Table 5.
Student scores of cultural competence: mean differences (range 1 to 4) at the factor level.
Domains and factors (n) | Year |
Gender |
Race |
Age (years) |
|||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
P | P1 (307) |
P2 (201) |
P3 (182) |
P4 (185) |
P | Men (293) |
Women (579) |
P | Black (192) |
Asian (251) |
White (342) |
Other (90) |
P | < 25 (476) |
25–29 (244) |
≥ 30 (155) |
|
Knowledge domain | |||||||||||||||||
F1 health issues | .001 | 2.16b | 2.26 | 2.6a | 2.57 | .07 | 2.43 | 2.33 | .001 | 2.64a | 2.35b | 2.25b | 2.19b | .023 | 2.3b | 2.44a | 2.42 |
F2 context of care | .001 | 2.1b | 2.18 | 2.47a | 2.45 | .008 | 2.36a | 2.22 | .001 | 2.52a | 2.28b | 2.14b | 2.17b | .30 | 2.24 | 2.3 | 2.32 |
Skills domain | |||||||||||||||||
F3 effective services | .001 | 2.19b | 2.22 | 2.68a | 2.67a | .07 | 2.47 | 2.37 | .006 | 2.48a | 2.49a | 2.31b | 2.33b | .001 | 2.29b | 2.53a | 2.53a |
F4 cross-cultural conflicts | .001 | 2.04b | 2.07 | 2.5a | 2.5a | .08 | 2.31 | 2.2 | .001 | 2.41c | 2.33c | 2.13c | 2.05 | .03 | 2.17b | 2.35a | 2.29 |
Attitudes domain | |||||||||||||||||
F5 patient discrimination | .25 | 2.9 | 3.02 | 2.93 | 3.02 | .001 | 2.82 | 3.03a | .001 | 3.23c | 3.06c | 2.73c | 2.98c | .84 | 2.97 | 2.94 | 2.94 |
F6 social determinants | .04 | 3.45b | 3.59a | 3.5 | 3.49 | .34 | 3.47 | 3.51 | .001 | 3.6a | 3.55 | 3.42b | 3.47 | .63 | 3.52 | 3.48 | 3.48 |
F7 intercultural interactions | .22 | 3.25 | 3.28 | 3.26 | 3.13 | .001 | 3.09 | 3.3a | .004 | 3.34a | 3.31a | 3.13b | 3.14b | .005 | 3.3a | 3.19 | 3.08b |
Encounters domain | |||||||||||||||||
F8 comfort in encounters | .03 | 2.7b | 2.8 | 2.91a | 2.79 | .69 | 2.8 | 2.78 | .001 | 2.99a | 2.82 | 2.64b | 2.81 | .11 | 2.74 | 2.82 | 2.87 |
F9 communication challenges | .006 | 2.3b | 2.39 | 2.57a | 2.44 | .05 | 2.49a | 2.38 | .001 | 2.66a | 2.45 | 2.29b | 2.28b | .40 | 2.43 | 2.44 | 2.35 |
Abilities domain | |||||||||||||||||
F10 needs assessment | .001 | 2.69b | 2.84 | 3.09a | 3.04 | .72 | 2.9 | 2.88 | .003 | 2.96a | 2.9 | 2.9 | 2.62b | .77 | 2.89 | 2.9 | 2.85 |
F11 cultural knowledge | .009 | 2.91b | 3.03 | 3.06a | 3.01 | .54 | 3.01 | 2.98 | .001 | 3.12a | 2.98 | 2.94 | 2.92a | .78 | 3 | 2.99 | 2.97 |
Awareness domain | |||||||||||||||||
F12 self-reflection | .10 | 3.27 | 3.41 | 3.32 | 3.33 | .31 | 3.29 | 3.34 | .001 | 3.59c | 3.36c | 3.15c | 3.31 | .005 | 3.38a | 3.31 | 3.19b |
F13 Barriers to health care | .009 | 3.1b | 3.23a | 3.21 | 3.23 | .107 | 3.14 | 3.2 | .001 | 3.3a | 3.18 | 3.1b | 3.24 | .771 | 3.19 | 3.18 | 3.15 |
F14 racial dynamics | .44 | 3.07 | 3.09 | 2.98 | 3.01 | .234 | 3 | 3.07 | .001 | 3.49c | 3.14c | 2.71c | 3.1 | .004 | 3.12a | 2.92b | 3.02 |
Total score | .001 | 2.62b | 2.71 | 2.87a | 2.84 | .58 | 2.75 | 2.73 | .001 | 2.93c | 2.78c | 2.63c | 2.65 | .60 | 2.73 | 2.76 | 2.74 |
F = factor; P1 = first-year student; P2 = second-year student; P3 = third-year student; P4 = fourth-year student.
These groups had significantly higher mean scores than their respective counterpart with the lowest score (P < .05).
These groups had significantly lower mean scores than their respective counterpart with the highest score (P < .05).
These groups were significantly different between each other (P < .05).