Evidence map›Paper›PMID 31196087›Full record

ArticleBMC medical education2019

Professional identity and mental health of rural-oriented tuition-waived medical students in Anhui Province, China.

Ling Wang, Yuwei Yang, Jimin Zhu, Hong Xie, Chunxiao Jiang, Chi Zhang, Jie Li, Fen Huang

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
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  3. Association Among Professional Identity, Burnout, and Mental Health in Medical Students: A Cross-Sectional Study.Academic medicine : journal of the Association of American Medical Colleges · 2025
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Ling WangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Shushan Districts, Hefei, 230032, Anhui, China.
Yuwei YangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Shushan Districts, Hefei, 230032, Anhui, China.
Jimin ZhuDepartment of Public Health and General Medicine, Anhui University of Chinese Medicine, 103 Meishan Road, Shushan District, Hefei, 230038, Anhui, China.
Hong XieSchool of Nursing, BengBu Medical College, 2600 East Sea Avenue, Longzi Lake District, Bengbu, 233030, Anhui, China.
Chunxiao JiangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Shushan Districts, Hefei, 230032, Anhui, China.
Chi ZhangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Shushan Districts, Hefei, 230032, Anhui, China.
Jie LiDepartment of Teaching Center for Preventive Medicine, School of Public Health, Anhui Medical University, 81 Meishan Road, Shushan District, Hefei, 230032, Anhui, China.
Fen HuangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Shushan Districts, Hefei, 230032, Anhui, China. fenh@ahmu.edu.cn.
Anhui Medical University · CNAnhui University of Traditional Chinese Medicine · CNBengbu Medical College · CN

Funding

Major Educational Reform Project of Education Department of Anhui Province 2016jyxm0520
6 · The paper itself

Abstract

backgroundThe shortage of primary care physicians in rural China is an enduring problem with serious implications for access to care. In response to the shortage in health workforce in rural areas, China government has launched the rural-oriented tuition-waived medical education (RTME) programme since 2010, aiming to train more general practitioners to address the rural health workforce requirements in middle and west areas. This study aims to investigate the prevalence of mental illness and the level of professional identity in the rural-oriented tuition-waived medical students (RTMSs), and to explore the impact of the RTMSs' professional identity and related cognition and satisfaction with the RTME programme on mental health.

methodsWe conducted a descriptive, cross-sectional study. A total of 1103 RTMSs and 1095 non-oriented medical students from seven medical universities (colleges) in Anhui province completed a demographic questionnaire, the Depression, Anxiety, Stress Scales and the Professional Identity Questionnaire for Undergraduate Students. Cognition and satisfaction with the RTME programme of the RTMSs were collected. Multiple linear regression analysis was used to analyze the data.

resultsThe prevalence of depression, anxiety, and stress in RTMSs were 11.8, 22.9 and 3.4%, respectively. The mean total scores of the Professional Identity Questionnaire for Undergraduate Students were 3.58 (SD = 0.61). Results of multiple linear regression model indicated that students who are dissatisfied with targeted primary healthcare institution are likely to suffer from depression and anxiety; moreover, students who enrolled in the rural-oriented tuition-waived medical education programme due to economic reason are more likely to suffer from anxiety. Furthermore, a significant positive correlation was found between professional identity and mental health.

conclusionsProviding better information about the RTME programme prior to enrollment and improving the students' cognition of the policy's effectiveness and the social value of rural healthcare work may contribute to improving the professional identity of the RTMSs. Meanwhile, a significant positive association was found between professional identity and mental health. This is a new perspective that shows that developing and improving professional identity may help medical students reduce the risk of psychological illness.

Indexed as

Rural PopulationSocial IdentificationChinaCross-Sectional StudiesFemaleHealth Services AccessibilityHumansMaleStudents, MedicalSurveys and QuestionnairesYoung AdultMedical studentsMental healthProfessional identityRTME

Identifiers

PMID31196087
PMCPMC6567401
OpenAlexW2949945952

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.