{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T20:47:11Z","timestamp":1763239631332,"version":"build-2065373602"},"reference-count":36,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T00:00:00Z","timestamp":1706227200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>The COVID-19 pandemic disproportionately affected racial and ethnic minorities. Medical students were also particularly impacted as they coped with increased stressors due to delayed medical training and a high prevalence of mental health conditions. This study investigates mental health disparities of underrepresented in medicine (URM) students at the Saint Louis University School of Medicine (SLUSOM). An anonymous online survey was distributed to first- and second-year medical students at SLUSOM in February 2021. The survey queried demographic information, lifestyle factors, and pandemic-related and institutional concerns. Mental health was assessed via the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9). Statistical tests were run with SPSS, version 27. A convenience sample of 87 students responded to the survey. Students who were categorized as URM were significantly more likely to be at risk of major depressive disorder during the pandemic. Concern about a lack of financial support was significantly greater among students categorized as URM. Concerns regarding a lack of financial support, mental health support, and decreased quality of medical training significantly predicted PHQ-9 scores. Our findings revealed several key factors that may exacerbate mental health disparities among URM students during the pandemic. Providing adequate financial and academic resources for URMs may improve mental health outcomes for similar adverse events in the future.<\/jats:p>","DOI":"10.3390\/bs14020089","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T12:06:58Z","timestamp":1706616418000},"page":"89","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Mental Health Disparities among Pre-Clinical Medical Students at Saint Louis University during the COVID-19 Pandemic"],"prefix":"10.3390","volume":"14","author":[{"given":"Won Jong","family":"Chwa","sequence":"first","affiliation":[{"name":"Department of Medical Education, Saint Louis University School of Medicine, Saint Louis, MO 63104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8034-7172","authenticated-orcid":false,"given":"Albert C.","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Medical Educaiton, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheryl","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Medical Educaiton, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3770-4581","authenticated-orcid":false,"given":"Erin H.","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Medical Educaiton, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chantal","family":"Sheridan","sequence":"additional","affiliation":[{"name":"Department of Medical Educaiton, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Schreiber","sequence":"additional","affiliation":[{"name":"Department of Medical Educaiton, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie K.","family":"Zia","sequence":"additional","affiliation":[{"name":"Department of Medical Educaiton, Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keniesha","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Medical Education, Saint Louis University School of Medicine, Saint Louis, MO 63104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.jbusres.2020.06.008","article-title":"Effects of COVID-19 on business and research","volume":"117","author":"Donthu","year":"2020","journal-title":"J. Bus. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.cmrp.2020.03.011","article-title":"Effects of COVID-19 pandemic in daily life","volume":"10","author":"Haleem","year":"2020","journal-title":"Curr. Med. Res. Pract."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"taaa113","DOI":"10.1093\/jtm\/taaa113","article-title":"COVID-19: Exposing and addressing health disparities among ethnic minorities and migrants","volume":"27","author":"Greenaway","year":"2020","journal-title":"J. Travel. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2466","DOI":"10.1001\/jama.2020.8598","article-title":"COVID-19 and Racial\/Ethnic Disparities","volume":"323","year":"2020","journal-title":"JAMA"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1136\/ebmental-2020-300174","article-title":"COVID-19, mental health and ethnic minorities","volume":"23","author":"Smith","year":"2020","journal-title":"Evid. Based Ment. Health"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1056\/NEJMp2008017","article-title":"Mental Health and the COVID-19 Pandemic","volume":"383","author":"Pfefferbaum","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1146\/annurev.so.17.080191.002031","article-title":"Ethnic Minorities and Mental Health","volume":"17","author":"Vega","year":"1991","journal-title":"Annu. Rev. Sociol."},{"key":"ref_8","first-page":"S107","article-title":"Mental Health of Medical Students in Different Levels of Training","volume":"3","author":"Jafari","year":"2012","journal-title":"Int. J. Prev. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.4065\/81.11.1435","article-title":"A multicenter study of burnout, depression, and quality of life in minority and nonminority US medical students","volume":"81","author":"Dyrbye","year":"2006","journal-title":"Mayo Clin. Proc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1097\/00001888-200604000-00009","article-title":"Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students","volume":"81","author":"Dyrbye","year":"2006","journal-title":"Acad. Med. J. Assoc. Am. Med. Coll."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2382120520935059","DOI":"10.1177\/2382120520935059","article-title":"Medical Students and COVID-19: Challenges and Supportive Strategies","volume":"7","author":"Chandratre","year":"2020","journal-title":"J. Med. Educ. Curric. Dev."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2156","DOI":"10.1007\/s11606-022-07497-2","article-title":"Impact of the Early Phase of the COVID-19 Pandemic on Medical Student Well-Being: A Multisite Survey","volume":"37","author":"Alkureishi","year":"2022","journal-title":"J. Gen. Intern. Med."},{"key":"ref_13","unstructured":"Ogunyemi, D. (2023, July 23). Unique Populations. Association of American Medical Colleges. Available online: https:\/\/www.aamc.org\/professional-development\/affinity-groups\/gfa\/unique-populations."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4103\/efh.efh_112_22","article-title":"Medical student anxiety and depression in the COVID-19 Era: Unique needs of underrepresented students","volume":"35","author":"Lin","year":"2022","journal-title":"Educ. Health Abingdon Engl."},{"key":"ref_15","unstructured":"Baciu, A., Negussie, Y., Geller, A., and Weinstein, J.N. (2023, April 05). The State of Health Disparities in the United States. Communities in Action: Pathways to Health Equity. National Academies Press (US), Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK425844\/."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J. Gen. Intern. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.genhosppsych.2015.11.005","article-title":"Screening for anxiety disorders with the GAD-7 and GAD-2: A systematic review and diagnostic metaanalysis","volume":"39","author":"Plummer","year":"2016","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"E191","DOI":"10.1503\/cmaj.110829","article-title":"Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): A meta-analysis","volume":"184","author":"Manea","year":"2012","journal-title":"CMAJ"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"3295","DOI":"10.1007\/s11606-021-07059-y","article-title":"Mental Health of US Medical Students during the COVID-19 Pandemic","volume":"36","author":"Christophers","year":"2021","journal-title":"J. Gen. Intern. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1080\/20009666.2021.1918475","article-title":"COVID-19 mental health consequences on medical students worldwide","volume":"11","author":"Mittal","year":"2021","journal-title":"J. Community Hosp. Intern. Med. Perspect."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1007\/s40615-014-0045-z","article-title":"Depression in Racial and Ethnic Minorities: The Impact of Nativity and Discrimination","volume":"2","author":"Budhwani","year":"2015","journal-title":"J. Racial Ethn. Health Disparities"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/S0165-0327(99)00069-5","article-title":"Depression and health-related quality of life in ethnic minorities seeking care in general medical settings","volume":"58","author":"Wells","year":"2000","journal-title":"J. Affect. Disord."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.janxdis.2012.02.002","article-title":"Treating ethnic minority adults with anxiety disorders: Current status and future recommendations","volume":"26","author":"Carter","year":"2012","journal-title":"J. Anxiety Disord."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.genhosppsych.2005.07.002","article-title":"Treating minority patients with depression and anxiety: What does the evidence tell us?","volume":"28","author":"Schraufnagel","year":"2006","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_26","unstructured":"Semega, J., Kollar, M., Shrider, E., and Creamer, J. (2023, April 05). Income and Poverty in the United States: 2019, Available online: https:\/\/www.census.gov\/library\/publications\/2020\/demo\/p60-270.html."},{"key":"ref_27","unstructured":"Toretsky, C., Mutha, S., and Coffman, J. (2018). Breaking Barriers for Underrepresented Minorities in the Health Professions, University of California. Available online: https:\/\/healthforce.ucsf.edu\/publications\/breaking-barriers-underrepresented-minorities-health-professions."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/ACM.0b013e31802d8f2c","article-title":"Exploring obstacles to and opportunities for professional success among ethnic minority medical students","volume":"82","author":"Odom","year":"2007","journal-title":"Acad. Med. J. Assoc. Am. Med. Coll."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/s40670-020-01165-y","article-title":"Online-Learning Due to COVID-19 Improved Mental Health among Medical Students","volume":"31","author":"Bolatov","year":"2021","journal-title":"Med. Sci. Educ."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1136\/medethics-2020-107155","article-title":"Levels of stress in medical students due to COVID-19","volume":"47","author":"Gavin","year":"2021","journal-title":"J. Med. Ethics"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"926","DOI":"10.12669\/pjms.37.3.4321","article-title":"How can medical schools combat declining mental health amongst their students during the COVID-19 quarantine period?","volume":"37","author":"Subhaskaran","year":"2021","journal-title":"Pak. J. Med. Sci."},{"key":"ref_32","unstructured":"(2023, April 05). News and Events. Saint Louis University School of Medicine. Available online: https:\/\/www.slu.edu\/medicine\/diversity\/news-and-events.php."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Claridge, H., and Ussher, M. (2019). Does financial support for medical students from low income families make a difference? A qualitative evaluation. BMC Med. Educ., 19.","DOI":"10.1186\/s12909-019-1573-3"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"368","DOI":"10.14423\/SMJ.0000000000001124","article-title":"Responding to COVID-19: Perspectives on Curricular Changes in a Rural Medical School","volume":"113","author":"Crumb","year":"2020","journal-title":"South. Med. J."},{"key":"ref_35","unstructured":"(2023, April 05). The Best Medical Schools for Most Diverse Medical Schools, Ranked. U.S. News. Available online: https:\/\/www.usnews.com\/best-graduate-schools\/top-medical-schools\/medical-school-diversity-rankings."},{"key":"ref_36","first-page":"385","article-title":"Gender differences in mental health","volume":"48","author":"Afifi","year":"2007","journal-title":"Singap. Med. J."}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/14\/2\/89\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:49:51Z","timestamp":1760104191000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/14\/2\/89"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,26]]},"references-count":36,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["bs14020089"],"URL":"https:\/\/doi.org\/10.3390\/bs14020089","relation":{},"ISSN":["2076-328X"],"issn-type":[{"type":"electronic","value":"2076-328X"}],"subject":[],"published":{"date-parts":[[2024,1,26]]}}}