Objective To understand the status quo of medical students' integrity in examinations and to explore the influencing factors. Methods 2013-2015 undergraduate students from Clinical Medi-cine, Preventive Medicine and other professional subjects were included in Shanxi Medical University. A total of 221 questionnaires were issued for each grade by stratified random sampling. The database was built with EpiData 3.1. All statical analyses were performed with SPSS software (version 22.0) by means of chi-square test and binary logistic regression. Results Among the 600 medical students, 16.5% of the students had cheating. A statistically significant difference was observed in the cheating rate among the medical stu-dents in terms of gender, grade, academic performance, medical knowledge, memory, family factors, and invigilators' attitude (P<0.05). Litter pressure from the family, the teacher's proctoring is rigorous invigilation, and top scores were the protective factors for medical students' cheating in exams. Conclusion Through the analysis of the influencing factors for the medical students' integrity in examinations, corresponding measures are formulated to provide reference for relevant medical personnel in various medical colleges and universities.%目的 了解医学生诚信考试现状,探讨医学生诚信考试的影响因素.方法 选取山西医科大学临床医学、预防医学等专业2013至2015级在校本科生为研究对象,采用分层随机抽样,每个年级发放问卷221份.用EpiData3.1建库,应用SPSS 22.0进行数据分析,采用卡方检验、二分类logistic回归进行统计分析.结果 600名医学生中,16.5%的学生有作弊行为;性别、年级、学习成绩、医学知识内容多、记忆量大、家庭因素、老师监考态度等因素下的医学生作弊率差异有统计学意义(P<0.05);家庭施加压力小、老师监考严格、成绩排名靠前是医学生考试作弊的保护因素.结论 通过医学生诚信考试的影响因素分析,制定相应对策,为各医科类院校相关管理人员提供参考依据.
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