Faculty of Medicine, Universiti Kuala Lumpur Royal College of Medicine Perak, Ipoh, Malaysia.
Singapore Med J. 2019 Feb;60(2):97-103. doi: 10.11622/smedj.2018065. Epub 2018 Jun 7.
This study explored attitudes towards vasectomy and its acceptance as a method of contraception among clinical-year medical students, and determined the association between their demographic characteristics, and attitudes and acceptance.
A cross-sectional survey was conducted among clinical-year medical students from a Malaysian private medical college using a self-administered questionnaire.
There were 330 participants with a female preponderance and a mean age of 22.0 ± 1.1 years. The largest proportion of respondents were from Year 3. The vast majority were ethnically Malay (91.8%) and followed Islam (92.4%). Overall, 60.9% of participants had a positive attitude towards vasectomy and 76.0% showed good acceptance. Gender, academic year, ethnicity and religion variables were not associated with attitudes and acceptance (p > 0.05). A significantly higher proportion of male respondents thought that vasectomy was religiously forbidden and would give a bad impression. A significantly higher proportion of Year 5 students agreed to the statement 'I would recommend vasectomy to relatives, friends and people close to me' compared to Year 3 and 4 students.
Students' perception of vasectomy as a contraceptive method was encouraging. Our results suggest that their knowledge improved as medical training progressed, and attitudes evolved for the better irrespective of their traditional, cultural and religious beliefs - highlighting the importance of providing students with evidence-based learning about male sterilisation, which is more cost-effective and is associated with lower morbidity than female sterilisation. A qualitative study involving students from different ethnicities and religions would provide a better understanding of this subject.
本研究探讨了临床医学生对输精管切除术的态度及其作为避孕方法的接受程度，并确定了他们的人口统计学特征、态度和接受程度之间的关系。
对一所马来西亚私立医学院的临床医学生进行了横断面调查，使用自填式问卷。
共有 330 名参与者，女性居多，平均年龄为 22.0 ± 1.1 岁。最大比例的受访者来自第 3 年。绝大多数受访者是马来人（91.8%），信奉伊斯兰教（92.4%）。总的来说，60.9%的参与者对输精管切除术持积极态度，76.0%表示接受。性别、学年、种族和宗教变量与态度和接受度无关（p > 0.05）。相比之下，更多的男性受访者认为输精管切除术在宗教上是被禁止的，会给人留下不好的印象。与第 3 年和第 4 年的学生相比，第 5 年的学生中有更高比例的人同意“我会向亲戚、朋友和亲近的人推荐输精管切除术”这一说法。
学生对输精管切除术作为一种避孕方法的看法令人鼓舞。我们的研究结果表明，随着医学培训的进展，他们的知识有所提高，而且态度也有所改善，无论他们的传统、文化和宗教信仰如何——这突出了为学生提供基于证据的男性绝育知识的重要性，男性绝育比女性绝育更具成本效益，且发病率更低。一项涉及不同种族和宗教的学生的定性研究将更好地理解这一主题。
