDepartment of Native Hawaiian Health, University of Hawai'i, John A. Burns School of Medicine, 677 Ala Moana Blvd., Ste. 1016B, Honolulu, HI, 96813, USA. delafiel@hawaii.edu.ORCID 0000-0001-9576-9880
Andrea HermosuraDepartment of Native Hawaiian Health, University of Hawai'i, John A. Burns School of Medicine, 677 Ala Moana Blvd., Ste. 1016B, Honolulu, HI, 96813, USA.
Hyeong Jun AhnDepartment of Quantitative Health Sciences, University of Hawai'i, John A. Burns School of Medicine, 651 Ilalo St. Medical Education Bldg., Ste 411, Honolulu, HI, 96813, USA.
Joseph Keaweʻaimoku KaholokulaDepartment of Native Hawaiian Health, University of Hawai'i, John A. Burns School of Medicine, 677 Ala Moana Blvd., Ste. 1016B, Honolulu, HI, 96813, USA.
University of Hawaiʻi at Mānoa · US

Funding

Tracking and EvaluationU54GM104944 · NIGMS · UNIVERSITY OF NEVADA LAS VEGAS · PI MARCHAND, GWEN · 2013 to 2023
$39.6M
Tracking and Evaluation CoreU54GM138062 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI SY, ANGELA U · 2021 to 2025
$15.5M
NIGMS NIH HHS U54 GM104944NIGMS NIH HHS U54 GM138062
6 · The paper itself

Abstract

introductionPacific Islanders living in Hawai'i with ancestral ties to islands in the western Pacific region of Micronesia are common targets of uninhibited forms of prejudice in multiple sectors, including healthcare. Whether the explicit societal-level attitudes toward this group are reflected in implicit attitudes among healthcare providers is unknown; therefore, we designed a pilot study to investigate this question. Our study measures implicit racial bias toward Pacific Islanders from Micronesia among Obstetrician-Gynecologists (OB-GYNs) in Hawai'i.

methodsWe developed 4 new implicit association tests (IATs) to measure implicit attitudes and associations (i.e., stereotypes) toward Pacific Islanders from Micronesia in 2 conditions: (1) Micronesians vs. Whites and (2) Micronesians vs. Japanese Americans. Participants were practicing OB-GYNs in Hawai'i. The study was conducted online and included survey questions on demographic and physician practice characteristics in addition to IATs. The primary outcome was the mean IAT D score. Associations between IAT D scores and demographic and practice characteristics were also analyzed.

resultsOf the 49 OB-GYNs, 38 (77.6%) were female, mean age was 40 years, 29.5% were Japanese, 22.7% were White, and none were from a Micronesian ethnic group. The mean IAT D score in the Micronesian vs. White condition (N = 29) was 0.181, (SD: 0.465, p < 0.05) for the Attitude IAT and 0.197 (SD: 0.427; p < 0.05) for the Stereotype IAT.

conclusionThe findings from this pilot suggest a slight degree of implicit bias favoring Whites over Micronesians within this sample of OB-GYNs and warrant a larger investigation into implicit biases toward this unique and understudied Pacific Islander population.

Indexed as

Attitude of Health PersonnelNative Hawaiian or Pacific IslanderObstetriciansPrejudiceAdultFemaleHawaiiHumansMalePilot ProjectsHawai‘iImplicit biasMicronesianObstetriciansPacific Islander

Identifiers

PMID34973153
PMCPMC9633441
OpenAlexW4206292562

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.