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1.
Proc Natl Acad Sci U S A ; 121(26): e2311009121, 2024 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-38885376

RESUMO

Public and academic discourse on ageism focuses primarily on prejudices targeting older adults, implicitly assuming that this age group experiences the most age bias. We test this assumption in a large, preregistered study surveying Americans' explicit sentiments toward young, middle-aged, and older adults. Contrary to certain expectations about the scope and nature of ageism, responses from two crowdsourced online samples matched to the US adult population (N = 1,820) revealed that older adults garner the most favorable sentiments and young adults, the least favorable ones. This pattern held across a wide range of participant demographics and outcome variables, in both samples. Signaling derogation of young adults more than benign liking of older adults, participants high on SDO (i.e., a key antecedent of group prejudice) expressed even less favorable sentiments toward young adults-and more favorable ones toward older adults. In two follow-up, preregistered, forecasting surveys, lay participants (N = 500) were generally quite accurate at predicting these results; in contrast, social scientists (N = 241) underestimated how unfavorably respondents viewed young adults and how favorably they viewed older adults. In fact, the more expertise in ageism scientists had, the more biased their forecasts. In a rapidly aging world with exacerbated concerns over older adults' welfare, young adults also face increasing economic, social, political, and ecological hardship. Our findings highlight the need for policymakers and social scientists to broaden their understanding of age biases and develop theory and policies that ponder discriminations targeting all age groups.


Assuntos
Etarismo , Humanos , Etarismo/psicologia , Idoso , Adulto , Estados Unidos , Pessoa de Meia-Idade , Masculino , Feminino , Adulto Jovem , Fatores Etários
2.
Proc Natl Acad Sci U S A ; 120(1): e2213198120, 2023 01 03.
Artigo em Inglês | MEDLINE | ID: mdl-36580598

RESUMO

Mass elections are key mechanisms for collective decision-making. But they are also blamed for creating intergroup enmity, particularly while they are underway; politicians use polarizing campaign strategies, and losing sides feel resentful and marginalized after results are announced. I investigate the impact of election proximity-that is, closeness to elections in time-on social cleavages related to religion, a salient form of group identity worldwide. Integrating data from ∼1.2 million respondents across 25 cross-country survey series, I find no evidence that people interviewed shortly before or after national elections are more likely to express negative attitudes toward religious outgroups than those interviewed at other times. Subgroup analysis reveals little heterogeneity, including by levels of political competition. Generalized social trust, too, is unaffected by election calendars. Elections may not pose as great a risk to social cohesion as is commonly feared.


Assuntos
Política , Confiança , Humanos , Emoções , Nível de Saúde , Religião
3.
Proc Natl Acad Sci U S A ; 120(16): e2218621120, 2023 04 18.
Artigo em Inglês | MEDLINE | ID: mdl-37040414

RESUMO

Intergroup prejudice is pervasive in many contexts worldwide, leading to discrimination and conflict. Existing research suggests that prejudice is acquired at an early age and that durably improving intergroup relations is extremely challenging, often requiring intense interventions. Building on existing research in social psychology and inspired by the Israeli TV series "You Can't Ask That," which depicts charismatic children from minority groups broaching sensitive topics at the core of intergroup relations, we develop a month-long diversity education program. Our program exposed students to the TV series and facilitated follow-up classroom discussions in which students constructively addressed various sensitive topics at the core of intergroup relations and learned about intergroup similarities, intragroup heterogeneity, and the value of taking others' perspectives. Through two field experiments implemented in Israeli schools, we show that integrating our intervention into school curricula improved Jewish students' attitudes toward minorities and increased some pro-diversity behavior up to 13 wk posttreatment. We further provide suggestive evidence that the intervention was effective by encouraging students to take their outgroups' perspectives and address an element of scalability by delegating implementation responsibilities to classroom teachers in our second study. Our findings suggest that theoretically informed intensive education programs are a promising route to reducing prejudice at a young age.


Assuntos
Atitude , Preconceito , Criança , Humanos , Israel , Instituições Acadêmicas , Grupos Minoritários
4.
Proc Natl Acad Sci U S A ; 120(1): e2212906120, 2023 01 03.
Artigo em Inglês | MEDLINE | ID: mdl-36577060

RESUMO

Although life trajectories are frequently theorized to explain people's attitudes toward different social groups, few studies have been able to directly assess their importance with suitable data. Addressing this gap and focusing on the development of general and domain-specific self-esteem, we report results from a population-based sample of Norwegians (N = 2,215) followed over 28 years and five time points from adolescence to midlife. Growth curve models demonstrated that irrespective of self-esteem domain, low levels of self-esteem in adolescence as well as a depressed self-esteem development over the next three decades were related to more overall opposition to social equality as well as more opposition to gender equality and immigration in midlife. The results held when controlling for participants' baseline political orientations and other key covariates in adolescence. Our findings indicate that low self-esteem and a lack of positive self-esteem development can be detrimental to harmonious intergroup relations in ever-diversifying societies. We discuss how future psychological interventions aimed at enhancing self-esteem may promote support for a more inclusive society.


Assuntos
Autoimagem , Adolescente , Humanos , Noruega , Estudos Longitudinais
5.
Proc Natl Acad Sci U S A ; 119(14): e2118990119, 2022 04 05.
Artigo em Inglês | MEDLINE | ID: mdl-35344420

RESUMO

SignificanceThe effects of recent protests for racial equality, particularly when they included violence, are currently of public and academic interest. To better understand these effects, we combine a dataset of all 2020 BlackLivesMatter protests with survey data containing measures of prejudice and support for police reform. Protests were not associated with reductions in prejudice, but were associated with increases in support for police reform. Specifically, a mix of nonviolent and violent protests was associated with an increase in police-reform support among conservatives living in liberal areas. This study highlights the importance of considering multiple measures of protest effectiveness and suggests that mass protest (including when it mixes nonviolence and violence) can be effective at advancing the movement's goals.


Assuntos
Polícia , Violência , Humanos , Condições Sociais
6.
Emerg Infect Dis ; 30(3): 519-529, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38407230

RESUMO

Infectious disease outbreaks are associated with substantial stigma, which can have negative effects on affected persons and communities and on outbreak control. Thus, measuring stigma in a standardized and validated manner early in an outbreak is critical to disease control. We reviewed existing scales used to assess stigma during outbreaks. Our findings show that many different scales have been developed, but few have been used more than once, have been adequately validated, or have been tested in different disease and geographic contexts. We found that scales were usually developed too slowly to be informative early during an outbreak and were published a median of 2 years after the first case of an outbreak. A rigorously developed, transferable stigma scale is needed to assess and direct responses to stigma during infectious disease outbreaks.


Assuntos
Doenças Transmissíveis , Surtos de Doenças , Estigma Social , Humanos , Doenças Transmissíveis/epidemiologia , Inquéritos e Questionários
7.
Psychol Sci ; 35(5): 543-557, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38620057

RESUMO

Recently, gender-ambiguous (nonbinary) voices have been added to voice assistants to combat gender stereotypes and foster inclusion. However, if people react negatively to such voices, these laudable efforts may be counterproductive. In five preregistered studies (N = 3,684 adult participants) we found that people do react negatively, rating products described by narrators with gender-ambiguous voices less favorably than when they are described by clearly male or female narrators. The voices create a feeling of unease, or social disfluency, that affects evaluations of the products being described. These effects are best explained by low familiarity with voices that sound ambiguous. Thus, initial negative reactions can be overcome with more exposure.


Assuntos
Voz , Humanos , Feminino , Masculino , Adulto , Adulto Jovem , Estereotipagem , Percepção Social , Identidade de Gênero , Adolescente , Pessoa de Meia-Idade
8.
Psychol Sci ; 35(3): 263-276, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38300733

RESUMO

What makes faces seem trustworthy? We investigated how racial prejudice predicts the extent to which perceivers employ racially prototypical cues to infer trustworthiness from faces. We constructed participant-level computational models of trustworthiness and White-to-Black prototypicality from U.S. college students' judgments of White (Study 1, N = 206) and Black-White morphed (Study 3, N = 386) synthetic faces. Although the average relationships between models differed across stimuli, both studies revealed that as participants' anti-Black prejudice increased and/or intergroup contact decreased, so too did participants' tendency to conflate White prototypical features with trustworthiness and Black prototypical features with untrustworthiness. Study 2 (N = 324) and Study 4 (N = 397) corroborated that untrustworthy faces constructed from participants with pro-White preferences appeared more Black prototypical to naive U.S. adults, relative to untrustworthy faces modeled from other participants. This work highlights the important role of racial biases in shaping impressions of facial trustworthiness.


Assuntos
Racismo , Adulto , Humanos , Atitude , Julgamento , Sinais (Psicologia) , Estudantes , Confiança , Expressão Facial , Percepção Social
9.
Psychol Sci ; 35(2): 137-149, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38232344

RESUMO

This research tested the hypothesis that mindful-gratitude practice attenuates the robust association between collective narcissism and prejudice. In Study 1 (a between-subjects study using a nationally representative sample of 569 Polish adults; 313 female), 10 min of mindful-gratitude practice-compared to mindful-attention practice and control-did not decrease prejudice (anti-Semitism), but weakened the positive link between collective narcissism and prejudice. In Study 2 (a preregistered, randomized, controlled-trial study using a convenience sample of 219 Polish adults; 168 female), a 6-week mobile app supported training in daily mindful-gratitude practice decreased prejudice (anti-Semitism, sexism, homophobia, anti-immigrant sentiment) and its link with collective narcissism compared to a wait-list control. The hypothesis-consistent results emphasize the social relevance of mindful-gratitude practice, a time- and cost-effective intervention.


Assuntos
Narcisismo , Preconceito , Adulto , Humanos , Feminino , Atitude , Sexismo , Atenção
10.
J Gen Intern Med ; 39(4): 511-518, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37794262

RESUMO

BACKGROUND: Patients with high body weight are persistently stigmatized in medical settings, with studies demonstrating that providers endorse negative stereotypes of, and have lower regard for, higher-weight patients. Very little is known about how this weight bias varies across specialties. OBJECTIVE: The purpose of this study is to examine how explicit weight bias varies between resident providers among sixteen of the largest residency specialties in the USA. The identification of these differences will guide the prioritization and targeting of interventions. DESIGN: The current study utilized cross-sectional, observational data. PARTICIPANTS: Forty-nine allopathic medical schools were recruited to participate in this national, longitudinal study. The current study utilized data from 3267 trainees in Year 2 of Residency among those who specialized in one of the most common sixteen residency programs in 2016. MAIN MEASURES: Participants reported demographic information and residency specialties and completed three sets of measures pertaining to explicit weight bias. KEY RESULTS: A significant minority (13-48%) of residents reported slight-to-strong agreement with each anti-fat statement. There was a significant relationship between residency specialty and anti-fat blame (F(15, 3189 = 12.87, p < .001), η2 = .06), anti-fat dislike (F(15, 3189 = 7.01, p < .001), η2 = .03), and attitudes towards obese patients (F(15, 3208 = 17.78, p < .001), η2 = .08). Primary care residents (e.g., family medicine, pediatrics) consistently reported lower levels of weight bias than those in specialty programs (e.g., orthopedic surgery, anesthesiology). CONCLUSIONS: This study is the first to report on weight bias in a large, heterogeneous sample of US resident physicians. Problematic levels of weight bias were found in all specialties, with residents in specialty programs generally reporting more bias than those in primary care residencies. Future research should examine which factors contribute to these differences to guide intervention.


Assuntos
Internato e Residência , Médicos , Preconceito de Peso , Criança , Humanos , Estudos Transversais , Estudos Longitudinais , Obesidade , Sobrepeso
11.
Diabet Med ; : e15399, 2024 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-39001647

RESUMO

AIM: This study examines potential intended (attitudes, motivation and self-efficacy) and unintended (stigmatisation of diabetes) consequences of past Australian National Diabetes Week campaign videos. Further, outcomes are compared by the extent to which participants perceived their allocated video as stigmatising diabetes. METHODS: In this cross-sectional, ten-arm study, participants (adults with or without diabetes; 1:2 ratio) were randomly allocated to view one of eight archival diabetes campaign videos (intervention), or either an active or passive control group. Post-exposure, study-specific scales measured diabetes Misconceptions and Seriousness, General and Diabetes Risk-Reduction Motivation and Self-efficacy, and perceptions of video Stigmatisation of diabetes. Scores were compared by condition (intervention vs. control) and by campaign Stigma (highest vs. lowest tertile score), separately by cohort (with or without diabetes). RESULTS: The sample included n = 1023 without diabetes; and n = 510 with diabetes (79% type 2 diabetes). No significant differences in outcomes were observed between conditions (intervention vs. control), with one exception: a modest effect on General Self-efficacy among those without diabetes only. Those perceiving high campaign Stigma (15%), relative to low Stigma (60%), reported significantly greater diabetes Misconceptions, lower perceived Seriousness and (among those without diabetes only) lower General Motivation but higher Diabetes Risk Reduction Motivation. CONCLUSION: Though limited to a single-exposure, we found little meaningful positive influence of past diabetes campaign videos on diabetes attitudes, behavioural intentions or self-efficacy. Further, campaign videos were perceived as stigmatising by a minority-a potential harmful impact. This novel study has implications for the design, implementation and evaluation of future diabetes campaigns.

12.
Am J Obstet Gynecol ; 2024 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-39059596

RESUMO

There has been increasing debate around how or if race and ethnicity should be used in medical research-including the conceptualization of race as a biological entity, a social construct, or a proxy for racism. The objectives of this narrative review are to identify and synthesize reported racial and ethnic inequalities in obstetrics and gynecology (ob/gyn) and develop informed recommendations for racial and ethnic inequity research in ob/gyn. A reproducible search of the 8 highest impact ob/gyn journals was conducted. Articles published between January 1, 2010 and June 30, 2023 containing keywords related to racial and ethnic disparities, bias, prejudice, inequalities, and inequities were included (n=318). Data were abstracted and summarized into 4 themes: 1) access to care, 2) adherence to national guidelines, 3) clinical outcomes, and 4) clinical trial diversity. Research related to each theme was organized topically under the headings i) obstetrics, ii) reproductive medicine, iii) gynecologic cancer, and iv) other. Additionally, interactive tables were developed. These include data on study timeline, population, location, and results for every article. The tables enable readers to filter by journal, publication year, race and ethnicity, and topic. Numerous studies identified adverse reproductive outcomes among racial and ethnic minorities as compared to white patients, which persist despite adjusting for differential access to care, socioeconomic or lifestyle factors, and clinical characteristics. These include higher maternal morbidity and mortality among Black and Hispanic/Latinx patients; reduced success during fertility treatments for Black, Hispanic/Latinx, and Asian patients; and lower survival rates and lower likelihood of receiving guideline concordant care for gynecological cancers for non-White patients. We conclude that many racial and ethnic inequities in ob/gyn cannot be fully attributed to patient characteristics or access to care. Research focused on explaining these disparities based on biological differences incorrectly reinforces the notion of race as a biological trait. More research that deconstructs race and assesses efficacy of interventions to reduce these disparities is needed.

13.
Dev Sci ; 27(5): e13532, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38837632

RESUMO

Despite increases in visibility, gender-nonconforming young people continue to be at risk for bullying and discrimination. Prior work has established that gender essentialism in children correlates with prejudice against people who do not conform to gender norms, but to date no causal link has been established. The present study investigated this link more directly by testing whether children's gender essentialism and prejudice against gender nonconformity can be reduced by exposure to anti-essentialist messaging. Children ages 6-10 years of age (N = 102) in the experimental condition viewed a short video describing similarities between boys and girls and variation within each gender; children in the control condition (N = 102) viewed a corresponding video describing similarities between two types of climate and variation within each. Children then received measures of gender essentialism and prejudice against gender nonconformity. Finally, to ask whether manipulating children's gender essentialism extends to another domain, we included assessments of racial essentialism and prejudice. We found positive correlations between gender essentialism and prejudice against gender nonconformity; both also correlated negatively with participant age. However, we observed no differences between children in the experimental versus control conditions in overall essentialism or prejudice, indicating that our video was largely ineffective in manipulating essentialism. Accordingly, we were unable to provide evidence of a causal relationship between essentialism and prejudice. We did, however, see a difference between conditions on the discreteness measure, which is most closely linked to the wording in the video. This finding suggests that specific aspects of essentialism in young children may be modifiable. RESEARCH HIGHLIGHTS: Consistent with prior research, we found that greater gender essentialism was associated with greater prejudice against gender-nonconforming children; both decreased with age. We randomly assigned children to view either an anti-essentialist video manipulation or a control video to test if this relation was causal in nature. The anti-essentialist video did not reduce overall essentialism as compared to the control, so we did not find support for a causal link. We observed a reduction in the dimension of essentialism most closely linked to the anti-essentialist video language, suggesting the potential utility of anti-essentialist messaging.


Assuntos
Identidade de Gênero , Preconceito , Humanos , Criança , Masculino , Feminino , Sexismo , Bullying/psicologia
14.
Int J Eat Disord ; 2024 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-39022910

RESUMO

OBJECTIVE: Binge-eating disorder (BED) is a strongly stigmatized condition and is often complicated by weight stigma. Research on the intersection between BED and weight stigma is scarce especially in Chinese populations. The present study examined BED stigma in Chinese, whether BED stigma was independent from weight stigma, and whether diagnostic labeling and etiological explanations influenced the degree of BED stigma. METHOD: Using a between-subject experimental vignette study, 642 participants (mean age = 29.74 years, SD = 11.34) were randomly assigned to read one of the 18 vignettes, describing a character with information on BED symptoms, weight status, diagnostic labeling, and etiological explanations, followed by measures of stigma and help-seeking intentions. RESULTS: The character with BED symptoms was ascribed more negative personality characteristics, elicited more negative affective reactions, and triggered greater desired social distance compared to the character without BED symptoms. No evidence for weight stigma was found nor for its interaction with BED stigma. The Cantonese diagnostic label of BED, kwong sik zing, was associated with lower levels of volitional stigma and greater help-seeking intentions than the diagnostic label of eating disorders, jam sik sat tiu, and the absence of labeling. The effect of etiological explanations was only significant in the univariate test, indicating that providing either a psychosocial or a biogenetic etiological explanation lessened the negative evaluations of personality characteristics. DISCUSSION: The present study provided first evidence for BED stigma in Chinese. BED stigma appeared to be attributable to the presence of disordered eating behavior rather than the BED diagnosis.

15.
Arch Sex Behav ; 53(1): 127-140, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-37783952

RESUMO

The current study explored a form of femmephobia (specifically, negative attitudes toward femininity in men) as a predictor of anti-gay behaviors among a sample of heterosexual men (N = 417). Additional predictor variables included hierarchical worldviews (i.e., social dominance orientation, right-wing authoritarianism, narcissism) and prejudicial attitudes (i.e., old-fashioned and modern homonegativity). Femmephobia emerged as a robust predictor, accounting for 23% of the variance in anti-gay behavior, surpassing the explanatory power (15%) of all other considered variables combined. Moreover, social dominance only predicted anti-gay behavior when femmephobia levels were high. Future research on discrimination and violence related to sexual identity and gender expression should incorporate femmephobia as a key predictive factor.


Assuntos
Homossexualidade Masculina , Preconceito , Masculino , Feminino , Humanos , Atitude , Heterossexualidade , Identidade de Gênero
16.
Arch Sex Behav ; 53(8): 3205-3228, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38888703

RESUMO

People tend to select romantic partners who belong to the same social group as themselves (i.e., endogamy). However, there is limited research on the proximal psychological motivations for choosing endogamous relationship partners. The purpose of this research was to develop a measure of motivations for endogamous relationship preferences and to assess whether such motivations were associated with actual dating experiences and attitudes toward endogamy across four common social categories: race and/or ethnicity, religion, social class, and education. Data from an online sample of participants (Study 1, n = 341) were used to generate items assessing motivations for endogamous relationship preferences. This initial set of items was administered to a new sample of participants (Study 2, n = 193) to establish the component structure of the measure and to examine whether the motivational components were associated with participants' past exogamous dating experiences as well as the perceived importance of dating within one's own racial and/or ethnic, religious, socioeconomic, and educational group. Endogamy motivations characterized by intergroup prejudice were the strongest and most consistent correlates of endogamous relationships and the perceived importance of endogamy. Study 3 (n = 332) replicated the component structure of the measure and the general pattern of associations documented in Study 2, and provided evidence for the measure's construct validity. The overall findings suggest that intergroup prejudice partially explains preferences for endogamous relationships.


Assuntos
Motivação , Parceiros Sexuais , Humanos , Feminino , Masculino , Adulto , Parceiros Sexuais/psicologia , Relações Interpessoais , Adulto Jovem , Adolescente , Inquéritos e Questionários , Comportamento de Escolha , Pessoa de Meia-Idade , Comportamento Sexual/psicologia
17.
Pers Soc Psychol Rev ; : 10888683241232732, 2024 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-38459800

RESUMO

ACADEMIC ABSTRACT: Despite increased popular and academic interest, there is conceptual ambiguity about what allyship is and the forms it takes. Viewing allyship as a practice, we introduce the typology of allyship action which organizes the diversity of ways that advantaged individuals seek to support those who are disadvantaged. We characterize allyship actions as reactive (addressing bias when it occurs) and proactive (fostering positive outcomes such as feelings of inclusion, respect, and capacity), both of which can vary in level of analysis (i.e., targeting oneself, one or a few other individuals, or institutions). We use this framework to profile six productive yet largely independent bodies of social psychological literature on social action and directly compare relative benefits and constraints of different actions. We suggest several future directions for empirical research, using the typology of allyship to understand when, where, and how different forms of allyship might succeed. PUBLIC ABSTRACT: Despite increased popular and academic interest in the word, people differ in what they believe allyship is and the forms it takes. Viewing allyship as a practice, we introduce a new way (the typology of allyship action) to describe how advantaged individuals seek to support those who are disadvantaged. We characterize allyship actions as reactive (addressing bias when it occurs) and proactive (increasing positive outcomes such as feelings of inclusion, respect, and capacity), both of which can vary in level (i.e., targeting oneself, one or a few other individuals, or institutions). We use this framework to profile six large yet mostly separate areas of social psychological research on social action and directly compare the relative benefits and limitations of different actions. We suggest several future directions for how the typology of allyship action can help us understand when, where, and how different forms of allyship might succeed.

18.
Pers Soc Psychol Rev ; : 10888683241273350, 2024 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-39282953

RESUMO

ACADEMIC ABSTRACT: How do social stereotypes shape and reflect images formed in the mind's eye? Visual mental imagery has long been assumed crucial in creating, maintaining, and perpetuating stereotypes and prejudice. Surprisingly, research in social cognition has only recently begun to explore the causal role of mental images in these phenomena. In contrast, cognitive neuroscience research on visual mental imagery (VMI) has explored the pivotal role of imagery in various consequential cognitive and behavioral phenomena. However, cognitive neuroscience has largely neglected how stereotypes influence mental imagery. This article provides a historical overview of the development of these two fields in terms of mental imagery and discusses recent advances at their intersection. Opportunities for additional integration are highlighted, and suggestions for furthering the dual study of stereotyping and mental imagery are provided. PUBLIC ABSTRACT: How can social stereotypes impact and mirror visual imagination? It has long been assumed that visual mental imagery plays a central role in forming, maintaining, and strengthening stereotypes and prejudice. Yet, until recently, there has been limited exploration within social psychology and cognitive neuroscience on the explicit connection between visual mental images and social stereotypes. We describe the historical progression of these fields concerning visual imagery and explore recent advancements that unite stereotyping and mental imagery research. Furthermore, we propose avenues for future research to deepen our understanding of how individuals utilize mental images in stereotyping and how mental imagery can modify stereotypes.

19.
Birth ; 2024 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-39297743

RESUMO

BACKGROUND: Weight bias toward individuals with higher body weights in healthcare settings is associated with adverse health behaviors, reduced healthcare utilization, and poor health outcomes. The purpose of this integrative review was to explore: (1) What has been measured and described regarding perinatal care providers' and students' weight bias toward pregnant, birthing, and postpartum individuals with higher body weights? (2) What has been measured and described regarding pregnant, birthing, and postpartum individuals' experiences of weight bias? (3) What is the association of experiences of weight bias with perinatal and mental health outcomes among pregnant, birthing, and postpartum individuals? METHODS: We conducted a systematic search in CINAHL, PubMed, and PsycINFO databases to identify relevant research publications related to the Medical Subject Headings (MeSH) terms weight prejudice (and related terms) and pregnancy (and related terms). The review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), Johns Hopkins Nursing Evidence-Based Practice model for study quality determination, and the Whittemore and Knafl integrative review framework for data extraction and analyses. RESULTS: Twenty-two publications met inclusion criteria, representing six countries and varying study designs. This review found pervasive sources of explicit weight bias in the perinatal period, including care providers and close relationships. Experiences of weight bias among pregnant and postpartum individuals are associated with adverse perinatal and mental health outcomes. DISCUSSION: The findings address a knowledge gap regarding a summary of literature on weight bias in the perinatal period and elucidate its prevalence as well as its negative influence on perinatal and mental health outcomes. Future research efforts on this topic must examine the nature and extent of perinatal care providers' weight bias by demographic factors and explore its association with clinical decision-making and perinatal and mental health outcomes.

20.
Health Expect ; 27(4): e14083, 2024 08.
Artigo em Inglês | MEDLINE | ID: mdl-38943250

RESUMO

OBJECTIVES: Providing personal demographic information is routine practice in the United States, and yet, little is known about the impacts of this process. This study aims to examine the experiences and perspectives of Multiracial/ethnic adults in the United States when disclosing racial/ethnic identity. METHODS: Seventeen semistructured interviews were conducted with adults identifying as Multiracial/ethnic. The Multiracial/ethnic identities of participants included Black or African American and White; Black or African American, American Indian or Alaska Native (AI/AN) and Hispanic or Latino; Black or African American and Hispanic or Latino; Black or African American and AI/AN; AI/AN and White and Asian, Native Hawaiian or Pacific Islander and White. Multiple participants reported identifying with multiple ethnic groups for any single broad category. Three identified as sexual minorities. Nine were Millennials; six were Gen X; one was Gen Z; one was Baby Boomer. Qualitative data were analyzed using staged hybrid inductive-deductive thematic analysis. RESULTS: Disclosure of racial and ethnic identities presents a unique stressor for Multiracial/ethnic populations due to methods used to obtain data, perceived mismatch of identity and phenotype and exposure to prejudice. Social norms, constructs and movements impact the categories that a Multiracial/ethnic person indicates to external parties. CONCLUSIONS: The stress and negative feelings that Multiracial/ethnic adults face when identifying their race/ethnicity underscore the broader implications of standard demographic questions on feelings of inclusivity and visibility within a population. PATIENT OR PUBLIC CONTRIBUTION: Gathering data on individuals' racial and ethnic backgrounds is a standard practice, and yet, it can pose challenges for those who identify with multiple groups or do not see their identities reflected in the options provided. Such individuals may feel excluded or experience unfair treatment when disclosing their identity, leading to significant stress. As the frequency of this data collection increases, it is essential that the questions are posed empathetically and equitably, with a strong commitment to enhancing inclusivity throughout the process.


Assuntos
Etnicidade , Identificação Social , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Revelação , Etnicidade/psicologia , Entrevistas como Assunto , Pesquisa Qualitativa , Grupos Raciais/psicologia , Estados Unidos , Negro ou Afro-Americano , Brancos , Indígena Americano ou Nativo do Alasca , Hispânico ou Latino , Asiático , Havaiano Nativo ou Outro Ilhéu do Pacífico
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