Majra Jai Pal, Acharya Das
Department of Community Medicine, K.S. Hegde Medical Academy, Mangalore, India.
Indian J Community Med. 2009 Oct;34(4):317-20. doi: 10.4103/0970-0218.58390.
Climate change is a significant and emerging threat to public health and to meet the challenge, health systems require qualified staff.
To study the preparedness of medical interns to meet the challenge of protecting health from climate change.
Medical colleges in a coastal town. Cross-sectional study.
A proportionate number of medical interns from five medical colleges were included in the study. Level of awareness was used as a criterion to judge the preparedness. A self-administered, pretested, open-ended questionnaire was used. Responses were evaluated and graded.
Proportions, percentage, Chi-test.
About 90% of the medical interns were aware of the climate change and human activities that were playing a major role. Ninety-four percent were aware of the direct health impacts due to higher temperature and depletion in ozone concentration, and about 78% of the respondents were aware about the change in frequency / distribution of vector-borne diseases, water borne / related diseases, malnutrition, and health impact of population displacement. Knowledge regarding health protection was limited to mitigation of climate change and training / education. Options like adaptation, establishing / strengthening climate and disease surveillance systems, and health action in emergency were known to only nine (7%), eight (6%), and 17 (13%), respectively. Collegewise difference was statistically insignificant. Extra / co-curricular activities were the major source of knowledge.
Majority of medical interns were aware of the causes and health impacts of climate change, but their knowledge regarding health protection measures was limited.
气候变化是对公众健康的重大且新出现的威胁,为应对这一挑战,卫生系统需要合格的工作人员。
研究医学实习生应对保护健康免受气候变化影响这一挑战的准备情况。
沿海城镇的医学院校。横断面研究。
纳入了来自五所医学院校的按比例抽取的医学实习生。将认知水平作为判断准备情况的标准。使用了一份自行填写、经过预测试的开放式问卷。对回答进行评估并分级。
比例、百分比、卡方检验。
约90%的医学实习生知晓气候变化以及起主要作用的人类活动。94%的人知晓高温和臭氧浓度降低带来的直接健康影响,约78%的受访者知晓媒介传播疾病、水传播/相关疾病、营养不良以及人口流离失所对健康的影响在频率/分布上的变化。关于健康保护的知识仅限于缓解气候变化以及培训/教育。分别只有9人(7%)、8人(6%)和17人(13%)知晓适应、建立/加强气候与疾病监测系统以及应急中的健康行动等选项。各院校之间的差异无统计学意义。课外/课外活动是知识的主要来源。
大多数医学实习生知晓气候变化的成因及其对健康的影响,但他们关于健康保护措施的知识有限。