Estimating Implicit and Explicit Gender Leadership Bias among Primary Healthcare Professionals in Saudi Arabia

Int J Environ Res Public Health. 2022 Nov 29;19(23):15871. doi: 10.3390/ijerph192315871.

Abstract

(1) Background: Women have become more influential and powerful; however, implicit bias continues to plague organizations when it comes to women in leadership positions. This study examines the implicit and explicit biases that favor men as leaders among Saudi Arabian primary healthcare professionals. (2) Methods: A secure, web-based survey was administered to primary healthcare professionals. The survey included questions about leadership as well as an Implicit Association Test (IAT) for implicit gender bias. (3) Results: Out of 690 eligible, 448 respondents completed the survey, representing a response rate of 65%. Male residents had a mean IAT score of 0.27 (SD 0.31) and females 0.12 (SD 0.29), both favoring males in leadership roles, and the difference was statistically significant. There was a significant association between gender and gender IAT. In the explicit bias, gender, education, gender of the current manager, and being manager were associated with the gender explicit bias. Explicit bias favoring males in leadership roles was associated with increased implicit bias favoring males in leadership roles. (4) Conclusions: This study found that explicit and implicit gender bias is present among primary healthcare professionals favoring men in leadership positions held by both men and women.

Keywords: gender bias; implicit; implicit association test; women leaders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Female
  • Health Personnel*
  • Humans
  • Leadership
  • Male
  • Primary Health Care
  • Saudi Arabia
  • Sexism*

Grants and funding

The authors extend their appreciation to the Department Studies and Research at King Abdulaziz Center for National Dialogue in Saudi Arabia, for funding this research work through project number M/6.