PDF(Pubmed)
Abstract：
The COVID-19 pandemic disproportionately affected racial and ethnic minorities. Medical students were also particularly impacted as they coped with increased stressors due to delayed medical training and a high prevalence of mental health conditions. This study investigates mental health disparities of underrepresented in medicine (URM) students at the Saint Louis University School of Medicine (SLUSOM). An anonymous online survey was distributed to first- and second-year medical students at SLUSOM in February 2021. The survey queried demographic information, lifestyle factors, and pandemic-related and institutional concerns. Mental health was assessed via the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9). Statistical tests were run with SPSS, version 27. A convenience sample of 87 students responded to the survey. Students who were categorized as URM were significantly more likely to be at risk of major depressive disorder during the pandemic. Concern about a lack of financial support was significantly greater among students categorized as URM. Concerns regarding a lack of financial support, mental health support, and decreased quality of medical training significantly predicted PHQ-9 scores. Our findings revealed several key factors that may exacerbate mental health disparities among URM students during the pandemic. Providing adequate financial and academic resources for URMs may improve mental health outcomes for similar adverse events in the future.
摘要：
COVID-19大流行对种族和少数民族的影响不成比例。医学生也受到特别的影响，因为他们应对由于医学培训延迟和精神健康状况高发而增加的压力源。这项研究调查了圣路易斯大学医学院（SLUSOM）医学中代表性不足（URM）学生的心理健康差异。2021年2月，向SLUSOM的一年级和二年级医学生分发了一项匿名在线调查。调查查询了人口统计信息，生活方式因素，以及与大流行有关的和体制上的关切。通过广泛性焦虑症-7（GAD-7）和患者健康问卷-9（PHQ-9）评估心理健康。使用SPSS进行统计测试，版本2787名学生的便利样本对调查做出了回应。被归类为URM的学生在大流行期间更有可能患重度抑郁症的风险。被归类为URM的学生对缺乏经济支持的担忧更大。对缺乏财政支持的担忧，心理健康支持,医学培训质量下降可显着预测PHQ-9得分。我们的发现揭示了几个关键因素，这些因素可能会加剧大流行期间URM学生之间的心理健康差异。为URM提供足够的财务和学术资源可能会改善未来类似不良事件的心理健康结果。
