#MedToo: A Large-Scale Examination of the Incidence and Impact of Sexual Harassment of Physicians and Other Faculty at an Academic Medical Center
#MedToo: A Large-Scale Examination of the Incidence and Impact of Sexual Harassment of Physicians and Other Faculty at an Academic Medical Center
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DOI：
10.1089/jwh.2019.7766
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发表时间：
2019-09-12
影响因子：
3.5
通讯作者：
Jagsi, Reshma
中科院分区：
文献类型：
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作者：
Vargas, Emily A.;Brassel, Sheila T.;Jagsi, Reshma
一份具有里程碑意义的国家科学院报告强调了对医学领域性骚扰进行严格评估的必要性。我们使用性经验问卷调查，性骚扰的测量标准，但以前没有在学术医学中应用的性骚扰的患病率和影响进行了研究。材料与方法：一个20分钟的在线调查管理所有教师谁一直在密歇根大学医学院工作了至少1年（n = 2723）。我们评估了过去一年内部人士的性骚扰（即，来自教职员工、学生和教职员工）以及患者和患者家属。我们还评估了心理健康、工作满意度、工作安全感和离职意愿。结果如下：在最后一个样本中（n = 705;包括25.9%的最初目标人群），大多数受访者（82.5%的女性和65.1%的男性）报告在过去一年中至少发生过一次来自内部人士的性骚扰事件; 64.4%的女性和44.1%的男性报告了来自患者和患者家属的骚扰。对妇女和男子来说，最经常遇到的性骚扰是性别歧视性骚扰。骚扰经历的增加与较低的心理健康，工作满意度和工作安全感以及离职意愿的增加独立相关，性别之间没有显着的相互作用。结论：对医学教师的性骚扰是令人震惊的常见的机构，预计不会是非典型的。干预措施必须解决性骚扰问题，因为性骚扰影响男性和女性医生的心理健康和职业成果。
Background: A landmark National Academies report highlighted the need for rigorous evaluation of sexual harassment in medicine. We examined the prevalence and impact of sexual harassment using the Sexual Experiences Questionnaire, the standard for measurement of sexual harassment, but which has not been previously applied within academic medicine. Materials and Methods: A 20-minute online survey was administered to all faculty who had been working at University of Michigan Medical School for at least 1 year (n = 2723). We assessed sexual harassment within the past year from insiders (i.e., from staff, students, and faculty) and from patients and patients' families. We also evaluated mental health, job satisfaction, sense of safety at work, and turnover intentions. Results: In the final sample (n = 705; which included 25.9% of the originally targeted population), most respondents, 82.5% of women and 65.1% of men, reported at least one incident of sexual harassment from insiders in the past year; 64.4% of women and 44.1% of men reported harassment from patients and patients' families. The most frequently experienced dimension of sexual harassment for women and men was sexist gender harassment. Increased experiences of harassment were independently associated with lower mental health, job satisfaction, and sense of safety at work, as well as increased turnover intentions, with no significant interactions by gender. Conclusions: Sexual harassment against medical faculty is alarmingly common at an institution that is not expected to be atypical. Interventions must address sexual harassment, which affects mental health and career outcomes of male and female physicians.