3 ms·

Another wrinkle to the problem with that gatekeeping structure is that it is so prone to bias against women and people of color, who are much more likely to be

Another wrinkle to the problem with that gatekeeping structure is that it is so prone to bias against women and people of color, who are much more likely to be undiagnosed and ignored or dismissed.

lostlogin 4y ago
Could someone explain what’s inaccurate here? Edit: It originally appears to be getting heavily downvoted.
- clankyclanker 4y ago
  Nothing is inaccurate. Here's a few primary and secondary sources. https://www.health.harvard.edu/blog/women-and-pain-disparities-in-experience-and-treatment-2017100912562 https://www.health.harvard.edu/blog/women-and-pain-dispariti... > a 2000 study[0] published in The New England Journal of Medicine found that women are seven times more likely than men to be misdiagnosed and discharged in the middle of having a heart attack. 0: http://www.nejm.org/doi/full/10.1056/NEJM200008243430809 http://www.nejm.org/doi/full/10.1056/NEJM200008243430809 https://www.independent.co.uk/life-style/health-and-families/health-news/how-sexist-stereotypes-mean-doctors-ignore-women-s-pain-a7157931.html https://www.independent.co.uk/life-style/health-and-families... > women with chronic pain conditions are more likely to be wrongly diagnosed with mental health conditions than men and prescribed psychotropic drugs, as doctors dismiss their symptoms as hysterics [1]. 1: https://psycnet.apa.org/record/1990-98104-000 https://psycnet.apa.org/record/1990-98104-000 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843483/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843483/ > racial bias in pain perception is associated with racial bias in pain treatment recommendations... Black Americans are systematically undertreated for pain relative to white Americans.
- clankyclanker 4y ago
  (To contextualize the votes: I think you were getting down voted for assuming that sexual and racial bias don’t exist. You assumed the statement mentioning that such biases existed was inaccurate and wanted explanation as to how. However, per my other comment, the biases exist and contribute to significant negative health outcomes for the disadvantaged groups.)
  - lostlogin 4y ago
    > I think you were getting down voted for assuming that sexual and racial bias don’t exist I agree that they do exists and am aware of the research showing it. I work in healthcare. I didn’t make the grandparent comment that got downvoted but was interested to know why it was happening.
tomrod 4y ago
I'm not sure why this is being downvoted. This is a legitimate issue, divorced from politics completely (politics usually result in downvotes). [0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638275/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638275/ [1] https://www.medicalnewstoday.com/articles/gender-bias-in-healthcare#what-is-gender-bias https://www.medicalnewstoday.com/articles/gender-bias-in-hea...

Another wrinkle to the problem with that gatekeeping structure is that it is so prone to bias against women and people of color, who are much more likely to be undiagnosed and ignored or dismissed.

lostlogin 4y ago

Could someone explain what’s inaccurate here? Edit: It originally appears to be getting heavily downvoted.

clankyclanker 4y ago
Nothing is inaccurate. Here's a few primary and secondary sources. https://www.health.harvard.edu/blog/women-and-pain-disparities-in-experience-and-treatment-2017100912562 https://www.health.harvard.edu/blog/women-and-pain-dispariti... > a 2000 study[0] published in The New England Journal of Medicine found that women are seven times more likely than men to be misdiagnosed and discharged in the middle of having a heart attack. 0: http://www.nejm.org/doi/full/10.1056/NEJM200008243430809 http://www.nejm.org/doi/full/10.1056/NEJM200008243430809 https://www.independent.co.uk/life-style/health-and-families/health-news/how-sexist-stereotypes-mean-doctors-ignore-women-s-pain-a7157931.html https://www.independent.co.uk/life-style/health-and-families... > women with chronic pain conditions are more likely to be wrongly diagnosed with mental health conditions than men and prescribed psychotropic drugs, as doctors dismiss their symptoms as hysterics [1]. 1: https://psycnet.apa.org/record/1990-98104-000 https://psycnet.apa.org/record/1990-98104-000 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843483/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843483/ > racial bias in pain perception is associated with racial bias in pain treatment recommendations... Black Americans are systematically undertreated for pain relative to white Americans.
clankyclanker 4y ago
(To contextualize the votes: I think you were getting down voted for assuming that sexual and racial bias don’t exist. You assumed the statement mentioning that such biases existed was inaccurate and wanted explanation as to how. However, per my other comment, the biases exist and contribute to significant negative health outcomes for the disadvantaged groups.)
- lostlogin 4y ago
  > I think you were getting down voted for assuming that sexual and racial bias don’t exist I agree that they do exists and am aware of the research showing it. I work in healthcare. I didn’t make the grandparent comment that got downvoted but was interested to know why it was happening.

tomrod 4y ago

I'm not sure why this is being downvoted. This is a legitimate issue, divorced from politics completely (politics usually result in downvotes). [0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638275/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638275/ [1] https://www.medicalnewstoday.com/articles/gender-bias-in-healthcare#what-is-gender-bias https://www.medicalnewstoday.com/articles/gender-bias-in-hea...