Study On Social-Psychological Factors Of Vocational Selection Anxiety And Statistical Techniques In Clinical Medical Graduates

Objectives: To investigate the anxiety among clinical medical graduates about vocational selection, then to explore the social-psychological factors of the anxiety and their inherent relation with structural equation model and hierarchical linear model. The ultimate aim was to provide methodological guidance for the similar research and available information for relevant departments to resolve graduates'vocational selection anxiety.Methods: With cluster sampling, 723 clinical medical graduates, chosen from Fujian Medical University, Fujian University of Traditional Chinese Medicine, and QuanZhou Medical College, were given a questionnaire survey. The social-psychological factors of vocational selection anxiety and their inherent relation were undertaken multiple stepwise regression analysis, principal component regression analysis, linear structural equation model and hierarchical linear model, etc. Then the advantages and disadvantages of these methods were compared.Results: 723 valid questionnaires with assessment in class were received. 31.5% of graduates gave anxiety to vocational selection. Based on factor analysis, structure equation model was set up. It showed that employment, including pressure of employment competition, absence of employment support, lack of self-confidence and concern about career foreground, made greatly contributes to the result. The total effect reached 0.63. Coping style was a very important intermediate variable. Nevertheless, efficacy and personality made an indirect impact on anxiety. The analysis of hierarchical linear model by HLM6.04 suggested that anxiety was aggregation at class level. The low level factors were sex, job, efficacy, lack of self-confidence, concern about career foreground, negative coping style, positive coping style, psychoticism (P), extroversion (E) and neuroticism (N). Whereas the high level factor was employment environment including pressure of employment competition and absence of employment support.Conclusions: (1) The current situation about graduates'vocational selection anxiety was not optimistic. Efficacy, lack of self-confidence, concern about career foreground, pressure of employment competition, absence of employment support, negative coping style, positive coping style, sex, job, psychoticism (P), extroversion (E) and neuroticism (N) were the internal or external factors influencing vocational selection anxiety. Relative departments in universities should pay high attention to the issue and take effective measures such as employment instruction and psychological guidance to reduce the level of vocation selection anxiety in clinical medical graduates. In this way we could help graduates alleviate employment pressure and get a good job. (2) The result showed that it was appropriate for structural equation model to deal with the problem of multicollinearity and explore multistrata relationship among variables. Meanwhile, hierarchical linear model could well solve the structural problem of data.