Association of Marginalized Identities With Alpha Omega Alpha Honor Society and Gold Humanism Honor Society Membership Among Medical Students.
Association of Marginalized Identities With Alpha Omega Alpha Honor Society and Gold Humanism Honor Society Membership Among Medical Students.
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DOI：
10.1001/jamanetworkopen.2022.29062
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发表时间：
2022-09-01
影响因子：
13.8
通讯作者：
Boatright, Dowin
中科院分区：
文献类型：
--
作者：
Hill, Katherine A.;Desai, Mayur M.;Chaudhry, Sarwat, I;Nguyen, Mytien;McDade, William;Xu, Yunshan;Li, Fangyong;Fancher, Tonya;Hajduk, Alexandria M.;Westervelt, Marjorie J.;Boatright, Dowin
阿尔法奥米伽阿尔法（AOA）和金人文荣誉协会（GHHS）的会员资格在学生的种族和民族、性别、性取向、社会经济地位以及不同身份的交叉方面是否存在差异？
在这项对50384名医学生的横断面研究中，发现两个荣誉协会都存在会员资格差异，但AOA在更多身份方面存在差异，且差异往往更大，并且随着边缘化身份数量的增加而增加。GHHS会员资格的差异有时有利于边缘化群体，对于具有多种边缘化身份的学生没有看到累积的劣势。
这项研究的结果表明，边缘化学生在GHHS中的代表性比在AOA中更好。
医学生在阿尔法奥米伽阿尔法（AOA）会员资格方面的差异已有充分记录。关于金人文荣誉协会（GHHS）会员资格所知较少，而且不同身份的交叉如何与这些荣誉协会的会员资格相关仍不清楚。
为了研究荣誉协会会员资格与医学生的种族和民族、性别、性取向、社会经济地位以及身份交叉之间的关联。
这项横断面研究分析了来自美国医学院协会数据收集工具的数据。该研究包括2016年至2019年从美国医学教育联络委员会认证的美国医学院毕业并完成毕业问卷调查的所有学生。数据分析于2022年1月12日至7月12日进行。
按学生的种族和民族、性别、性取向、童年家庭收入以及身份交叉划分的AOA和GHHS会员资格的可能性。
50384人的样本包括82名（0.2%）美洲印第安人或阿拉斯加原住民、10601名（21.0%）亚洲人、2464名（4.9%）黑人、3291名（6.5%）西班牙裔、25名（0.1%）夏威夷原住民或太平洋岛民、30610名（60.8%）白人、2476名（4.9%）多种族学生以及834名（1.7%）其他种族或民族的学生。性别和性取向包括25672名（51.0%）男性和3078名（6.1%）女同性恋、男同性恋和双性恋（LGB）。童年家庭收入包括31758名（60.0%）年收入75000美元或以上的人、8160名（16.2%）年收入50000美元至74999美元的人、6864名（13.6%）年收入25000美元至49999美元的人以及3612名（7.2%）年收入低于25000美元的人。样本包括7303名（14.5%）仅为AOA会员、4925名（9.8%）仅为GHHS会员以及2384名（4.7%）两个协会的会员。在AOA中，与白人学生相比，美洲印第安人或阿拉斯加原住民（比值比，0.49；95%置信区间，0.25 - 0.96）、亚洲人（比值比，0.49；95%置信区间，0.45 - 0.53）、黑人（比值比，0.25；95%置信区间，0.20 - 0.30）、西班牙裔（比值比，0.53；95%置信区间，0.47 - 0.59）、多种族（比值比，0.69；95%置信区间，0.62 - 0.77）以及其他种族和民族（比值比，0.73；95%置信区间，0.60 - 0.88）的代表性不足；与异性恋学生相比，LGB学生（比值比，0.75；95%置信区间，0.67 - 0.83）的代表性不足；与年收入75000美元或以上相比，童年家庭收入50000美元至74999美元（比值比，0.81；95%置信区间，0.75 - 0.86）、25000美元至49999美元（比值比，0.68；95%置信区间，0.62 - 0.74）以及低于25000美元（比值比，0.60；95%置信区间，0.53 - 0.69）的代表性不足。在GHHS中，与白人学生相比，亚洲学生（比值比，0.80；95%置信区间，0.73 - 0.87）的代表性不足，与男性学生相比，女性学生（比值比，1.55；95%置信区间，1.45 - 1.65）的代表性过高，与异性恋学生相比，LGB学生（比值比，1.36；95%置信区间，1.23 - 1.51）的代表性过高，与年收入75000美元或以上相比，童年家庭收入25000美元至49999美元（比值比，0.85；95%置信区间，0.78 - 0.94）和低于25000美元（比值比，0.75；95%置信区间，0.66 - 0.86）的代表性不足。AOA会员资格的可能性，但不是GHHS会员资格的可能性，随着边缘化身份数量的增加而降低。
在这项对美国医学生的横断面研究中，AOA和GHHS都存在会员资格差异。然而，GHHS的差异存在于较少的身份中，有时有利于边缘化群体，并且不是累积的。
这项横断面研究考察了医学院荣誉协会中学生的特征。
Are there disparities in Alpha Omega Alpha (AOA) and Gold Humanism Honor Society (GHHS) membership based on student race and ethnicity, sex, sexual orientation, socioeconomic status, and intersection of different identities? In this cross-sectional study of 50 384 medical students, membership disparities were found in both honor societies, but disparities in AOA existed across more identities, were often larger, and increased with increasing numbers of marginalized identities. Disparities in GHHS membership sometimes favored the marginalized group and no cumulative disadvantage was seen for students with multiple marginalized identities. The findings of this study suggest marginalized students are better represented in GHHS than in AOA. Disparities in medical student membership in Alpha Omega Alpha (AOA) are well documented. Less is known about Gold Humanism Honor Society (GHHS) membership and it remains unknown how the intersection of different identities is associated with membership in these honor societies. To examine the association between honor society membership and medical student race and ethnicity, sex, sexual orientation, socioeconomic status, and intersection of identities. This cross-sectional study analyzed data from Association of American Medical Colleges data collection instruments. The study included all students who graduated from Liaison Committee on Medical Education–accredited US medical schools from 2016 to 2019 and completed the Graduation Questionnaire. Data analysis was conducted from January 12 to July 12, 2022. Likelihood of AOA and GHHS membership by student race and ethnicity, sex, sexual orientation, childhood family income, and intersection of identities. The sample of 50 384 individuals comprised 82 (0.2%) American Indian or Alaska Native, 10 601 (21.0%) Asian, 2464 (4.9%) Black, 3291 (6.5%) Hispanic, 25 (0.1%) Native Hawaiian or Pacific Islander, 30 610 (60.8%) White, 2476 (4.9%) multiracial students, and 834 (1.7%) students of other races or ethnicities. Sex and sexual orientation included 25 672 (51.0%) men and 3078 (6.1%) lesbian, gay, and bisexual (LGB). Childhood family income comprised 31 758 (60.0%) individuals with $75 000 per year or greater, 8160 (16.2%) with $50 000 to $74 999 per year, 6864 (13.6%) with $25 000 to $49 999 per year, and 3612 (7.2%) with less than $25 000 per year. The sample included 7303 (14.5%) AOA members only, 4925 (9.8%) GHHS members only, and 2384 (4.7%) members of both societies. In AOA, American Indian or Alaska Native (OR, 0.49; 95% CI, 0.25-0.96), Asian (OR, 0.49; 95% CI, 0.45-0.53), Black (OR, 0.25; 95% CI, 0.20-0.30), Hispanic (OR, 0.53; 95% CI, 0.47-0.59), multiracial (OR, 0.69; 95% CI, 0.62-0.77), and other race and ethnicity (OR, 0.73; 95% CI, 0.60-0.88) were underrepresented compared with White students; LGB students (OR, 0.75; 95% CI, 0.67-0.83) were underrepresented compared with heterosexual students; and childhood family income $50 000 to $74 999 (OR, 0.81; 95% CI, 0.75-0.86), $25 000 to $49 999 (OR, 0.68; 95% CI, 0.62-0.74), and less than $25 000 (OR, 0.60; 95% CI, 0.53-0.69) were underrepresented compared with greater than or equal to $75 000. In GHHS, Asian students (OR, 0.80; 95% CI, 0.73-0.87) were underrepresented compared with White students, female students (OR, 1.55; 95% CI, 1.45-1.65) were overrepresented compared with male students, LGB students (OR, 1.36; 95% CI, 1.23-1.51) were overrepresented compared with heterosexual students, and students with childhood family income $25 000 to $49 999 (OR, 0.85; 95% CI, 0.78-0.94) and less than $25 000 (OR, 0.75; 95% CI, 0.66-0.86) were underrepresented compared with those with greater than or equal to $75 000. Likelihood of AOA, but not GHHS, membership decreased as number of marginalized identities increased. In this cross-sectional study of US medical students, membership disparities were noted in both AOA and GHHS. However, differences in GHHS existed across fewer identities, sometimes favored the marginalized group, and were not cumulative. This cross-sectional study examines the characteristics of students in medical school honor societies.
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