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Examining unconscious bias embedded in provider language regarding children with autism

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  • Dominique H. Como
  • Lucía I. Floríndez
  • Christine F. Tran
  • Sharon A. Cermak
  • Leah I. Stein Duker

Abstract

In healthcare settings, language used by healthcare providers can influence provider–patient encounters with individuals with autism spectrum disorder, impacting feelings of stigma and marginalization. This study highlights the unconscious biases healthcare providers might have regarding their patients with autism spectrum disorder and how those beliefs are articulated. Seven pediatric dentists participated in two focus groups to describe strategies to improve oral care for children with autism spectrum disorder. While completing the primary analyses, additional codes emerged related to healthcare provider biases; these data are the focus of this study. Three themes were identified: (i) “healthcare microaggressions” describe how healthcare providers portray their patients in subtly negative ways; (ii) “marginalization” denotes the use of exclusionary language identifying children with autism spectrum disorder as different; and (iii) “preconceptions” include comments that highlight biases about patients. The findings provide insight into the implicit biases that might be held by healthcare providers and how they manifest in language. Despite increased emphasis on cultural competency, healthcare providers might unconsciously use language that could negatively impact patient–provider rapport and increase stigma in already marginalized populations. Further research is necessary to explore how these biases could relate to quality of care.

Suggested Citation

  • Dominique H. Como & Lucía I. Floríndez & Christine F. Tran & Sharon A. Cermak & Leah I. Stein Duker, 2020. "Examining unconscious bias embedded in provider language regarding children with autism," Nursing & Health Sciences, John Wiley & Sons, vol. 22(2), pages 197-204, June.
  • Handle: RePEc:wly:nuhsci:v:22:y:2020:i:2:p:197-204
    DOI: 10.1111/nhs.12617
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    References listed on IDEAS

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    1. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    2. Hall, W.J. & Chapman, M.V. & Lee, K.M. & Merino, Y.M. & Thomas, T.W. & Payne, B.K. & Eng, E. & Day, S.H. & Coyne-Beasley, T., 2015. "Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: A systematic review," American Journal of Public Health, American Public Health Association, vol. 105(12), pages 60-76.
    3. Mitchell, D.A. & Lassiter, S.L., 2006. "Addressing health care disparities and increasing workforce diversity: The next step for the dental, medical, and public health professions," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2093-2097.
    4. Tajeu, G.S. & Cherrington, A.L. & Andreae, L. & Prince, C. & Holt, C.L. & Halanych, J.H., 2015. ""We'll get to you when we get to you": Exploring potential contributions of health care staff behaviors to patient perceptions of discrimination and satisfaction," American Journal of Public Health, American Public Health Association, vol. 105(10), pages 2076-2082.
    5. Sabin, J.A. & Greenwald, A.G., 2012. "The influence of implicit bias on treatment recommendations for 4 common pediatric conditions: Pain, urinary tract infection, attention deficit hyperactivity disorder, and asthma," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 988-995.
    6. Green, Sara E., 2003. ""What do you mean 'what's wrong with her?'": stigma and the lives of families of children with disabilities," Social Science & Medicine, Elsevier, vol. 57(8), pages 1361-1374, October.
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    Cited by:

    1. Dominique H. Como & Lucía I. Floríndez-Cox & Leah I. Stein Duker & Sharon A. Cermak, 2022. "Oral Health Barriers for African American Caregivers of Autistic Children," IJERPH, MDPI, vol. 19(24), pages 1-14, December.

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