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Published on: July 10, 2017
Security and Violence Perception of Medical Interns during Social Service Practice in Mexico
Margarita L Martinez-Fierro1, Miguel A Ramirez-Madrigal1, Rosa Martha Covarrubias-Carrillo1
1Academic Unit of Human Medicine and Health Sciences, Autonomous University of Zacatecas, Zacatecas 98040, Mexico.
Abstract:
The increase of insecurity levels in Mexico, as well as the fact that violence is a frequent experience among health personnel, motivated this study whose purpose was to evaluate the perception of security and violence that social service medical interns (SSMI) had on the institutions and localities where they carried out their social work and make visible the main types of violence to which they were exposed. This was a cross-sectional study, based on a perception survey self-administered to 157 SSMI from Zacatecas, in Mexico. A high proportion of the participants (75.8%) stated that they were victims of violence, describing 134 incidents; however, only 33.6% of SSMI made an official report. The reported incidents were related to organized crime (31.9%), verbal violence (20.6%), violence by the authorities (14.7%) and sexual harassment (11.8%). One hundred percent of the victims of sexual harassment were women (p = 0.039). According to the above, it is a priority to generate strategies to prevent and reduce the risk of exposure to the violence generated in the medical units and communities where SSMI carry out their activities as medical graduates, as well as, to efficiently process formal violence reports to promote a safe environment that favors the fulfillment of the practice of SSMIs in Mexico.
Insights
Most medical interns in Mexico experience violence, with organized crime and verbal aggression being common. Few incidents are officially reported, highlighting the need for improved safety strategies and reporting processes for healthcare professionals.
Area of Science:
- Medical Education
- Public Health
- Sociology of Health
Background:
- Rising insecurity in Mexico impacts healthcare settings.
- Violence is a prevalent issue for health personnel.
- Social Service Medical Interns (SSMI) face unique risks.
Purpose of the Study:
- To assess SSMI perceptions of security and violence during their social service.
- To identify the types of violence experienced by SSMIs.
- To inform safety strategies for medical trainees in Mexico.
Main Methods:
- Cross-sectional study design.
- Perception survey administered to 157 SSMIs in Zacatecas, Mexico.
- Analysis of reported violence incidents and reporting rates.
Main Results:
- 75.8% of SSMIs reported experiencing violence, with 134 incidents documented.
- Common violence types included organized crime (31.9%), verbal aggression (20.6%), and authority-related violence (14.7%).
- Sexual harassment affected 11.8% of participants, with all victims being women (p=0.039).
- Only 33.6% of violent incidents were officially reported.
Conclusions:
- Urgent need for strategies to prevent and mitigate violence exposure for SSMIs.
- Enhancing formal reporting mechanisms for violence is crucial.
- Creating a safer environment is essential for effective SSMI training and practice.
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