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首页> 外文期刊>Advances in Medical Education and Practice >Race and Gender Differences in Medical Student Perspectives on Social Determinants of Health Education: A Single-Institution Survey Study
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Race and Gender Differences in Medical Student Perspectives on Social Determinants of Health Education: A Single-Institution Survey Study

机译：医学学生对健康教育社会决定因素的种族和性别差异：单机构调查研究

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Purpose:The field of medicine is becoming increasingly aware of the role that social determinants of health (SDH) play in shaping health and health outcomes. Organized medicine - including prominent physician groups and accreditation bodies - has endorsed SDH education as an integral component of medical school curricula. This study sought to describe medical student perspectives on the current state of SDH in preclinical curricula.Methods:The authors developed a 9-item survey to assess time being spent on SDH and attitudes toward the current level of SDH content in preclinical curricula. All medical students at both campuses of a large public medical school were invited to participate between December 2019 and February 2020.Results:Of 1010 medical students invited to participate, 515 (51.0%) responded. Of the 515 respondents, 480 (93.2%) reported spending at least 40 hours per week on medical school, and of those, 405 (84.4%) said they spend 0-2 hours on SDH. The majority of all respondents (62.1%; 320/515) felt the current level of focus on SDH is "not enough", while only eleven students (2.1%; 11/515) felt it is "too much". In a multiple logistic model, Black students were over four times as likely as white students (aOR 4.19; 95% CI 1.37-18.38) to feel the current level of focus on SDH is "not enough". Likewise, women were 2.3-times (aOR 2.30; 95% CI 1.52-3.49) as likely as men to feel the level of focus on SDH is "not enough".Conclusion:In practice, medical students are spending considerably less time learning SDH than is advised by consensus of expert educators and administrators. Over sixty percent of medical students do not feel the current level of focus on SDH is sufficient. Further study is needed to determine why women and racial minority students are significantly more likely to feel this way.? 2021 Shahriar et al.
机译：目的：医学领域正在变得越来越意识到健康（SDH）在塑造健康和健康结果方面发挥的社会决定因素的作用。有组织的医学 - 包括突出的医生群体和认证机构 - 已批准SDH教育作为医学课程的一个组成部分。本研究寻求描述临床前课程中SDH当前状态的医学学生视角。方法：作者开发了一个9项调查，以评估SDH的时间，并朝着临床前课程中的SDH含量水平态度。邀请一所大型公共医学院校园的所有医学生参加2019年12月和2020年12月。结果：1010名医科学生邀请参加，515（51.0％）回应。在515名受访者中，480名（93.2％）报告每周至少花40小时的医学院支出，其中405名（84.4％）表示，他们在SDH上花了0-2小时。所有受访者的大多数（62.1％; 320/515）觉得当前的专注水平对SDH的“不够”是“不够”，而只有11名学生（2.1％; 11/515）觉得它是“太多”。在多个物流模型中，黑人学生可能是白人学生的四倍（AOR 4.19; 95％CI 1.37-18.38），以便感受到SDH上的当前焦点水平“不够”。同样，女性是2.3倍（AOR 2.30; 95％CI 1.52-3.49），因为男性感受到SDH上的重点是“不够”。结论：在实践中，医学学生在学习SDH时花费大幅度而不是通过专家教育者和管理员的共识建议。超过60％的医学生不觉得当前的SDH上的专注水平就足够了。需要进一步研究，以确定为什么女性和种族少数民族学生明显更有可能感受到这种方式。 2021 Shahriar等人。

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