McGrory B J, McDowell D M, Muskin P R
College of Physicians and Surgeons of Columbia University, New York, NY.
Psychosomatics. 1990 Fall;31(4):426-33. doi: 10.1016/S0033-3182(90)72139-1.
After completing their clinical rotations, 69% of the third-year medical school class at Columbia University responded to a survey based on one originally used by Kelly et al. at the University of Mississippi, to determine their attitudes toward acquired immunodeficiency syndrome (AIDS) patients, homosexual men, and intravenous drug abusers (IVDAs). Results of this study were compared to the findings of Kelly et al. to determine how, if at all, geographic and environmental exposures affected student attitudes. Unlike the University of Mississippi students, who exhibited a highly negative and prejudiced view of homosexuals and patients with AIDS, Columbia students displayed no evidence of negative attitude toward homosexuals and a much less harsh judgment of AIDS patients. They, however, did have dramatically negative attitudes toward IVDAs; 78.4% stated that they strongly disliked and would avoid this group of patients. There is a complex multi-variable environmental effect on students' attitudes during medical school. It is not possible to generalize attitudes from one medical school to another. The necessity of incorporating activities into student education to evaluate and to reduce prejudice is discussed.
在完成临床轮转后，哥伦比亚大学医学院三年级班级中有69%的学生对一项调查做出了回应，该调查最初由密西西比大学的凯利等人使用，旨在确定他们对获得性免疫缺陷综合征（艾滋病）患者、同性恋男性和静脉注射吸毒者（IVDAs）的态度。本研究的结果与凯利等人的研究结果进行了比较，以确定地理和环境因素（若有影响的话）如何影响学生的态度。与对同性恋者和艾滋病患者持有高度负面和偏见看法的密西西比大学学生不同，哥伦比亚大学的学生没有表现出对同性恋者的负面态度，对艾滋病患者的评判也不那么严厉。然而，他们对静脉注射吸毒者持有极其负面的态度；78.4%的人表示他们非常不喜欢并会避开这类患者。在医学院学习期间，学生的态度受到复杂的多变量环境影响。不可能将一所医学院的态度推广到另一所医学院。文中讨论了将相关活动纳入学生教育以评估和减少偏见的必要性。
