地域枠医学生の奨学金返還の可能性と関連要因の検討  [in Japanese] Likelihood of Chiikiwaku Medical Student Loan Repayment and Its Associated Factors  [in Japanese]

<p>　同意が得られた39大学の地域枠医学生を対象に, 奨学金返還の可能性とその関連要因を明らかにするため自記式質問紙を用いて調査した. 奨学金返還の可能性を「とてもある」または「少しある」と回答したのは112名 (37.8%) だった. 返還可能性との関連要因は, 女性 (オッズ比3.2, 95%信頼区間1.5-6.8), 地域枠選択理由が「医学部に入学しやすいから」 (同2.9, 1.2-6.8), 私立大学 (同10.3, 2.6-40.3), 就労義務によるストレスが多い (同2.4, 1.3-4.3) だった. 地域枠学生の選抜方法の工夫や, ストレスを感じる学生に配慮した制度調整が, 奨学金返還を抑制するうえで重要と考えられた.</p>

<p>　This study used a self-administered questionnaire to assess the likelihood of chiikiwaku medical student loan repayment and its associated factors. If chiikiwaku repayment is high, then it can have a negative effect on the chiikiwaku program, which was established to distribute doctors to outlying areas. A total of 112 students (37.8%) reported that the likelihood of repayment was "high" or "somewhat high." The factors statistically associated with repayment likelihood were female gender (odds ratio (OR) 3.2, 95% confidence interval (CI) 1.5-6.8), applying forchiikiwaku mainly due to the higher medical school acceptance rate (OR 2.9, 95%CI 1.2-6.8), private medical school (OR 10.3, 95%CI 2.6-40.3), and stress related to obligation or repayment (OR 2.4, 95%CI 1.3-4.3). The results suggest that to decrease the rate of loan repayment it is important to improve the process of selecting chiikiwaku students and to modify the chiikiwaku system to support students experiencing stress.</p>