Provenzano-Castro Belén, Oizerovich Silvia, Stray-Pedersen Babill
Department of OB-GYN, Gynaecology Division, Faculty of Medicine, University of Buenos Aires, Argentina, Ciudad de Buenos Aires, Argentina.
Division of Gynaecology and Obstetrics, Institute of Clinical Medicine, University of Oslo, Norway.
Int J Med Educ. 2016 Mar 28;7:95-101. doi: 10.5116/ijme.56e0.74be.
We assessed healthcare students' knowledge and opinions on Argentinian abortion law and identified differences between first- and final-year healthcare students.
In this cross-sectional study, self-administered anonymous questionnaires were administered to 760 first- and 695 final-year students from different fields of study (medicine, midwifery, nursing, radiology, nutrition, speech therapy, and physiotherapy) of the School of Medicine at the University of Buenos Aires, in 2011-2013.
Compared to first-year students, a higher percentage of final-year students knew that abortion is legally restricted in Argentina (p < 0.001). A significantly higher percentage of final-year students could correctly identify the circumstances in which abortion is legal: woman's life risk (87.4% last vs. 79.1% first year), rape of a woman with developmental disability (66.2% first vs. 85.4% last-year; p < 0.001). More final-year students chose severe foetal malformations (37.3% first year vs. 57.3% final year) despite its being illegal.
Although most final-year students knew that abortion is legally restricted in Argentina, misconceptions regarding circumstances of legal abortion were observed; this may be due to the fact that abortion is inadequately covered in the medical curricula. Medical schools should ensure that sexual and reproductive health topics are an integral part of their curricula. Healthcare providers who are aware of the legality of abortion are more likely to provide the public with sound information and ensure abortions are appropriately performed.
我们评估了医学生对阿根廷堕胎法的知识和看法，并确定了一年级和最后一年医学生之间的差异。
在这项横断面研究中，于2011年至2013年对布宜诺斯艾利斯大学医学院不同专业（医学、助产、护理、放射学、营养学、言语治疗和物理治疗）的760名一年级学生和695名最后一年学生进行了自填式匿名问卷调查。
与一年级学生相比，最后一年学生中知道堕胎在阿根廷受到法律限制的比例更高（p<0.001）。最后一年学生中能够正确识别堕胎合法情况的比例显著更高：妇女生命危险（最后一年为87.4%，一年级为79.1%）、对发育残疾妇女的强奸（一年级为66.2%，最后一年为85.4%；p<0.001）。尽管严重胎儿畸形情况下堕胎是非法的，但选择这种情况的最后一年学生更多（一年级为37.3%，最后一年为57.3%）。
尽管大多数最后一年学生知道堕胎在阿根廷受到法律限制，但仍观察到对合法堕胎情况的误解；这可能是由于医学课程中对堕胎的涵盖不足。医学院应确保性健康和生殖健康主题成为其课程的一个组成部分。了解堕胎合法性的医疗服务提供者更有可能向公众提供可靠信息，并确保堕胎得到妥善实施。
