Prevalence and associated factors of bullying in medical residents: A systematic review and meta-analysis

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Occupational Health Pub Date : 2023-07-13 DOI:10.1002/1348-9585.12418

Neri Alejandro Álvarez Villalobos, Humberto De León Gutiérrez, Fernando Gerardo Ruiz Hernandez, Gabriela Guadalupe Elizondo Omaña, Héctor Alejandro Vaquera Alfaro, Francisco Javier Carranza Guzmán

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Abstract

Objective

To assess the prevalence of bullying in medical residents and its associated factors.

Methods

In this systematic review and meta-analysis, articles from MEDLINE, EMBASE, Scopus, PsycInfo, Cochrane databases, and Web of Science were searched. Published and unpublished cross-sectional studies were included. Cochrane's Q test and I² statistics were used to assess the existence of heterogeneity. Subgroup analysis and sensitivity analysis were performed on evidence of heterogeneity. Egger's test and funnel plots were performed to investigate publication bias.

Results

A total of 13 cross-sectional studies with a total of 44 566 study participants from different medical residencies were analyzed. The overall prevalence of bullying was 51% (95% CI 36–66). Furthermore, female residents and residents that belong to a minority group had higher odds of experiencing bullying compared to their peers.

Conclusion

A high prevalence of bullying in medical residents exists around the world. There is a need for education, dissemination, and more effective interventions among the residents and authorities about bullying to build and promote adequate behaviors and diminish bullying prevalence.

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住院医师恃强欺弱的患病率及相关因素:系统回顾与荟萃分析

目的了解住院医师欺凌行为的发生率及其相关因素。方法对MEDLINE、EMBASE、Scopus、PsycInfo、Cochrane、Web of Science等数据库的文献进行系统综述和meta分析。包括已发表和未发表的横断面研究。采用Cochrane’s Q检验和I2统计来评估异质性的存在。对异质性证据进行亚组分析和敏感性分析。采用Egger检验和漏斗图调查发表偏倚。结果本研究共纳入13项横断面研究，共纳入来自不同住院医师的44566名研究对象。欺凌的总体发生率为51% (95% CI 36-66)。此外，与同龄人相比，女性居民和属于少数群体的居民遭受欺凌的几率更高。结论在世界范围内，住院医师中的欺凌现象普遍存在。有必要在居民和当局之间进行关于欺凌的教育、宣传和更有效的干预，以建立和促进适当的行为，减少欺凌的流行。

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来源期刊

Journal of Occupational Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The scope of the journal is broad, covering toxicology, ergonomics, psychosocial factors and other relevant health issues of workers, with special emphasis on the current developments in occupational health. The JOH also accepts various methodologies that are relevant to investigation of occupational health risk factors and exposures, such as large-scale epidemiological studies, human studies employing biological techniques and fundamental experiments on animals, and also welcomes submissions concerning occupational health practices and related issues.