Date of Defense

12-4-2025

Date of Graduation

12-2025

Department

Interdisciplinary Health Programs

First Advisor

Jessica Cataldo

Second Advisor

Elyse Connors

Abstract

Implicit racial and ethnic bias among healthcare providers plays a signifi cant role in shaping clinical decision-making, patient-provider interactions, and health outcomes in the United States. Drawing on the theoretical frameworks of social cognitive theory, dual process theory, implicit cognition theory, and critical race theory, the research explores how unconscious attitudes infl uence behavior and contribute to disparities, particularly in pain management, maternal health, and mental health, where inequities are well documented and deeply consequential. Evidence explains that implicit bias leads to diagnostic inconsistencies, unequal treatment escalation, impaired communication, and reduced trust among marginalized communities. While tools like the Implicit Association Test and current interventions facilitate self-awareness, they show limited reliability as measures of lasting behavioral change. Sustained progress requires combining individual-level strategies, such as mindfulness, cultural humility, counter-sterotyping, and habit formation with institutional reforms that promote diversity, accountability, and equitable clinical environments. Recommendations emphasize the need for long-term, evidence-based interventions supported by systemic policy changes to reduce racial and ethnic disparities and advance health equity.

Access Setting

Honors Thesis-Restricted

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