Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica
Descripción del Articulo
Importance: The worldwide scarcity of psychiatrists makes the identification of the factors associated with the intention to choose this specialty an important issue. Psychiatrists are the doctors with the lowest rates of religious affiliation. However, whether religious affiliation is a factor asso...
Autor: | |
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Formato: | tesis de grado |
Fecha de Publicación: | 2016 |
Institución: | Universidad Peruana de Ciencias Aplicadas |
Repositorio: | UPC-Institucional |
Lenguaje: | español |
OAI Identifier: | oai:repositorioacademico.upc.edu.pe:10757/607402 |
Enlace del recurso: | http://hdl.handle.net/10757/607402 |
Nivel de acceso: | acceso abierto |
Materia: | Medicina y religión Estudiantes de medicina Orientación vocacional Psiquiatría Psiquiatra América Latina |
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dc.title.es_PE.fl_str_mv |
Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica |
title |
Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica |
spellingShingle |
Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica Calizaya Gallegos, Carlo Medicina y religión Estudiantes de medicina Orientación vocacional Psiquiatría Psiquiatra América Latina |
title_short |
Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica |
title_full |
Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica |
title_fullStr |
Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica |
title_full_unstemmed |
Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica |
title_sort |
Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica |
author |
Calizaya Gallegos, Carlo |
author_facet |
Calizaya Gallegos, Carlo |
author_role |
author |
dc.contributor.advisor.fl_str_mv |
Mayta-Tristan, Percy |
dc.contributor.author.fl_str_mv |
Calizaya Gallegos, Carlo |
dc.subject.es_PE.fl_str_mv |
Medicina y religión Estudiantes de medicina Orientación vocacional Psiquiatría Psiquiatra América Latina |
topic |
Medicina y religión Estudiantes de medicina Orientación vocacional Psiquiatría Psiquiatra América Latina |
description |
Importance: The worldwide scarcity of psychiatrists makes the identification of the factors associated with the intention to choose this specialty an important issue. Psychiatrists are the doctors with the lowest rates of religious affiliation. However, whether religious affiliation is a factor associated with choosing this specialty has not been studied. Objective: To evaluate the relationship between religious affiliation and the intention to choose psychiatry as a specialty among medical students in 11 Latin American countries. Design, setting and participants: A cross-sectional, multi-sited study that included 8308 first- and fifth-year students at 63 medical schools in 11 Latin American countries between 2011 and 2012. Main outcome and measures: Intention to pursue psychiatry as a specialty over other specialties (yes/no); religious affiliation (without: atheist/agnostic; with: any religion). Results: A total of 53.6% of the participants were women, and the average age was 20.4 (s.d. 2.9) years. A total of 36% were fifth-year students, and11.8% were not affiliated with any religion. Only 2.6% had the intention to choose psychiatry, whereby the highest percentage was among students in Chile (8.1%) and the lowest among students in Mexico (1.1%). It was found that those who had no religious affiliation had a higher probability of reporting the intention to become a psychiatrist [OR: 2.92 (95%CI: 2.14-4.00)] after adjusting for demographic, family, academic as well as personal and professional projection variables. Conclusions and relevance: There is a strong connection between not having a religious affiliation and the intention to be a psychiatrist. According to this logic, interventions could be implemented to incentivize those students who practice a religion to become mental-health professionals as well as other interventions to increase the probability that those who are not affiliated with a religion choose the specialty. However, the possible factors that influence this phenomenon must be evaluated in greater depth, ideally through longitudinal research. |
publishDate |
2016 |
dc.date.accessioned.es_PE.fl_str_mv |
2016-04-28T23:32:44Z |
dc.date.available.es_PE.fl_str_mv |
2016-04-28T23:32:44Z |
dc.date.issued.fl_str_mv |
2016-02-08 |
dc.type.es_PE.fl_str_mv |
info:eu-repo/semantics/bachelorThesis |
dc.type.other.es_PE.fl_str_mv |
Tesis |
dc.type.coar.es_PE.fl_str_mv |
http://purl.org/coar/resource_type/c_7a1f |
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bachelorThesis |
dc.identifier.citation.es_PE.fl_str_mv |
Calizaya Gallegos C. Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica [Internet]. Universidad Peruana de Ciencias Aplicadas (UPC); 2016 [cited 2016 May 4]. Available from: http://repositorioacademico.upc.edu.pe/upc/handle/10757/607402 |
dc.identifier.uri.es_PE.fl_str_mv |
http://hdl.handle.net/10757/607402 |
identifier_str_mv |
Calizaya Gallegos C. Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica [Internet]. Universidad Peruana de Ciencias Aplicadas (UPC); 2016 [cited 2016 May 4]. Available from: http://repositorioacademico.upc.edu.pe/upc/handle/10757/607402 |
url |
http://hdl.handle.net/10757/607402 |
dc.language.iso.es_PE.fl_str_mv |
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dc.relation.ispartof.fl_str_mv |
SUNEDU |
dc.relation.references.es_PE.fl_str_mv |
1. World Health Organization. Mental Health Action Plan 2013 – 2020. Geneva: WHO. 2013. 2. Kohn R, Saxena S,Levav I, Saraceno B. The treatment gap in mental health care.Bulletin of the World Health Organization. 2004; 82:858-66. 3. Lancet Global Mental Health Group, Chisholm D, Flisher AJ, Lund C, Patel V, Saxena S, Thornicroft G, Tomlinson M. Scale up services for mental disorders: a call for action. Lancet. 2007; 370(9594):1241-52. 4. Pan American Health Organization. Mental Health in the Americas: New Challenges in a new millennium. Washington DC: PAHO/WHO. 2001. 5. World Health Organization. Mental health atlas 2014. Geneva: WHO. 2015. 6. Eaton J, Kakuma R, Wright A, Minas H. A position statement on mental health in the post-2015 development agenda. International Journal of Mental Health Systems .2014; 8:28. 7. Farooq K, Lydall GJ, Malik A, Ndetei DM, ISOSCCIP Group, Bhugra D. Why medical students choose psychiatry - a 20 country cross-sectional survey. BMC Medical Education. 2014; 14:12. 8. Farooq K, Lydall GJ, Bhugra D. What attracts medical students towards psychiatry? A review of factors before and during medical school. Int Rev Psychiatry. 2013; 25(4): 371–7. 9. Lampe L, Coulston C, Walter G, Malhi G. Familiarity breeds respect: attitudes of medical students towards psychiatry following a clinical attachment. Aust N Z J Psychiatry. 2010; 18(4): 348 – 53. 10. Gowans MC, Clin EGD, Wright BJ, Brenneis FR, Scott IM. Which Students Will Choose a Career in Psychiatry?Can J Psychiatry. 2011; 56 (10): 605-13. 11. Amini H, Nejatisafa A, Shoar S, Kaviani H, Samimi-Ardestani M, Shabani A, et al. Iranian Medical Students’ Perception of Psychiatry: Before and After Psychiatry Clerkship. Iran J Psychiatry. 2013; 8(1): 37-43. 12. Malhi GS, Coulston CM, Parker GB, Cashman E, Walter G, Lampe LA, et al. Who picks psychiatry? Perceptions, preferences and personality of medical students. Aust N Z J Psychiatry. 2011; 45(10): 861-70. 13. Cook CCH. The Faith of the Psychiatrist. Mental Health, Religion & Culture 2011; 14: 9 -17. 14. Ventress W, Dharamsi S. Beyond Religion and Spirituality: Faith in the Study and Practice of Medicine. Perspectives in Biology and Medicine. 2013; 56(3): 352-61. 15. Baetz, M., Griffin, R., Bowen, R., & Marcoux, G. Spirituality and psychiatry in Canada: Psychiatric practice compared with patient expectations. Can J Psychiatry.2004; 49(4):265–71. 16. Curlin, FA, Odell SV, Lawrence RE, Chin MH, Lantos JD, Meador KG, et al. The relationship between psychiatry and religion among US physicians. Psychiatric Services. 2007; 58(9): 1193–8. 17. Butcher W. Spirituality, Religion and Psychiatric Practice in New Zealand. Christchurch: University of Otago. 2013. 18. Durà-Vilà G, Hagger M, Dein S, Leavey G. Ethnicity, religion and clinical practice: a qualitative study of belief and attitudes of psychiatrists in the United Kingdom. Mental Health, Religion & Culture. 2011; 14(1): 53-64. 19. Moreira-Almeida A, Koenig HG, Lucchetti G. Clinical implications of spirituality to mental health: review of evidence and practical guidelines. Rev Bras Psiquiatr. 2014; 36(2):176–82. 20. Mayta-Tristán P, Pereyra-Elías R, Montenegro-Idrogo JJ, Mejia CR, Inga-Berrospi F, Mezones-Holguin E, et al. Profile and professional expectations of medical students from 11 Latin American countries: Red LIRHUS Project. BMC Res Notes [in review] 21. Alarcón RD. Mental Health and Mental Health care in Latin America. World Psychiatry 2003: 2 (1): 54-6. 22. Talbott JA. The Fate of the Public Psychiatric System. Psychiatric Services 2004: 55 (10): 1136-40. 23. Janse Van Rensburg AB, Myburgh CP, Szabo CP, Poggenpoel M. The role of spirituality in specialist psychiatry: a review of the medical literature. Afr J Psychiatry (Johannesbg).2013: 16(4):247-255. 24. Pew Research Center’s Forum on Religion & Public Life. The Global Religious Landscape: A report on the Size and Distribution of the World’s Major Religious Groups as of 2010. Washington DC: Pew Research Center. 2012. 25. Bell J, Sahgal N, Cooperman A, Schwarzer S, Connor P, Funk C, et al. Religion in Latin America: Widespread Change in a Historically Catholic Religion. Pew Research Center. 2014; 13: 01 – 130. 26. Shiah YJ, Chang F, Chiang SK, Lin IM, Tam WC. Religion and Health: Anxiety, Religiosity, Meaning of Life and Mental Health. J Relig Health. 2015; 54(1): 35-45. 27. Tajima-Pozo K, Zambrano-Enriquez D, De Anta L, Moron MD, Carrasco JL, Diaz-Marsá M. Practicing exorcism in schizophrenia. BMJ Case Reports. 2011; doi:10.1136 28. Harris JC. Exorcism: The Miracles of St Ignatius of Loyola. JAMA Psychiatry.2014; 71(8): 866 – 867. 29. Koenig HG. Religion, spirituality, and health: The Research and Clinical Implications. ISRN Psychiatry. 2012; doi:10.5402/2012/278730 30. Cotti P. 'I am reading the history of religion': a contribution to the knowledge of Freud's building of a theory. Hist of Psychiatry. 2014; 25(2): 187-202. 31. Curlin FA, Lawrence RE, Odell S, Chin MH, Lantos JD, Koenig HG, et al. Religion, Spirituality, and Medicine: Psychiatrists’ and Other Physicians’ Differing Observations, Interpretations, and Clinical Approaches. Am J Psychiatry. 2007; 164(12): 1825-31. 32. Pargament KI, Lomax JW. Understanding and addressing religion among people with mental illness. World Psychiatry. 2013; 12(1):26–32. 33. Harding C. Japanese psychoanalysis and Buddhism: the making of a relationship. Hist of Psychiatry. 2014; 25(2) 154-70. 34. Bowen R, Baetz M, D’Arcy C. Self-rated importance of religion predicts one-year outcome of patients with panic disorder. Depress Anxiety. 2006; 23(5): 266 – 73. 35. Chida Y, Steptoe A, Powell LH. Religiosity/Spirituality and Mortality. Psychother Psychosom. 2009; 78(2):81–90. 36. Cook CCH. Religious Psychopathology: The prevalence of religious content of delusions and hallucinations in mental disorder. International Journal of Social Psychiatry 2015: 61(4) 404-25. |
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7d0d1b7a0bc87234b9b9a44fb603c354600Mayta-Tristan, Percy3828d311bedf98f7a2f0fe29a0fc9688-1Calizaya Gallegos, Carlo2016-04-28T23:32:44Z2016-04-28T23:32:44Z2016-02-08Calizaya Gallegos C. Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica [Internet]. Universidad Peruana de Ciencias Aplicadas (UPC); 2016 [cited 2016 May 4]. Available from: http://repositorioacademico.upc.edu.pe/upc/handle/10757/607402http://hdl.handle.net/10757/607402Importance: The worldwide scarcity of psychiatrists makes the identification of the factors associated with the intention to choose this specialty an important issue. Psychiatrists are the doctors with the lowest rates of religious affiliation. However, whether religious affiliation is a factor associated with choosing this specialty has not been studied. Objective: To evaluate the relationship between religious affiliation and the intention to choose psychiatry as a specialty among medical students in 11 Latin American countries. Design, setting and participants: A cross-sectional, multi-sited study that included 8308 first- and fifth-year students at 63 medical schools in 11 Latin American countries between 2011 and 2012. Main outcome and measures: Intention to pursue psychiatry as a specialty over other specialties (yes/no); religious affiliation (without: atheist/agnostic; with: any religion). Results: A total of 53.6% of the participants were women, and the average age was 20.4 (s.d. 2.9) years. A total of 36% were fifth-year students, and11.8% were not affiliated with any religion. Only 2.6% had the intention to choose psychiatry, whereby the highest percentage was among students in Chile (8.1%) and the lowest among students in Mexico (1.1%). It was found that those who had no religious affiliation had a higher probability of reporting the intention to become a psychiatrist [OR: 2.92 (95%CI: 2.14-4.00)] after adjusting for demographic, family, academic as well as personal and professional projection variables. Conclusions and relevance: There is a strong connection between not having a religious affiliation and the intention to be a psychiatrist. According to this logic, interventions could be implemented to incentivize those students who practice a religion to become mental-health professionals as well as other interventions to increase the probability that those who are not affiliated with a religion choose the specialty. However, the possible factors that influence this phenomenon must be evaluated in greater depth, ideally through longitudinal research.Objetivo: Evaluar la asociación entre la afiliación religiosa y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica. Diseño, parámetros y participantes: Estudio de corte transversal, multicéntrico que incluyó a 8308 estudiantes de primer y quinto año de 63 escuelas de medicina de 11 países latinoamericanos entre 2011 y 2012. Outcome principal y medidas: Intención de hacer la especialidad de psiquiatría frente a otras especialidades (sí/no); afiliación religiosa (sin: ateo/agnóstico; con: participe de cualquier religión). Resultados: El 53.6% de los participantes eran mujeres y su media de edad fue 20.4 (s.d. 2.9) años. El 36% fueron estudiantes de quinto año. El 11.8% no estaban afiliados a ninguna religión. La intención de ser psiquiatra fue de 2.6%, siendo mayor en estudiantes de Chile (8,1%) y menor en México (1,1%). Se encontró que quienes no estaban afiliados a alguna religión tenían más probabilidad de haber reportado tener intención de ser psiquiatra [OR:2.92 (IC95%:2.14-4.00)], ajustado por variables demográficas, familiares, académicas y de perspectivas profesionales y personales. Conclusiones y Relevancia: Existe una fuerte asociación entre no tener una afiliación religiosa y la intención de ser psiquiatra. Bajo esta lógica, se podrían implementar intervenciones para incentivar a los estudiantes que profesan una religión a convertirse en profesionales de salud mental, así como otras para aumentar aún más la probabilidad de que los no afiliados a ninguna religión opten por la especialidad. Sin embargo, se debe evaluar más a profundidad los posibles factores que influyen en este fenómeno, idealmente a través de estudios longitudinales.Tesisapplication/pdfapplication/epubapplication/mswordspaUniversidad Peruana de Ciencias Aplicadas (UPC)PEinfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Universidad Peruana de Ciencias Aplicadas (UPC)Repositorio Académico UPCreponame:UPC-Institucionalinstname:Universidad Peruana de Ciencias Aplicadasinstacron:UPCMedicina y religiónd514d185-694e-4df1-8b75-74d465578ce8600Estudiantes de medicinac783628c-7d26-4055-b167-1b8f6333f85d600Orientación vocacionalaaae6935-30b8-4381-aeac-594203378f63600Psiquiatríade8cc670-4d2e-453e-be38-02c3f7c08ace600Psiquiatra231f73fa-146e-48aa-bf7a-eb198a8c1b8f600América Latinac1cedeba-7cfa-43e2-8157-3bec3f389773600Asociación entre la religión y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoaméricainfo:eu-repo/semantics/bachelorThesisTesishttp://purl.org/coar/resource_type/c_7a1f1. World Health Organization. Mental Health Action Plan 2013 – 2020. Geneva: WHO. 2013. 2. Kohn R, Saxena S,Levav I, Saraceno B. The treatment gap in mental health care.Bulletin of the World Health Organization. 2004; 82:858-66. 3. Lancet Global Mental Health Group, Chisholm D, Flisher AJ, Lund C, Patel V, Saxena S, Thornicroft G, Tomlinson M. Scale up services for mental disorders: a call for action. Lancet. 2007; 370(9594):1241-52. 4. Pan American Health Organization. Mental Health in the Americas: New Challenges in a new millennium. Washington DC: PAHO/WHO. 2001. 5. World Health Organization. Mental health atlas 2014. Geneva: WHO. 2015. 6. Eaton J, Kakuma R, Wright A, Minas H. A position statement on mental health in the post-2015 development agenda. International Journal of Mental Health Systems .2014; 8:28. 7. Farooq K, Lydall GJ, Malik A, Ndetei DM, ISOSCCIP Group, Bhugra D. Why medical students choose psychiatry - a 20 country cross-sectional survey. BMC Medical Education. 2014; 14:12. 8. Farooq K, Lydall GJ, Bhugra D. What attracts medical students towards psychiatry? A review of factors before and during medical school. Int Rev Psychiatry. 2013; 25(4): 371–7. 9. Lampe L, Coulston C, Walter G, Malhi G. Familiarity breeds respect: attitudes of medical students towards psychiatry following a clinical attachment. Aust N Z J Psychiatry. 2010; 18(4): 348 – 53. 10. Gowans MC, Clin EGD, Wright BJ, Brenneis FR, Scott IM. Which Students Will Choose a Career in Psychiatry?Can J Psychiatry. 2011; 56 (10): 605-13. 11. Amini H, Nejatisafa A, Shoar S, Kaviani H, Samimi-Ardestani M, Shabani A, et al. Iranian Medical Students’ Perception of Psychiatry: Before and After Psychiatry Clerkship. Iran J Psychiatry. 2013; 8(1): 37-43. 12. Malhi GS, Coulston CM, Parker GB, Cashman E, Walter G, Lampe LA, et al. Who picks psychiatry? Perceptions, preferences and personality of medical students. Aust N Z J Psychiatry. 2011; 45(10): 861-70. 13. Cook CCH. The Faith of the Psychiatrist. Mental Health, Religion & Culture 2011; 14: 9 -17. 14. Ventress W, Dharamsi S. Beyond Religion and Spirituality: Faith in the Study and Practice of Medicine. Perspectives in Biology and Medicine. 2013; 56(3): 352-61. 15. Baetz, M., Griffin, R., Bowen, R., & Marcoux, G. Spirituality and psychiatry in Canada: Psychiatric practice compared with patient expectations. Can J Psychiatry.2004; 49(4):265–71. 16. Curlin, FA, Odell SV, Lawrence RE, Chin MH, Lantos JD, Meador KG, et al. The relationship between psychiatry and religion among US physicians. Psychiatric Services. 2007; 58(9): 1193–8. 17. Butcher W. Spirituality, Religion and Psychiatric Practice in New Zealand. Christchurch: University of Otago. 2013. 18. Durà-Vilà G, Hagger M, Dein S, Leavey G. Ethnicity, religion and clinical practice: a qualitative study of belief and attitudes of psychiatrists in the United Kingdom. Mental Health, Religion & Culture. 2011; 14(1): 53-64. 19. Moreira-Almeida A, Koenig HG, Lucchetti G. Clinical implications of spirituality to mental health: review of evidence and practical guidelines. Rev Bras Psiquiatr. 2014; 36(2):176–82. 20. Mayta-Tristán P, Pereyra-Elías R, Montenegro-Idrogo JJ, Mejia CR, Inga-Berrospi F, Mezones-Holguin E, et al. Profile and professional expectations of medical students from 11 Latin American countries: Red LIRHUS Project. BMC Res Notes [in review] 21. Alarcón RD. Mental Health and Mental Health care in Latin America. World Psychiatry 2003: 2 (1): 54-6. 22. Talbott JA. The Fate of the Public Psychiatric System. Psychiatric Services 2004: 55 (10): 1136-40. 23. Janse Van Rensburg AB, Myburgh CP, Szabo CP, Poggenpoel M. The role of spirituality in specialist psychiatry: a review of the medical literature. Afr J Psychiatry (Johannesbg).2013: 16(4):247-255. 24. Pew Research Center’s Forum on Religion & Public Life. The Global Religious Landscape: A report on the Size and Distribution of the World’s Major Religious Groups as of 2010. Washington DC: Pew Research Center. 2012. 25. Bell J, Sahgal N, Cooperman A, Schwarzer S, Connor P, Funk C, et al. Religion in Latin America: Widespread Change in a Historically Catholic Religion. Pew Research Center. 2014; 13: 01 – 130. 26. Shiah YJ, Chang F, Chiang SK, Lin IM, Tam WC. Religion and Health: Anxiety, Religiosity, Meaning of Life and Mental Health. J Relig Health. 2015; 54(1): 35-45. 27. Tajima-Pozo K, Zambrano-Enriquez D, De Anta L, Moron MD, Carrasco JL, Diaz-Marsá M. Practicing exorcism in schizophrenia. BMJ Case Reports. 2011; doi:10.1136 28. Harris JC. Exorcism: The Miracles of St Ignatius of Loyola. JAMA Psychiatry.2014; 71(8): 866 – 867. 29. Koenig HG. Religion, spirituality, and health: The Research and Clinical Implications. ISRN Psychiatry. 2012; doi:10.5402/2012/278730 30. Cotti P. 'I am reading the history of religion': a contribution to the knowledge of Freud's building of a theory. Hist of Psychiatry. 2014; 25(2): 187-202. 31. Curlin FA, Lawrence RE, Odell S, Chin MH, Lantos JD, Koenig HG, et al. Religion, Spirituality, and Medicine: Psychiatrists’ and Other Physicians’ Differing Observations, Interpretations, and Clinical Approaches. Am J Psychiatry. 2007; 164(12): 1825-31. 32. Pargament KI, Lomax JW. Understanding and addressing religion among people with mental illness. World Psychiatry. 2013; 12(1):26–32. 33. Harding C. Japanese psychoanalysis and Buddhism: the making of a relationship. Hist of Psychiatry. 2014; 25(2) 154-70. 34. Bowen R, Baetz M, D’Arcy C. Self-rated importance of religion predicts one-year outcome of patients with panic disorder. Depress Anxiety. 2006; 23(5): 266 – 73. 35. Chida Y, Steptoe A, Powell LH. Religiosity/Spirituality and Mortality. Psychother Psychosom. 2009; 78(2):81–90. 36. Cook CCH. Religious Psychopathology: The prevalence of religious content of delusions and hallucinations in mental disorder. International Journal of Social Psychiatry 2015: 61(4) 404-25.SUNEDUUniversidad Peruana de Ciencias Aplicadas (UPC). Facultad de Ciencias de la SaludLicenciaturaMedicinaMédico cirujano2018-06-15T22:27:35ZImportance: The worldwide scarcity of psychiatrists makes the identification of the factors associated with the intention to choose this specialty an important issue. Psychiatrists are the doctors with the lowest rates of religious affiliation. However, whether religious affiliation is a factor associated with choosing this specialty has not been studied. Objective: To evaluate the relationship between religious affiliation and the intention to choose psychiatry as a specialty among medical students in 11 Latin American countries. Design, setting and participants: A cross-sectional, multi-sited study that included 8308 first- and fifth-year students at 63 medical schools in 11 Latin American countries between 2011 and 2012. Main outcome and measures: Intention to pursue psychiatry as a specialty over other specialties (yes/no); religious affiliation (without: atheist/agnostic; with: any religion). Results: A total of 53.6% of the participants were women, and the average age was 20.4 (s.d. 2.9) years. A total of 36% were fifth-year students, and11.8% were not affiliated with any religion. Only 2.6% had the intention to choose psychiatry, whereby the highest percentage was among students in Chile (8.1%) and the lowest among students in Mexico (1.1%). It was found that those who had no religious affiliation had a higher probability of reporting the intention to become a psychiatrist [OR: 2.92 (95%CI: 2.14-4.00)] after adjusting for demographic, family, academic as well as personal and professional projection variables. Conclusions and relevance: There is a strong connection between not having a religious affiliation and the intention to be a psychiatrist. According to this logic, interventions could be implemented to incentivize those students who practice a religion to become mental-health professionals as well as other interventions to increase the probability that those who are not affiliated with a religion choose the specialty. However, the possible factors that influence this phenomenon must be evaluated in greater depth, ideally through longitudinal research.Objetivo: Evaluar la asociación entre la afiliación religiosa y la intención de optar por la especialidad de psiquiatría en estudiantes de medicina de 11 países de Latinoamérica. Diseño, parámetros y participantes: Estudio de corte transversal, multicéntrico que incluyó a 8308 estudiantes de primer y quinto año de 63 escuelas de medicina de 11 países latinoamericanos entre 2011 y 2012. Outcome principal y medidas: Intención de hacer la especialidad de psiquiatría frente a otras especialidades (sí/no); afiliación religiosa (sin: ateo/agnóstico; con: participe de cualquier religión). Resultados: El 53.6% de los participantes eran mujeres y su media de edad fue 20.4 (s.d. 2.9) años. El 36% fueron estudiantes de quinto año. El 11.8% no estaban afiliados a ninguna religión. La intención de ser psiquiatra fue de 2.6%, siendo mayor en estudiantes de Chile (8,1%) y menor en México (1,1%). Se encontró que quienes no estaban afiliados a alguna religión tenían más probabilidad de haber reportado tener intención de ser psiquiatra [OR:2.92 (IC95%:2.14-4.00)], ajustado por variables demográficas, familiares, académicas y de perspectivas profesionales y personales. Conclusiones y Relevancia: Existe una fuerte asociación entre no tener una afiliación religiosa y la intención de ser psiquiatra. Bajo esta lógica, se podrían implementar intervenciones para incentivar a los estudiantes que profesan una religión a convertirse en profesionales de salud mental, así como otras para aumentar aún más la probabilidad de que los no afiliados a ninguna religión opten por la especialidad. 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score |
12.77319 |
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La información contenida en este registro es de entera responsabilidad de la institución que gestiona el repositorio institucional donde esta contenido este documento o set de datos. El CONCYTEC no se hace responsable por los contenidos (publicaciones y/o datos) accesibles a través del Repositorio Nacional Digital de Ciencia, Tecnología e Innovación de Acceso Abierto (ALICIA).