Darzé Omar Ismail Santos Pereira, Azevêdo Barbara Kelly Gonçalves
Escola Bahiana de Medicina e Saúde Pública, BrotasBA, Brasil, Escola Bahiana de Medicina e Saúde Pública - EBMSP - Brotas (BA), Brasil.
Rev Bras Ginecol Obstet. 2014 Jan;36(1):5-9. doi: 10.1590/S0100-72032014000100003.
To analyze and compare the knowledge, attitudes and opinions of medical students about abortion in Brazil during the progression of the course.
This was a cross-sectional study involving 174 medical students. A questionnaire was applied whose dependent variables were degree of information about abortion, including its legal aspects in Brazil, situations in which the students would agree with the expansion of permitted legal abortion, knowledge of someone undergoing abortion, and discomfort about performing the procedure legally. The independent variables were sociodemographic data, religion, and academic standing (first or second half of the course). For data analysis it was used χ2 and Fisher's exact tests, with the level of significance set at 5%.
Among the interviewees, 59.8 % considered themselves well informed about the topic. Students demonstrated knowledge about the complications of abortion, with no differences with the progression of the course. Knowledge about the legal aspects of abortion in Brazil was shown by 48.9% of the sample, being significantly higher among students in the second half of the course (34.0 and 68.9%, respectively; p<0.001). Experiencing situations of clandestine abortion was significantly higher among students in the final half of the course (3.05 and 59.4%, respectively; p<0.001), the same being observed about knowing someone who underwent the procedure illegally (5.0 and 18.9%, respectively; p<0.001). The expansion of permissive legal abortion in Brazil was agreed about by 86.2% students, although 54.6% of the students reported that they felt uncomfortable about performing the procedure even legally, without statistical significance with the evolution of the course regarding the two situations.
The experiences of abortion and the knowledge of legal aspects were significantly higher among students in the second half of the course, with no significant changes in attitudes or opinions about abortion being observed with the competences acquired during medical training.
分析并比较巴西医学生在课程进展过程中对堕胎的知识、态度和观点。
这是一项横断面研究，涉及174名医学生。应用了一份问卷，其因变量包括堕胎的信息程度，包括巴西堕胎的法律方面、学生同意扩大合法堕胎范围的情况、认识经历过堕胎的人以及对合法进行堕胎手术的不适感。自变量为社会人口统计学数据、宗教信仰和学业成绩（课程的上半段或下半段）。数据分析采用卡方检验和费舍尔精确检验，显著性水平设定为5%。
在受访者中，59.8%认为自己对该主题了解充分。学生们展示了对堕胎并发症的了解，且未随课程进展出现差异。48.9%的样本显示出对巴西堕胎法律方面的了解，在课程下半段的学生中这一比例显著更高（分别为34.0%和68.9%；p<0.001）。课程后半段的学生经历秘密堕胎情况的比例显著更高（分别为3.05%和59.4%；p<0.001），认识经历过非法堕胎手术的人的情况也是如此（分别为5.0%和18.9%；p<0.001）。86.2%的学生同意在巴西扩大允许的合法堕胎范围，尽管54.6%的学生表示即使合法进行该手术他们也会感到不适，在这两种情况下，未观察到与课程进展存在统计学意义的差异。
课程后半段的学生中堕胎经历和对法律方面的了解显著更高，但未观察到随着医学培训获得的能力，学生对堕胎的态度或观点有显著变化。
