Sexual Harassment Experiences Across the Academic Medicine Hierarchy.
Sexual Harassment Experiences Across the Academic Medicine Hierarchy.
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DOI：
10.7759/cureus.13508
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发表时间：
2021-02-23
期刊：
影响因子：
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通讯作者：
Zaidi Z
中科院分区：
文献类型：
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作者：
Hsiao CJ;Akhavan NN;Singh Ospina N;Yagnik KJ;Neilan P;Hahn P;Zaidi Z
背景目前估计的性骚扰在整个学术层次是受回忆偏见和研究之间的可比性有限，由于不一致的时间框架查询每个阶段的培训。没有研究调查医学生，居民/研究员和教师集体和许多研究排除了广泛的性骚扰行为。我们评估了在同一时间框架内，在同一机构文化中，学术医学的不同阶段性骚扰的发生率。方法医学生，居民/研究员，和教师在同一个学术医学校园完成了前瞻性的在线研究性骚扰的经验在2018年。我们使用了一个工具，全面评估性骚扰行为，并询问肇事者。Pearson卡方检验和Fisher精确检验（细胞计数<5）用于比较学术地位和性别的反应。参与者还被要求提出如何提高对大学/医院政策，支持服务和性骚扰报告过程的了解。515名受访者中有三分之一（18%的邀请）报告在2018年经历过性骚扰。总体而言，52%的医学生，31%的居民/研究员和25%的教师受访者经历过性骚扰。其中，46%的女性和19%的男性报告了性骚扰经历。在所有学术等级中，最常见的经历是冒犯性和性暗示性的评论或笑话，以及关于个人私生活或外表的冒犯性和侵入性问题。最常见的肇事者是“学生，实习生，住院医生或同事”，其次是“病人或病人的家庭成员”。为了增进对性骚扰问题政策和服务的了解，与会者建议便利获取资源，提高认识，确保保密，保护免遭报复，并继续进行有关这一问题的教育和提醒。结论性骚扰可能比文献所显示的更为普遍，并且发生率随着学术等级的增加而下降。骚扰往往是微妙的，可以通过雷达下。
Background Current estimates of sexual harassment across the academic hierarchy are subject to recall bias and have limited comparability between studies due to inconsistent time frames queried for each stage of training. No studies have surveyed medical students, residents/fellows, and faculty collectively and many studies exclude a wide range of sexual harassment behaviors. We assessed the incidence of sexual harassment across the different stages of academic medicine over the same time frame and within the same institutional culture. Methodology Medical students, residents/fellows, and faculty at the same academic medical campus completed a prospective online study of sexual harassment experiences in 2018. We used a tool that comprehensively assessed sexual harassment behaviors and asked about the perpetrators. Pearson’s chi-square and Fisher’s exact tests (for cell counts <5) were used to compare responses by academic status and gender. Participants were also asked to suggest ways to improve knowledge about university/hospital policies, support services, and reporting process on sexual harassment. Results One-third of 515 respondents (18% of invitations) reported experiencing sexual harassment in 2018. Overall, 52% of medical students, 31% of residents/fellows, and 25% of faculty respondents experienced sexual harassment. Of these, 46% of women and 19% of men reported sexual harassment experiences. The most common experiences across all levels of academic hierarchy were offensive and sexually suggestive comments or jokes and offensive and intrusive questions about one’s private life or physical appearance. The most common perpetrators were “student, intern, resident, or fellow,” followed by “patient or patient’s family member.” To improve knowledge about the policies and services regarding sexual harassment, participants suggested facilitating easy access to resources, increasing awareness, assuring confidentiality, protecting against retaliation, and continued education and reminders about the topic. Conclusions Sexual harassment may be more prevalent than the literature suggests and incidence tends to decrease with increasing academic hierarchy. Harassment can often be subtle and can pass under the radar.