Provenzano-Castro Belén, Oizerovich Silvia, Stray-Pedersen Babill
a Department of Obstetrics and Gynaecology, Faculty of Medicine , University of Buenos Aires , Buenos Aires , Argentina.
b Institute of Clinical Medicine, Faculty of Medicine , University of Oslo , Oslo , Norway.
Eur J Contracept Reprod Health Care. 2017 Jun;22(3):233-241. doi: 10.1080/13625187.2017.1323079. Epub 2017 May 19.
The aim of our study was to assess what students of the University of Buenos Aires School of Medicine learn about sexual and reproductive health (SRH) and rights, focusing particularly on their knowledge of accessibility to contraception and abortion legislation.
In this cross-sectional study, self-administered, anonymous questionnaires were administered to 760 first year students and to 695 final year students from different fields of study (medicine, midwifery, nursing, radiology, nutrition, speech therapy and physiotherapy) between 2011 and 2013. Students' knowledge of SRH was measured according to six variables: contraceptive methods, accessibility to contraception, emergency contraception, legislation on surgical contraception, legislation on voluntary interruption of pregnancy, and HIV transmission and prevention. Their level of knowledge was categorised as low, basic, medium or high, according to their responses.
We observed higher levels of knowledge in final year students compared with first year students. Those with basic level knowledge or higher were doubled in most of the variables. However, when analysed in detail per field of study, the differences were not so marked. It is important that medical, midwifery and nursing students receive formal education in SRH topics.
Our investigation revealed important deficiencies in knowledge in core topics of SRH care among soon-to-be health care providers that could represent serious barriers to health and rights for the Argentinean population in the near future. Thus, there is an urgent need to improve the teaching of SRH care.
我们研究的目的是评估布宜诺斯艾利斯大学医学院的学生对性与生殖健康（SRH）及权利的了解情况，尤其关注他们对避孕措施可及性和堕胎立法的认识。
在这项横断面研究中，于2011年至2013年间，对760名一年级学生和695名来自不同专业领域（医学、助产、护理、放射学、营养学、言语治疗和物理治疗）的最后一年学生进行了自填式匿名问卷调查。根据六个变量来衡量学生对性与生殖健康的了解：避孕方法、避孕措施的可及性、紧急避孕、手术避孕立法、自愿终止妊娠立法以及艾滋病毒传播与预防。根据他们的回答，将他们的知识水平分为低、基础、中等或高四个等级。
我们观察到最后一年学生的知识水平高于一年级学生。在大多数变量中，具备基础水平或更高水平知识的学生人数增加了一倍。然而，按每个专业领域详细分析时，差异并不那么明显。医学、助产和护理专业的学生接受性与生殖健康主题的正规教育很重要。
我们的调查揭示了即将成为医疗服务提供者的人群在性与生殖健康护理核心主题知识方面存在重大缺陷，这在不久的将来可能对阿根廷人口的健康和权利构成严重障碍。因此，迫切需要改进性与生殖健康护理的教学。
