Assistance Publique des Hôpitaux de Marseille (AP-HM), Aix-Marseille University, Marseille, France.
Assistance Publique des Hôpitaux de Marseille (AP-HM), Aix-Marseille University, Marseille, France.
J Affect Disord. 2020 Sep 1;274:276-281. doi: 10.1016/j.jad.2020.05.100. Epub 2020 May 25.
A previous national study has suggested that around 20% of French working women reported sexual harassment (SH) at work but we lack of data in medical students of French hospitals to guide prevention programs.
To determine SH prevalence in a national sample of French medical students and to validate a theoretical model explaining SH causes and its impact of mental health.
The study is a cross-sectional observational epidemiological national study. SH was defined according to the French legal definition. We further explored other discriminations and their potential association with impaired mental health in medical students. Mental health was assessed by Hamilton Anxiety & Depression scale, psychotropic drug consumption and psychotherapy follow-up. A Structured Equation Modeling was carried out to confirm our theoretical model.
2003 participants were recruited. SH was reported by 15.7% of the participants (19.8% of women and 5.2% of men). The SEM model showed good fit (RMSEA=0.024, CFI=0.90, TLI=0.87, WRMR=1.165). SH was associated with risk factors such as feminine gender and surgical and anesthesiology specialties. SH was also associated with exposure to discriminations based on the specialty choice and sexual orientation. SH was associated with impaired mental health.
French medical student women reported similar rates of SH than other working women, suggesting that SH prevention programs are needed in French hospitals. Surgery and anesthesiology should be targeted in priority. The prevention programs should also target other discriminations and should be evaluated in terms of potential mental health improvement.
此前的一项全国性研究表明，约 20%的法国职业女性报告在工作中遭受性骚扰（SH），但我们缺乏法国医院医学生的数据来指导预防计划。
在法国医学生的全国样本中确定 SH 的流行率，并验证一个解释 SH 原因及其对心理健康影响的理论模型。
该研究是一项横断面观察性的全国性流行病学研究。SH 根据法国的法律定义进行定义。我们进一步探讨了其他歧视及其与医学生心理健康受损的潜在关联。心理健康通过汉密尔顿焦虑抑郁量表、精神药物使用和心理治疗随访进行评估。进行结构方程建模以确认我们的理论模型。
共招募了 2003 名参与者。15.7%的参与者（女性 19.8%，男性 5.2%）报告了 SH。SEM 模型显示出良好的拟合度（RMSEA=0.024，CFI=0.90，TLI=0.87，WRMR=1.165）。SH 与女性性别和外科及麻醉学专业等风险因素相关。SH 还与基于专业选择和性取向的歧视有关。SH 与心理健康受损有关。
法国医学生女性报告的 SH 发生率与其他职业女性相似，表明法国医院需要预防 SH 的计划。手术和麻醉科应优先作为目标。预防计划还应针对其他歧视，并应根据潜在的心理健康改善进行评估。
