No difference in the intention to engage others in academic transgression among medical students from neighboring countries: a cross-national study on medical students from Bosnia and Herzegovina, Croatia, and Macedonia.

Aim To asses if the level of intention to engage others in academic transgressions was comparable among medical students from five schools from neighboring Southern-European countries: Croatia, Bosnia and Herzegovina, and Macedonia; and medical students from western EU studying at Split, Croatia. Methods Five medical schools were surveyed in 2011, with >= 87% of the targeted population sampled and a response rate of >= 76%. Students' intention to engage a family member, friend, colleague, or a stranger in academic transgression was measured using a previously validated the Intention to Engage Others in Academic Transgression (IEOAT) questionnaire and compared with their intention to ask others for a non-academic, material favor. Data on students' motivation measured by Work Preference Inventory scale, and general data were also collected. Multiple linear regression models of the intention to engage others in a particular behavior were developed. Results The most important determinants of the intention to engage others in academic transgression were psychological factors, such as intention to ask others for a material favor, or students' motivation (median determinant's beta of 0.18, P <= 0.045 for all), whereas social and cultural factors associated with the country of origin were either weak (median beta of 0.07, P <= 0.031) or not relevant. A significant proportion of students were aware of the ethical violations in academic transgressions (P <= 0.004 for all transgressions), but a large proportion of students also perceived academic cheating as a collective effort and were likely to engage people randomly (P <= 0.001 for all, but the most severe transgression). This collective effort was more pronounced for academic than non-academic behavior. Conclusion Culture differences among neighboring Southern-European countries were not an important determinant of the intention to engage others in academic cheating.