4.2 Article

Pathogen disgust is associated with interpersonal bias among healthcare professionals

Journal

EVOLUTION MEDICINE AND PUBLIC HEALTH
Volume 11, Issue 1, Pages 438-447

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/emph/eoad036

Keywords

disgust; bias; behavioral immune system; health disparities

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The study compared the relationship between pathogen disgust and intergroup bias in healthcare professionals and the general population, finding that although healthcare professionals have lower levels of pathogen disgust, they still exhibit the previously established connection between pathogen disgust and social biases.
Background and objectives Pathogen avoidance is a fundamental motive that shapes many aspects of human behavior including bias against groups stereotypically linked to disease (e.g. immigrants, outgroup members). This link has only been examined in convenience samples and it is unknown how pathogen avoidance processes operate in populations experiencing prolonged and heightened pathogen threat such as healthcare professionals. We examined whether healthcare professionals demonstrate the same link between pathogen disgust and intergroup bias as has been documented among the general population.Methodology Participants (N = 317; 210 healthcare professionals) were recruited using snowball sampling to take an online survey. Participants completed the Three Domain Disgust Scale to assess pathogen, sexual and moral disgust. Participants then rated their perceptions of a fictitious immigrant group ('Krasneeans') and the degree to which they endorsed group-binding moral values.Results Compared to control participants, healthcare professionals reported lower levels of pathogen disgust, but not sexual or moral disgust. However, regardless of profession, higher pathogen disgust was associated with viewing Krasneeans as less likeable and more unclean. Additionally, regardless of profession, higher pathogen disgust was associated with greater endorsement of group-binding moral values, although healthcare professionals reported greater overall endorsement of group-binding moral values than did control participants.Conclusions and implications Although healthcare professionals demonstrated lower levels of pathogen disgust, they nevertheless exhibited largely the same relationship between pathogen disgust and interpersonal biases as did control participants. One practical implication of this association is that pathogen avoidance motives may contribute to inequitable patient treatment in healthcare settings. Past research has shown that pathogen disgust is linked to social biases. We found that, even though healthcare professionals have lower pathogen disgust than people who work in other professions, they nonetheless show the previously documented relationship between pathogen disgust and social biases against people from other groups.

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