Racial bias in perceptions of children's pain.

Kevin M Summers, Shane Pitts, E Paige Lloyd
Author Information
  1. Kevin M Summers: Department of Psychology, University of Denver. ORCID
  2. Shane Pitts: Department of Psychology, University of Alabama at Birmingham.
  3. E Paige Lloyd: Department of Psychology, University of Denver.

Abstract

Across eight experiments, we investigated whether adult perceivers (both lay perceivers and elementary school teachers) evaluate children's pain differently depending on the child's race. We found evidence that adults varying in racial and ethnic identities (but primarily White) believed 4- to 6-year-old Black children felt less pain than 4- to 6-year-old White children (Experiments 1-7), and this effect was not moderated by child sex (Experiments 6-7). We also examined perceptions of life hardship as a mediator of this race-to-pain effect, finding that adults evaluated Black children as having lived harder lives and thus as feeling less pain than White children (Experiments 1-3). Finally, we examined downstream consequences for hypothetical treatment recommendations among samples of both lay perceivers and elementary school teachers. We found that adults' perceptions of pain sensitivity were linked with hypothetical pain treatment decisions (Experiments 5a-7). Thus, we consistently observed that adults' race-based pain stereotypes biased evaluations of 4- to 6-year-old children's pain and may influence pain care. This racial bias in evaluations of young children's pain has implications for psychological theory and equitable treatment of children's pain. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

References

  1. J Pers Soc Psychol. 2014 Apr;106(4):526-45 [PMID: 24564373]
  2. Am J Emerg Med. 2019 Sep;37(9):1770-1777 [PMID: 31186154]
  3. Behav Res Methods. 2017 Apr;49(2):433-442 [PMID: 27071389]
  4. JAMA Pediatr. 2015 Nov;169(11):996-1002 [PMID: 26366984]
  5. J Exp Soc Psychol. 2023 Nov;109: [PMID: 38046638]
  6. J Adv Nurs. 2020 Jan;76(1):34-46 [PMID: 31566791]
  7. Am Psychol. 2001 Feb;56(2):109-18 [PMID: 11279804]
  8. Pain. 2019 Oct;160(10):2229-2240 [PMID: 31568099]
  9. Group Process Intergroup Relat. 2016 Jul;19(4):528-542 [PMID: 27547105]
  10. J Pediatr Psychol. 2008 Oct;33(9):939-55; discussion 956-7 [PMID: 18024983]
  11. Psychol Sci. 2013 Apr;24(4):498-506 [PMID: 23474830]
  12. Pain. 2011 May;152(5):1001-1006 [PMID: 21277087]
  13. PLoS One. 2018 Sep 12;13(9):e0201696 [PMID: 30208023]
  14. Psychosom Med. 2001 Mar-Apr;63(2):316-23 [PMID: 11292281]
  15. PLoS One. 2012;7(11):e48546 [PMID: 23155390]
  16. Pediatrics. 2020 May;145(5): [PMID: 32312910]
  17. J Exp Psychol Gen. 2019 May;148(5):863-889 [PMID: 31070440]
  18. Am Psychol. 2009 Apr;64(3):170-80 [PMID: 19348518]
  19. J Appl Soc Psychol. 2016 Dec;46(12):718-723 [PMID: 28496282]
  20. Front Psychol. 2019 Jan 30;10:11 [PMID: 30761032]
  21. J Pediatr. 2014 Sep;165(3):618-21 [PMID: 24928697]
  22. Br J Dev Psychol. 2014 Jun;32(2):218-31 [PMID: 24576067]
  23. J Pers Soc Psychol. 2022 Oct;123(4):763-787 [PMID: 35025602]
  24. J Exp Psychol Appl. 2024 Mar;30(1):135-155 [PMID: 37676168]
  25. J Pers Soc Psychol. 2012 Jan;102(1):116-31 [PMID: 21875229]
  26. Proc Natl Acad Sci U S A. 2016 Apr 19;113(16):4296-301 [PMID: 27044069]
  27. Psychol Methods. 2017 Mar;22(1):6-27 [PMID: 27362267]
  28. Pain Med. 2006 Mar-Apr;7(2):119-34 [PMID: 16634725]
  29. Emotion. 2014 Dec;14(6):1115-1124 [PMID: 25401289]
  30. Psychol Sci. 2016 Mar;27(3):384-93 [PMID: 26833757]
  31. Pain. 2018 Oct;159(10):2050-2057 [PMID: 29794611]
  32. Pain Med. 2003 Sep;4(3):277-94 [PMID: 12974827]
  33. PLoS One. 2021 Oct 27;16(10):e0257794 [PMID: 34705826]
  34. J Pain. 2012 Mar;13(3):220-7 [PMID: 22225969]
  35. Adv Child Dev Behav. 2016;50:31-73 [PMID: 26956069]
  36. J Soc Psychol. 2018;158(6):721-729 [PMID: 29173126]
  37. J Pain. 2009 Dec;10(12):1187-204 [PMID: 19944378]
  38. Am Psychol. 1997 Dec;52(12):1280-300 [PMID: 9414606]
  39. Front Psychol. 2015 Jan 06;5:1532 [PMID: 25610415]
  40. Behav Res Methods. 2007 May;39(2):175-91 [PMID: 17695343]
  41. J Gen Intern Med. 2013 Dec;28(12):1604-10 [PMID: 23797920]
  42. Behav Res Methods. 2015 Dec;47(4):1122-1135 [PMID: 25582810]
  43. Am J Public Health. 2012 May;102(5):988-95 [PMID: 22420817]
  44. Pain. 2007 May;129(1-2):177-84 [PMID: 17296267]
  45. Psychol Bull. 2005 Mar;131(2):202-23 [PMID: 15740417]
  46. J Pers Soc Psychol. 1995 Sep;69(3):397-407 [PMID: 7562387]
  47. Annu Rev Clin Psychol. 2011;7:411-34 [PMID: 21128783]
  48. Pers Soc Psychol Bull. 2011 Sep;37(9):1274-81 [PMID: 21566078]
  49. Psychol Aging. 2014 Sep;29(3):469-81 [PMID: 25244468]
  50. Pers Soc Psychol Bull. 2019 Oct;45(10):1427-1439 [PMID: 30895905]
  51. Emotion. 2021 Aug;21(5):932-950 [PMID: 33661666]
  52. Pain. 2003 Jul;104(1-2):259-64 [PMID: 12855336]
  53. Perspect Psychol Sci. 2015 Jul;10(4):451-63 [PMID: 26177947]
  54. Nat Neurosci. 2016 Jun;19(6):795-7 [PMID: 27135216]
  55. Pain. 2011 Jun;152(6):1349-1357 [PMID: 21396777]

Grants

  1. K01 MD017287/NIMHD NIH HHS

MeSH Term

Child
Adult
Humans
Child, Preschool
Racism
Pain

Word Cloud

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