Stressors among underrepresented in medicine and racially minoritized students: vigilance, discrimination and well-being

被引：1

作者：

Ozuna-Harrison, Rico ^{[1
]}

Ortiz, Daniella ^{[2
]}

Buchanan, Diamond ^{[1
]}

Tubbs, Darrell ^{[1
]}

Evans, Julie ^{[1
]}

Natusko, Niki ^{[1
]}

Sandhu, Gurjit ^{[1
]}

机构：

[1] Univ Michigan, Dept Surg, Michigan Med, 1500 E Med Ctr Dr, Ann Arbor, MI 48109 USA

[2] Univ North Carolina Hosp, Chapel Hill, NC USA

来源：

GLOBAL SURGICAL EDUCATION - JOURNAL OF THE ASSOCIATION FOR SURGICAL EDUCATION | 2023年 / 3卷 / 01期

关键词：

Vigilance; Discrimination; Well-being; Medical students; QUALITY-OF-LIFE; HEALTH; RACISM; BLACK; RACE; VALIDATION; ACTIVATION; VALIDITY;

D O I：

10.1007/s44186-023-00210-9

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

PurposeThe purpose of this study was to evaluate the prevalence of vigilance, everyday discrimination, and well-being among medical students. Vigilance, the daily burden of anticipating discrimination, can negatively impact the mental and physical health of racially minoritized individuals. Little research has been conducted on vigilance, and its relationship to everyday discrimination, well-being, or self-perception of academic success.MethodsThis cross-sectional study used a survey-based design to evaluate vigilance, everyday discrimination, well-being, and self-perception of academic performance. Data were collected at a midwestern medical school via a Qualtrics survey distributed in June of 2021. A total of 690 medical students were invited to participate in this study.ResultsA total of 334 students completed the survey (48% response rate). Most respondents were females (n = 204, 61.63%) and White (n = 218; 60.06%). Two-sample t tests show a significant difference in vigilance scores was found between White medical students (M = 7.34, SD = 3.83) and racially minoritized (underrepresented in medicine and Asian) medical students (M = 9.0, SD = 3.91); t(310) = - 3.69, p = [0.0003]. The mean vigilance score among URiM/Asian students were 18.5% higher than White students. Well-being scores were not significantly different between White medical students (M = 53.0, SD = 19.26) and URiM/Asian medical students (M = 53.43, SD = 20.70; t(311) = - 0.16 p = [0.871]. Vigilance scores were negatively correlated with well-being scores (R = - 0.37; p = 0.000). Discrimination was positively correlated with vigilance (R = 0.62; p = 0.000) and negatively correlated with well-being (R = - 0.30; p = 0.000).ConclusionHigher vigilance among URiM/Asian students correlated with heightened experiences of discrimination. Our two groups of interest, URiM/Asian and White students, did not show significant differences in well-being despite a significant negative correlation between vigilance and well-being. A broader medical school support system may reduce vigilance and positively impact URiM/Asian student success.

引用

页数：6