US Provider Bias in IUD Removal Practices in Regards to Race

student standing in conference center, presenting her research

Geffan Pearlson conducted her summer internship with Dr. Jennifer Kerns at UCSF. Her summer was spent working on her Joint Medical Program master’s thesis research project.This study was designed to assess provider bias in IUD removal practices, specifically whether patient characteristic of race affects whether providers encourage a woman to continue using her IUDwhen she is asking for it to be removed early. The study used standardized patient video vignettes. The primary predictor was race, and covariates were parity and SES. Participants were medical providers (family medicine physicians, OBGYNs, nurse midwives, nurse practitioners, and physician assistants) recruited at national and regional conferences. After viewing the video, participants were asked to answer a brief survey. The main outcome was whether or not the provider encouraged the patient to continue using her IUD. The hypothesis was that providers would be more likely to encourage women of color (Black and Latina women) to continue IUD use compared to White women. Geffan spent the summer working with her mentorship team to design the survey and video vignettes, finalized study design and sample size calculations, obtained IRB approval, and began work on her literature review. In the photo, she is recruiting participants at the North American Forum on Family Planning held in New Orleans.