Tarbox A R, Connors G J, Faillace L A
J Med Educ. 1987 Jul;62(7):582-91. doi: 10.1097/00001888-198707000-00007.
The authors' purpose in the present study was to examine attitudes toward the elderly among medical students and the impact of medical education on such attitudes. Questionnaires first used in a similar study in the 1960s were administered to freshman and senior medical students in 1981 and 1984 at one medical school. Comparison of these two groups indicated that the seniors viewed the elderly more positively than did the freshmen in certain areas, namely the productivity, social significance, and sexuality of the aged. To control for potentially confounding shifts in cultural values in society as a whole and in medical school selection variables, the two freshman groups were compared, and the two senior groups were compared. Results of these analyses indicated few, if any, differences between the freshman classes of 1981 and 1984 or between the senior classes of the same years. Finally, a longitudinal analysis was performed to contrast the attitudes of the students first sampled as freshmen in 1981 to their perceptions as seniors in 1984. Further, the results of the present study were compared with those of a similar study in the 1960s. Taken together, these results indicate that attitudes toward the elderly are becoming more favorable in society in general and in medical schools in particular and that the medical education process was responsible for the more favorable attitudes expressed by the senior medical students.
本研究中作者的目的是调查医学生对老年人的态度以及医学教育对此类态度的影响。20世纪60年代在一项类似研究中首次使用的问卷,于1981年和1984年在一所医学院对大一和大四医学生进行了发放。这两组学生的比较表明,大四学生在某些方面比大一学生对老年人的看法更积极,即老年人的生产力、社会意义和性方面。为了控制整个社会文化价值观以及医学院校选拔变量中潜在的混淆性变化,对两个大一学生组进行了比较,对两个大四学生组也进行了比较。这些分析结果表明,1981年和1984年的大一班级之间以及同年的大四班级之间几乎没有差异(如果有差异的话也很小)。最后,进行了一项纵向分析,以对比1981年作为大一新生首次抽样的学生在1984年作为大四学生时的态度。此外,还将本研究的结果与20世纪60年代一项类似研究的结果进行了比较。综合来看,这些结果表明,总体而言社会上尤其是医学院校中对老年人的态度正变得更加积极,并且医学教育过程是大四医学生表达出更积极态度的原因。