Evidence map›Paper›PMID 42092968›Full record

ArticleBMC medical education2026

Abuse and empowerment in the academic field on the academic performance of medical students: a cross-sectional study.

Esteban G Reyes, Matheus Pierini Santos, Edda E Newball-Noriega, Salomón Huancahuire-Vega

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Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Esteban G ReyesHuman Medicine School, Universidad Peruana Unión (UPeU), Lima, Peru.
Matheus Pierini SantosHuman Medicine School, Universidad Peruana Unión (UPeU), Lima, Peru.
Edda E Newball-NoriegaHuman Medicine School, Universidad Peruana Unión (UPeU), Lima, Peru. eddanewball@upeu.edu.pe.
Salomón Huancahuire-VegaHuman Medicine School, Universidad Peruana Unión (UPeU), Lima, Peru.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcademic abuse remains a concerning and under-recognized factor affecting medical students' well-being and academic achievement. Empowerment, on the other hand, may mitigate negative experiences and enhance performance. This study aimed to examine the relationship between academic abuse, empowerment, and academic performance among medical students in a Latin American setting.

methodsA cross-sectional study was conducted among 255 medical students at a private university in Lima, Peru. Participants were selected using stratified sampling by year of study. Academic performance was assessed using the RAU Scale, academic abuse through the Teacher Abuse Questionnaire, and empowerment using the Instrument of Perception of Empowerment (IPE). A Poisson regression model with robust variance was used to directly estimate prevalence ratios (PR) and their corresponding 95% confidence intervals (95% CI). The model included academic abuse and its dimensions as the main explanatory variables and was subsequently adjusted for sociodemographic and academic covariates (sex, age, nationality, and having failed a subject).

resultsOf the participants, 72.2% exhibited adequate academic performance, while 76.5% reported low levels of abuse and over 90% demonstrated high empowerment. Multivariate analysis after adjustment showed that high academic abuse (PR = 0.84; 95% CI: 0.74-0.96; p = 0.011) and female sex (PR = 0.81; 95% CI: 0.69-0.94; p = 0.005) were associated with a lower probability of adequate academic performance, whereas older age (PR = 1.02; 95% CI: 1.00-1.03; p = 0.013), Peruvian nationality (PR = 1.16; 95% CI: 1.02-1.33; p = 0.028), and having failed at least one subject (PR = 1.21; 95% CI: 1.05-1.39; p = 0.008), were associated with a higher probability of adequate academic performance. Academic empowerment did not show a statistically significant association with academic performance after adjustment for covariates.

conclusionsAcademic abuse negatively impacts student performance, while empowerment appears to be widespread yet insufficient to fully buffer these effects. Addressing academic mistreatment and fostering a supportive and empowering educational environment should be priorities in medical education reform.

Indexed as

Academic PerformanceEmpowermentPower, PsychologicalStudents, MedicalAcademiaAdultCross-Sectional StudiesFemaleHumansMalePeruSurveys and QuestionnairesYoung AdultAbuseAcademic PerformanceCross-Sectional StudiesEducationEmpowermentMedicalStudents

Identifiers

PMID42092968
PMCPMC13312720

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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.