Mental Well-Being in First Year Medical Students

A Comparison by Race and Gender: A Report from the Medical Student CHANGE Study

Rachel R. Hardeman, Julia M. Przedworski, Sara E. Burke, Diana J. Burgess, Sean M Phelan, John F. Dovidio, Dave Nelson, Todd Rockwood, Michelle van Ryn

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

PURPOSE: In this study, authors sought to characterize race and gender disparities in mental health in a national sample of first year medical students early in their medical school experience.

METHOD: This study used cross-sectional baseline data of Medical Student CHANGES, a large national longitudinal study of a cohort of medical students surveyed in the winter of 2010. Authors ascertained respondents via the American Association of Medical Colleges questionnaire, a third-party vendor-compiled list, and referral sampling.

RESULTS: A total of 4732 first year medical students completed the baseline survey; of these, 301 were African American and 2890 were White. Compared to White students and after adjusting for relevant covariates, African American students had a greater risk of being classified as having depressive (relative risk (RR)=1.59 [95 % confidence interval, 1.37-2.40]) and anxiety symptoms (RR=1.66 [1.08-2.71]). Women also had a greater risk of being classified as having depressive (RR=1.36 [1.07-1.63]) and anxiety symptoms (RR-1.95 [1.39-2.84]).

CONCLUSIONS: At the start of their first year of medical school, African American and female medical students were at a higher risk for depressive symptoms and anxiety than their White and male counterparts, respectively. The findings of this study have practical implications as poor mental and overall health inhibit learning and success in medical school, and physician distress negatively affects quality of clinical care.

Original languageEnglish (US)
Pages (from-to)403-413
Number of pages11
JournalJournal of racial and ethnic health disparities
Volume2
Issue number3
DOIs
StatePublished - Sep 1 2015

Fingerprint

first-year student
Medical Students
medical student
well-being
gender
Medical Schools
African Americans
Anxiety
anxiety
Mental Health
school
Students
Quality of Health Care
American Medical Association
Longitudinal Studies
longitudinal study
Referral and Consultation
Cross-Sectional Studies
student
confidence

Keywords

  • Anxiety
  • Depression
  • Gender
  • Medical students
  • Race

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mental Well-Being in First Year Medical Students : A Comparison by Race and Gender: A Report from the Medical Student CHANGE Study. / Hardeman, Rachel R.; Przedworski, Julia M.; Burke, Sara E.; Burgess, Diana J.; Phelan, Sean M; Dovidio, John F.; Nelson, Dave; Rockwood, Todd; van Ryn, Michelle.

In: Journal of racial and ethnic health disparities, Vol. 2, No. 3, 01.09.2015, p. 403-413.

Research output: Contribution to journalArticle

Hardeman, Rachel R. ; Przedworski, Julia M. ; Burke, Sara E. ; Burgess, Diana J. ; Phelan, Sean M ; Dovidio, John F. ; Nelson, Dave ; Rockwood, Todd ; van Ryn, Michelle. / Mental Well-Being in First Year Medical Students : A Comparison by Race and Gender: A Report from the Medical Student CHANGE Study. In: Journal of racial and ethnic health disparities. 2015 ; Vol. 2, No. 3. pp. 403-413.
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