Evidence map›Paper›PMID 37312013›Full record

ArticleHealth services research2023

The impact of neighborhoods and friendships on interracial anxiety among medical students and residents: A report from the medical student CHANGES study.

Marie V Plaisime, Marie Jipguep-Akhtar, Joseph J Locascio, Harolyn M E Belcher, Rachel R Hardeman, Katherine Picho-Kiroga, Sylvia P Perry, Sean M Phelan, Michelle van Ryn, John F Dovidio

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 10 institutions in 1 country.

Marie V PlaisimeFXB Center for Health and Human Rights, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-7284-5403
Marie Jipguep-AkhtarDepartment of Sociology and Anthropology, Howard University, Washington, DC, USA.
Joseph J LocascioMassachusetts Alzheimer's Disease Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0003-3439-1209
Harolyn M E BelcherOffice for Health, Equity, Inclusion, and Diversity (O-HEID), Center for Diversity in Public Health Leadership Training, Kennedy Krieger Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-3672-257X
Rachel R HardemanDivision of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA.ORCID 0000-0003-3913-5933
Katherine Picho-KirogaEducational Psychology, Department of Human Development & Psycho-educational Studies, Howard University, Washington, DC, USA.ORCID 0000-0003-0003-2531
Sylvia P PerryDepartment of Psychology, Department of Medical Social Sciences (by courtesy), Institute for Policy Research, Northwestern University, Evanston, Illinois, USA.ORCID 0000-0002-3435-3125
Sean M PhelanSocial & Behavioral Sciences, Division of Health Care Delivery Research & Mayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-2091-6297
Michelle van RynOregon Health & Science University (OHSU) School of Nursing, Portland, Oregon, USA.ORCID 0000-0002-4258-7319
John F DovidioDepartment of Psychology, Yale University, New Haven, Connecticut, USA.ORCID 0000-0002-6110-8344
Academy for Educational Development · USHarvard University · USHoward University · USKennedy Krieger Institute · USMayo Clinic in Arizona · USNorthwestern University · USOregon Health & Science University · USPhysicians for Human Rights · USUniversity of Minnesota · USYale University · US

Funding

The Impact of Residency Factors on Racial, Size & LGBT Bias in Physician TraineesR01HL085631 · NHLBI · UNIVERSITY OF MINNESOTA · PI VAN RYN, MICHELLE · 2009 to 2018
$6.9M
NHLBI NIH HHS R01 HL085631
6 · The paper itself

Abstract

objectiveTo examine the experience of interracial anxiety among health professionals and how it may affect the quality of their interactions with patients from racially marginalized populations. We explored the influence of prior interracial exposure-specifically through childhood neighborhoods, college student bodies, and friend groups-on interracial anxiety among medical students and residents. We also examined whether levels of interracial anxiety change from medical school through residency. DATA SOURCE: Web-based longitudinal survey data from the Medical Student Cognitive Habits and Growth Evaluation Study. STUDY

designWe used a retrospective longitudinal design with four observations for each trainee. The study population consisted of non-Black US medical trainees surveyed in their 1st and 4th years of medical school and 2nd and 3rd years of residency. Mixed effects longitudinal models were used to assess predictors of interracial anxiety and assess changes in interracial anxiety scores over time. PRINCIPAL

findingsIn total, 3155 non-Black medical trainees were followed for 7 years. Seventy-eight percent grew up in predominantly White neighborhoods. Living in predominantly White neighborhoods and having less racially diverse friends were associated with higher levels of interracial anxiety among medical trainees. Trainees' interracial anxiety scores did not substantially change over time; interracial anxiety was highest in the 1st year of medical school, lowest in the 4th year, and increased slightly during residency.

conclusionsNeighborhood and friend group composition had independent effects on interracial anxiety, indicating that premedical racial socialization may affect medical trainees' preparedness to interact effectively with diverse patient populations. Additionally, the lack of substantial change in interracial anxiety throughout medical training suggests the importance of providing curricular tools and structure (e.g., instituting interracial cooperative learning activities) to foster the development of healthy interracial relationships.

Indexed as

Internship and ResidencyStudents, MedicalAnxietyChildFriendsHumansRacial GroupsRetrospective Studiesdiversity equityand inclusion (DEI)interracial anxietymedical educationmedical studentsmixed effects longitudinal modelsneighborhoodsresidents

Identifiers

PMID37312013
PMCPMC10339166
OpenAlexW4380576622

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.