医学生老年歧视现状及其影响因素分析

Ageism among medical students in China:the influencing factors

目的了解医学生群体的老年歧视现状并分析其影响因素,为培养医学生对老年人的正向态度提供参考。方法应用中文版老年歧视量表(FSA)对707名在校全日制医学生进行问卷调查。结果医学生老年歧视总分为(65.49±6.92)分,其中仇恨言论、逃避、歧视维度得分分别为(23.52±3.09)、(22.56±3.13)、(19.41±2.44);是否有意向从事老年医疗保健相关工作、性别、是否曾与老年人生活是医学生老年歧视的主要影响因素(P<0.05,P<0.01),可共同解释医学生老年歧视总变异的22.6%。结论医学生存在一定程度的老年歧视,在医学教育工作中,应加强医学生老年相关知识教育及实践机会,促进医学生对老年人的正向态度,以确保为老年人提供优质的医疗保健服务。

Objective To examine ageism among Chinese medical students, to provide a reference for related training programs aiming at improving medical studentst positive attitude towards the elderly. Methods A total of 707 full time medical students from seven Chinese universities were involved in this cross-sectional survey. The Chinese version of Fraboni Scale of Ageism （FSA） was used to collect data. Results The total score of FSA scale among Chinese medical students was 65.49±.92, with the subscale scores of antilocution, avoidance, and discrimination being 23.52±3.09, 22.56±3.13, and 19.41±2.44, respectively. The results of mul tivariate linear regression showed that gender, willingness to work for the elderly after graduation, and whether students have ever lived with the elderly were predictors of ageism （P〈0.05, P〈0.01）, which could explain 22.6 % of total variance. Conclusion Ageism was a widespread problem among Chinese medical students. The education of the related knowledge of old age and practice chances should be provided for medical students, so as to help them foster positive attitude towards the elderly and to ensure the elderly receive high quality service from medical workers.