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父母社会经济地位(SES)与医学生个人及职业发展之间的关联。

The association between parental socioeconomic status (SES) and medical students' personal and professional development.

作者信息

Fan Angela P C, Chen Chen-Huan, Su Tong-Ping, Shih Wan-Jing, Lee Chen-Hsen, Hou Sheng-Mou

机构信息

Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan.

出版信息

Ann Acad Med Singap. 2007 Sep;36(9):735-42.

Abstract

INTRODUCTION

In order to commit to their mission and placement requirements, medical education policy-makers are required to understand the background and character of students in order to admit, cultivate and support them efficiently and effectively.

MATERIALS AND METHODS

This study sample consisted of 408 homogeneous medical students with the same level of education, occupation, school and societal environment. They differed mainly in their family background. Therefore, this study used part of a multidimensional "student portfolio system" database to assess the correlation between family status (indexed by parental education and occupation) and medical students' mental health status and characters. The controls were a group of 181 non-medical students in another university.

RESULTS

The parents of the medical students were from a higher socioeconomic status (SES) than the parents of those in the control group. This showed the heritability of genetic and environment conditions as well as the socioeconomic forces at play in medical education. Students' personal and professional development were associated with their parents' SES. The mother's SES was associated with the student's selfreported stress, mental disturbances, attitude towards life, personality, health, discipline, internationalisation and professionalism. The fathers' SES did not show a statistically significant association with the above stress, physical and mental health factors, but showed an association with some of the personality factors. The greater the educational difference between both parents, the more stress, hopelessness and pessimism the student manifested.

CONCLUSIONS

Medical educators need to be aware that socioeconomic factors have meaningful patterns of association with students' mental and physical health, and their characters relating to personal and professional development. Low maternal SES negatively influences medical students' personal and professional development, suggesting that medical education policy-makers need to initiate support mechanisms for those with latent vulnerability.

摘要

引言

为了践行其使命和招生要求,医学教育政策制定者需要了解学生的背景和特点,以便高效且有效地录取、培养和支持他们。

材料与方法

本研究样本由408名教育水平、职业、学校和社会环境相同的同质化医学生组成。他们主要在家庭背景方面存在差异。因此,本研究使用了多维“学生档案系统”数据库的一部分来评估家庭状况(以父母的教育程度和职业为指标)与医学生心理健康状况及性格之间的相关性。对照组是另一所大学的181名非医学生。

结果

医学生的父母社会经济地位(SES)高于对照组学生的父母。这显示了遗传和环境条件的遗传性以及医学教育中发挥作用的社会经济力量。学生的个人和职业发展与父母的SES相关。母亲的SES与学生自我报告的压力、心理困扰、生活态度、性格、健康、纪律、国际化和专业素养相关。父亲的SES与上述压力、身心健康因素未显示出统计学上的显著关联,但与一些性格因素相关。父母双方的教育差异越大,学生表现出的压力、绝望和悲观情绪就越多。

结论

医学教育工作者需要意识到社会经济因素与学生的身心健康以及他们与个人和职业发展相关的性格之间存在有意义的关联模式。母亲较低的SES会对医学生的个人和职业发展产生负面影响,这表明医学教育政策制定者需要为那些有潜在脆弱性的学生启动支持机制。

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