医学学生之间的歧视经验
Mytien Nguyen1, Shruthi Venkataraman2, Gabriel Abrams3
1Department of Immunobiology, Yale School of Medicine, New Haven, Connecticut.
JAMA network open
|October 16, 2025
概括
患有残疾的医学学生 (MSWD) 面临更高的一般性,基于性别和基于种族的歧视. 交叉分析显示,亚裔,黑人和西班牙裔女性MSWD的歧视风险增加.
科学领域:
- 医学教育 医学教育
- 健康差异 在健康上的差异
- 健康的社会决定因素
背景情况:
- 在医学院的歧视影响学生基于种族,种族,性别和性取向.
- 医学学生残疾人之间的歧视经验和交叉身份的影响被研究不足.
研究的目的:
- 调查残疾状况,性别,种族和种族之间的关联以及医学院的一般性,基于性别和基于种族的歧视经验.
- 探索这些身份对歧视的交叉影响.
主要方法:
- 横截面研究调查美国认可的MD授予机构 (2020-2022) 的毕业医学学生.
- 修改Poisson回归被用于计算各种歧视类型的相对风险.
- 分析包括残疾状况,性别,种族,种族及其交叉点.
主要成果:
- 与没有残疾的同龄人相比,残疾医学生 (MSWD) 报告的一般性 (RR, 1.57),基于性别 (RR, 1.64),基于种族 (RR, 1.55) 和多重歧视 (RR, 1.82) 的比率更高.
- 与没有残疾的白人男性学生相比,亚裔,黑人和西班牙裔女性MSWD的一般和基于种族的歧视风险明显更高.
- 特定的交叉群体,如亚裔和黑人女性MSWD,显示出多种类型歧视的相对风险最高.
结论:
- 残疾身份独立地与医学院歧视的增加有关.
- 交叉身份,特别是有残疾的有色人种女学生,放大了歧视的经历.
- 解决交叉形式的歧视对于支持残疾医学生至关重要.
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