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. 2015 Sep;105(9):1831–1841. doi: 10.2105/AJPH.2015.302631

TABLE 3—

Implicit and Explicit Sexual Orientation Attitudes Measures: Provider Type and Race and Ethnicity, Sexuality Implicit Association Test, May 2006–December 2012

Implicit Toward Lesbian Women
Implicit Toward Gay Men
Explicit Toward Lesbian Women or Gay Men
Characteristic No. Meana (SD) Cohen db (95% CI) No. Meana (SD) Cohen db (95% CI) No. Meanc (SD) Cohen d (95% CI)
Medical doctor
 White 780 0.21 (0.49) 0.43 (0.40, 0.46) 753 0.29 (0.47) 0.62 (0.59, 0.65) 1 542 0.44 (1.25) 0.35 (0.29, 0.41)
 Black/African American 49 0.32 (0.47) 0.68 (0.55, 0.81) 55 0.43 (0.50) 0.86 (0.73, 0.99) 113 0.80 (1.3) 0.62 (0.38, 0.86)
 Asian 138 0.40 (0.45) 0.89 (0.81, 0.97) 158 0.38 (0.43) 0.88 (0.81, 0.95) 298 0.90 (1.31) 0.69 (0.54, 0.84)
 Hispanic 83 0.25 (0.45) 0.56 (0.46, 0.66) 58 0.37 (0.38) 0.97 (0.87, 1.07) 148 0.37 (1.35) 0.27 (0.05, 0.49)
Nurse
 White 2 036 0.30 (0.47) 0.64 (0.62, 0.66) 1 976 0.43 (0.45) 0.96 (0.94, 0.98) 4 053 0.55 (1.18) 0.47 (0.43, 0.51)
 Black/African American 205 0.59 (0.45) 1.31 (1.25, 1.37) 176 0.62 (0.40) 1.55 (1.49, 1.61) 390 1.26 (1.39) 0.91 (0.77, 1.05)
 Asian 50 0.47 (0.42) 1.12 (1.00, 1.24) 72 0.45 (0.46) 0.98 (0.87, 1.09) 128 0.91 (1.35) 0.67 (0.44, 0.90)
 Hispanic 129 0.33 (0.54) 0.61 (0.52, 0.70) 134 0.44 (0.41) 1.07 (1.00, 1.14) 267 0.65 (1.21) 0.54 (0.39, 0.69)
Mental health provider
 White 3 017 0.1 (0.48) 0.21 (0.19, 0.23) 2 985 0.28 (0.46) 0.61 (0.59, 0.63) 6 043 0.15 (1.08) 0.14 (0.11, 0.17)
 Black/African American 380 0.43 (0.52) 0.83 (0.78, 0.88) 378 0.53 (0.46) 1.15 (1.10, 1.20) 794 0.81 (1.41) 0.57 (0.47, 0.67)
 Asian 102 0.08 (0.52) 0.15 (0.05, 0.25) 82 0.25 (0.45) 0.56 (0.46, 0.66) 185 0.05 (1.17) 0.04 (0.13, 0.21)
 Hispanic 319 0.23 (0.49) 0.47 (0.42, 0.52) 308 0.35 (0.48) 0.73 (0.68, 0.78) 639 0.33 (1.18) 0.28 (0.19, 0.37)
Other diagnostic providers
 White 1 009 0.18 (0.49) 0.37 (0.34, 0.40) 934 0.3 (0.49) 0.61 (0.58, 0.64) 1 938 0.36 (1.17) 0.31 (0.26, 0.36)
 Black/African American 44 0.32 (0.50) 0.64 (0.49, 0.79) 37 0.51 (0.39) 1.31 (1.18, 1.44) 83 0.69 (1.15) 0.60 (0.35, 0.85)
 Asian 113 0.28 (0.49) 0.57 (0.48, 0.66) 127 0.33 (0.46) 0.72 (0.64, 0.80) 240 0.67 (1.18) 0.57 (0.42, 0.72)
 Hispanic 64 0.21 (0.41) 0.51 (0.41, 0.61) 77 0.4 (0.47) 0.85 (0.75, 0.95) 153 0.52 (1.29) 0.40 (0.20, 0.60)
Nonproviders
 White 72 478 0.23 (0.50) 0.46 (0.46, 0.46) 72 073 0.36 (0.47) 0.77 (0.77, 0.77) 146 161 0.50 (1.26) 0.40 (0.39, 0.41)
 Black/African American 7 337 0.49 (0.49) 1.00 (0.99, 1.01) 7 375 0.56 (0.46) 1.22 (1.21, 1.23) 15 135 0.97 (1.47) 0.66 (0.64, 0.68)
 Asian 4 163 0.34 (0.48) 0.71 (0.70, 0.72) 4 119 0.40 (0.47) 0.85 (0.84, 0.86) 8 654 0.79 (1.39) 0.57 (0.54, 0.60)
 Hispanic 8 591 0.31 (0.50) 0.62 (0.61, 0.63) 8 687 0.41 (0.47) 0.87 (0.86, 0.88) 17 718 0.61 (1.34) 0.46 (0.44, 0.48)

Note. CI = confidence interval.

a

Implicit and explicit measures range from −2 to +2, with zero indicating no bias. A positive mean indicates some degree of preference for heterosexual persons; a negative mean indicates some degree of preference for lesbian or gay persons.

b

Effect size: Cohen d is a standardized effect size, comparing the mean to mean = 0 (no bias), interpreted as d of 0.2 = small effect; d of 0.5 = medium effect; and d of 0.8 or greater = large effect.

c

Explicit measures range from −3 to +3, with zero indicating no bias. A positive mean indicates some degree of preference for heterosexual persons; a negative mean indicates some degree of preference for lesbian or gay persons.