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.

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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