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Table 2 Change in medical students attitudes toward the underserved (MS-ATU) throughout medical education

From: Medical students attitudes toward and intention to work with the underserved: a systematic review and meta-analysis

Author

Country

Scale

1st year

2nd year

3d year

4th year

5th year

Mean difference (%)

Significance

Dornbush et al. 1985 [16]

US

ATSIMa

168.11

–

165.85

–

–

−2.26 (1.3%)

NS

Ewan, 1987 [32]

Australia

ATSIM

175.9

–

–

179.4

–

+ 3.5 (1.9%)

NS

Ewan, 1988 [33]

Australia

ATSIM

–

–

–

176

167

−9.0 (5.1%)

p < 0.001

Dornbush et al. 1991 [34]

US

ATSIM

213.81

 

195.15

–

–

−18.66 (8.7%)

p = 0.037

Crandall et al. 1993 [12]

US

MSATUa

66.3

–

–

60.8

–

−5.5 (8.3%)

p < 0.001

Crandall et al. 1997 [13] (women)

US

MSATU

54.1

48.4

47.6

43.5

–

−10.6 (22.2%)

p < 0.001

Crandall et al. 1997 [13] (men)

US

MSATU

48.6

44.4

44.7

40.9

–

−7.7 (15.8%)

p < 0.001

Schwartz & Loten, 2004 [43]

New Zealand

ATSIM

13.46

13.61

12.9

–

–

− 0.56 (4.2%)

NA

Schwartz & Loten, 2004 [43]

Hawaii

ATSIM

14.75

14.54

14.21

14.31

–

−0.44 (2.9%)

NA

Schwartz & Loten, 2004 [43]

Australia

ATSIM

13.21

–

13

–

–

−0.21 (1.6%)

NA

Wolloschuk et al. 2004 [45]

Canada

ATSIM

187.2

182.01

–

176.05

–

−11.15 (5.9%)

p < 0.001

Godkin et al. 2006 [47]

US

MSATU

3.98

–

–

3.81

–

−0.17 (4.3%)

p < 0.05

Crandall et al. 2008 [51]

US

MSATU

52.8

51.4

–

46.6

–

−6.2 (11.7%)

p < 0.01

Wayne et al. 2011 [54]

US

MSATU

54.9

–

–

50.4

–

−4.5 (8.2%)

NA

Jilani et al. 2015 [18]

US

ATPb

48.15

–

–

51.69

–

+ 3.54 (7.4%)

p = 0.016

Stephens et al. 2015 [63]

US

MSATU

46.02

–

–

41.7

–

−4.32 (9.4%)

p < 0.01

  1. MSATU Medical Student Attitude Toward the Underserved scale; ATSIM Attitudes Toward Social Issues in Medicine scale; ATP Attitudes Toward Poverty*
  2. a Higher score in ATSIM and MSATU indicate a more favorable attitude toward the underserved15,16
  3. b Higher score in ATP indicate a less favorable attitude toward the underserved17,18