Full Citation
Title: Association Between Perceived Medical School Diversity Climate and Change in Depressive Symptoms Among Medical Students: A Report from the Medical Student CHANGE Study
Citation Type: Journal Article
Publication Year: 2016
ISBN:
ISSN: 00279684
DOI: 10.1016/j.jnma.2016.08.005
NSFID:
PMCID:
PMID: 27979008
Abstract: PURPOSE To determine whether perceptions of the medical school diversity climate are associated with depression symptoms among medical students. METHODS Longitudinal web-based survey conducted in the fall of 2010 and spring of 2014 administered to a national sample of medical students enrolled in 49 schools across the U.S. (n = 3756). Negative diversity climate measured by perceptions of the institution's racial climate; exposure to negative role modeling by medical educators; frequency of witnessing discrimination in medical school. Depression symptoms measured by the PROMIS Emotional Distress-Depression Short-Form. RESULTS 64% of students reported a negative racial climate; 81% reported witnessing discrimination toward other students at least once, and 94% reported witnessing negative role modeling. Negative racial climate, witnessed discrimination, and negative role modeling were independently and significantly associated with an increase in depression symptoms between baseline and follow-up. Adjusting for students' personal experiences of mistreatment, associations between depressive symptoms and negative racial climate and negative role modeling, remained significant (.72 [.51-.93]; .33 [.12-.54], respectively). CONCLUSIONS Among medical students, greater exposure to a negative medical school diversity climate was associated with an increase in self-reported depressive symptoms.
Url: http://www.ncbi.nlm.nih.gov/pubmed/27979008
Url: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC5171227
Url: http://linkinghub.elsevier.com/retrieve/pii/S0027968416301018
User Submitted?: No
Authors: Hardeman, Rachel; Przedworski, Julia M; Burke, Sara E.; Burgess, Diana J.; Perry, Sylvia P.; Phelan, Sean M.; Dovidio, John F.; van Ryn, Michelle
Periodical (Full): Journal of the National Medical Association
Issue: 4
Volume: 108
Pages: 225-235
Countries: