Disparidades sociais e experiências discriminatórias vivenciadas por estudantes de Odontologia: o papel da interseccionalidade
Social disparities and discriminatory experiences of dental students: an intersectional analysis
Publication year: 2022
Theses and dissertations in Portugués presented to the Universidade Federal de Minas Gerais, Faculdade de Odontologia to obtain the academic title of Doutor. Leader: Bendo, Cristiane Baccin
The aim of this study was to evaluate the social characteristics and form of admission
of dental students in the university, associating these characteristics with the
discriminatory experiences lived by then, through an intersectional analysis. A crosssectional multicenter study was conducted with Brazilian dental students, selected
through a snowball sample. The study was approved by the Ethics Committee for
Human Research of the Federal University of Minas Gerais (CAAE:
47622121.4.0000.5149). The discriminatory experiences were measured by the total
score of Explicit Discrimination Scale (EDS). To evaluate the other variables, a
questionnaire was created with thematic blocks: sociodemographic and
socioeconomic characteristics and admission at dental school. After the development
of the questionnaire, meetings with experts on the subject and on the scientific
methods were conducted to adjust it. Next, cognitive interviews with six volunteer
students were conducted to verify the applicability and understanding of the
instrument. After the adjusts, a pilot study was conducted, and no changes were
needed. Students were invited to answer the full questionnaire and the EDS via Google
Forms. Data was analyzed by descriptive analysis, bivariate analysis using MannWhitney and Kruskal-Wallis with post-hoc test. Multiple analysis using Poisson
regression with robust variance was performed to measure the intersectionality. The
significance level was set at 5% (p<0.05). 531 students from 15 different Brazilian
institutions participated of this study; 74.2% were female, 53.3% white, 99.6%
cisgenders and 85.5% heterosexuals. The mean age was 25.4 (±6.3) years. The
means of discriminatory experiences were higher in students who work and support
themselves (7.27±6.6) or use public policies (7.03±5.79) to access the university. Four
models were built for an intersectional analysis. In the first model with non-adjusted
analysis, black students were more likely to have had discriminatory experiences
(PR:1,503 95% CI: 1.305-1.731). In the second model, the variable sex was
incorporated, and the association between race and discriminatory experiences were
kept (PR:1.513; 95% CI: 1.314-1.742). The monthly income was incorporated in the
third model. Black race (PR=1.502; 95% CI: 1.304-1.729) and lower monthly income
(PR=1.234; 95% CI: 1.057-1.442) were statistically associated with discriminatory
experience. The last adjusted model was composed by race, sex, monthly income and
sexual orientation and it was observed that black students (PR=1.484; 95% CI: 1.291-
1.705; p<0.001), women (PR=1.227; 95% CI: 1.030 -1.462; p=0.022), with lower
monthly income (PR=1.212; 95% CI: 1.043-1.409; p=0.012) and LGBTQIAP+
(PR=1.466; 95% CI: 1.238-1.735; p<0.001) had higher probability of having
discriminatory experiences when compared to whites, men, with higher monthly
income and heterosexuals.
It can be concluded that the profile of dental students maintained a certain pattern:
white, heterosexual and cisgender. Students who use public policies of access have higher averages of discrimination. Also, black female students with lower monthly income and LGBTQIAP+ were more likely to have had discriminatory experiences when compared to white men with highly monthly income and heterosexual.
The aim of this study was to evaluate the social characteristics and form of admission
of dental students in the university, associating these characteristics with the
discriminatory experiences lived by then, through an intersectional analysis. A crosssectional multicenter study was conducted with Brazilian dental students, selected
through a snowball sample. The study was approved by the Ethics Committee for
Human Research of the Federal University of Minas Gerais (CAAE:
47622121.4.0000.5149). The discriminatory experiences were measured by the total
score of Explicit Discrimination Scale (EDS). To evaluate the other variables, a
questionnaire was created with thematic blocks: sociodemographic and
socioeconomic characteristics and admission at dental school. After the development
of the questionnaire, meetings with experts on the subject and on the scientific
methods were conducted to adjust it. Next, cognitive interviews with six volunteer
students were conducted to verify the applicability and understanding of the
instrument. After the adjusts, a pilot study was conducted, and no changes were
needed. Students were invited to answer the full questionnaire and the EDS via Google
Forms. Data was analyzed by descriptive analysis, bivariate analysis using MannWhitney and Kruskal-Wallis with post-hoc test. Multiple analysis using Poisson
regression with robust variance was performed to measure the intersectionality. The
significance level was set at 5% (p<0.05). 531 students from 15 different Brazilian
institutions participated of this study; 74.2% were female, 53.3% white, 99.6%
cisgenders and 85.5% heterosexuals. The mean age was 25.4 (±6.3) years. The
means of discriminatory experiences were higher in students who work and support
themselves (7.27±6.6) or use public policies (7.03±5.79) to access the university. Four
models were built for an intersectional analysis. In the first model with non-adjusted
analysis, black students were more likely to have had discriminatory experiences
(PR:1,503 95% CI: 1.305-1.731). In the second model, the variable sex was
incorporated, and the association between race and discriminatory experiences were
kept (PR:1.513; 95% CI: 1.314-1.742). The monthly income was incorporated in the
third model. Black race (PR=1.502; 95% CI: 1.304-1.729) and lower monthly income
(PR=1.234; 95% CI: 1.057-1.442) were statistically associated with discriminatory
experience. The last adjusted model was composed by race, sex, monthly income and
sexual orientation and it was observed that black students (PR=1.484; 95% CI: 1.291-
1.705; p<0.001), women (PR=1.227; 95% CI: 1.030 -1.462; p=0.022), with lower
monthly income (PR=1.212; 95% CI: 1.043-1.409; p=0.012) and LGBTQIAP+
(PR=1.466; 95% CI: 1.238-1.735; p<0.001) had higher probability of having
discriminatory experiences when compared to whites, men, with higher monthly
income and heterosexuals.