Clearing the Pathway: Examining the Impact of Marginalized Identity Status on Stress and Well-Being Among Physician Assistant/Associate Student Learners.

Introduction: The current study examined the correlation between physician assistant/associate (PA) learner intersectional identities, stress, well-being, and PA program application data. We investigated how multiple marginalized identities (MIs) affect PA students' experiences, including their decision timing to enter the profession, stress levels, and overall well-being.

Methods: Using data from the PA Education Association 2019 Matriculating Student Survey, multivariate logistic regression was used to examine the relationship between MIs, stage of life one decides to become a PA, age at graduation, and stress and well-being among PA students. The odds of increased stress and well-being among those with single or multiple marginalized identities were also assessed.

Results: On average, nonmarginalized students were more likely to decide to become a PA at an earlier age (P < 0.001). Marginalized students submitted fewer PA school applications and were less likely to receive acceptance letters (P = 0.001). Compared with their nonmarginalized counterparts, both single and multiple MIs had increased stress levels. In addition, the prevalence of financial concerns was significantly higher among marginalized populations (P < 0.001).

Discussion: This study highlighted the significant impact of intersectionality and having multiple MIs on the health and well-being of PA students. Individuals who identify with multiple MIs, experience increased stress levels, increased financial concerns, and diminished overall well-being.