Unidad de Medicina Familiar Número 7, Instituto Mexicano del Seguro Social, San Pedro Garza García, Nuevo León, Mexico.
Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.
J Occup Health. 2023 Jan-Dec;65(1):e12418. doi: 10.1002/1348-9585.12418.
To assess the prevalence of bullying in medical residents and its associated factors.
In this systematic review and meta-analysis, articles from MEDLINE, EMBASE, Scopus, PsycInfo, Cochrane databases, and Web of Science were searched. Published and unpublished cross-sectional studies were included. Cochrane's Q test and I statistics were used to assess the existence of heterogeneity. Subgroup analysis and sensitivity analysis were performed on evidence of heterogeneity. Egger's test and funnel plots were performed to investigate publication bias.
A total of 13 cross-sectional studies with a total of 44 566 study participants from different medical residencies were analyzed. The overall prevalence of bullying was 51% (95% CI 36-66). Furthermore, female residents and residents that belong to a minority group had higher odds of experiencing bullying compared to their peers.
A high prevalence of bullying in medical residents exists around the world. There is a need for education, dissemination, and more effective interventions among the residents and authorities about bullying to build and promote adequate behaviors and diminish bullying prevalence.
评估医学生中欺凌现象的流行情况及其相关因素。
本系统评价和荟萃分析检索了 MEDLINE、EMBASE、Scopus、PsycInfo、Cochrane 数据库和 Web of Science 中的文章。纳入了已发表和未发表的横断面研究。采用 Cochrane's Q 检验和 I ² 统计量评估异质性的存在。对存在异质性的证据进行了亚组分析和敏感性分析。采用 Egger 检验和漏斗图评估发表偏倚。
共分析了来自不同医学住院医师培训项目的 13 项横断面研究，共计 44566 名研究参与者。欺凌的总体流行率为 51%（95%CI 36-66）。此外，与同龄人相比，女性住院医师和属于少数群体的住院医师遭受欺凌的可能性更高。
全世界范围内医学生中存在较高的欺凌现象。需要对住院医师和相关部门进行有关欺凌的教育、宣传和更有效的干预，以建立和促进适当的行为，减少欺凌现象的流行。
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