ArticleBMC medical education2024
Factors associated with acculturative stress among international medical students in an Egyptian university.
Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed.
- Predictors of Integration Among International Medical Students in Hungary.Medical science educator · 2026Article
- Beyond cultural distance: perceived discrimination, social contact, and social adjustment among international students in Türkiye.BMC psychology · 2026Article
- Associations between the perceived educational environment and burnout symptoms across multilingual medical programs: the role of academic and social self-perception.BMC medical education · 2026Article
- Examining the multidimensional structure of stress among international medical students: a construct-based approach.BMC medical education · 2026Article
- Exploring the effects of music-supported cultural adaptation activities on international students' sociocultural adaptation and wellbeing: a pilot study.Frontiers in psychology · 2026Article
- Towards inclusive medical education in Egypt: a cross-sectional study of sociocultural adaptation among international students.BMC medical education · 2025Article
- Examining the Effects of Family and Acculturative Stress on Mexican American Parents' Psychological Functioning as Predictors of Children's Anxiety and Depression: The Mediating Role of Family Cohesion.Behavioral sciences (Basel, Switzerland) · 2025Article
- Survey on the current status of international students educational management in China.BMC medical education · 2025Article
- Assessing the correlation between perceived stress and academic achievement among health sciences students.Frontiers in medicine · 2025Article
- Acculturative stress and university life adjustment among international students in China: the moderating role of perceived social support.Frontiers in psychology · 2025Article
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Abstract
backgroundInternational students frequently face difficulties that are specific to the typical college experience, in addition to facing other factors of acculturative stress, including cultural differences, language barriers, and comfortability in accommodation.
aimThe study aims to measure the prevalence of acculturative stress among first-year international students enrolled at Faculty of Medicine in an Egyptian University and aims to reveal the factors that are associated with acculturative stress in these students. METHODOLOGY: A cross-sectional study was conducted on 422 international students in the academic year 2021-2022, using the Acculturative Stress Scale for International Students (ASSIS). The factors associated with acculturative stress were examined using the following criteria: comfort in accommodation, student adjustment to college, language proficiency, and academic pressure.
resultsThis study showed that 28.7% of the international students were "above the warning sign" of acculturative stress (above 109). The major stressors of acculturative stress among international students were the non-specific concerns, homesickness, and perceived discrimination, while the least reported stressors were fear and guilt. International students who scored in the "above the warning sign" in the (ASSIS) were mostly females (35.3%) and non-Arab students (37.8%). Having a friend or a family member living in Egypt significantly reduced the level of acculturative stress. Moreover, the ASSIS total score showed a negative correlation with the scores for overall language proficiency, comfort in accommodation, academic adjustment, and student adjustment to college.
conclusionAcculturative stress among the studied groups is influenced by several factors, including nationality, English and Arabic language proficiency, academic adjustment, and comfort of living. That being said, the most significant stressor is the country of origin, which is defined in terms of nationality or language proficiency. Consequently, resources that ensure the sustainability and growth of international students throughout their educational process must be made available to a multicultural environment in order to support and retain those students. CLINICAL TRIAL NUMBER: Not applicable.
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