Fawole Olufunmilayo I, van Wyk Jacqueline M, Balogun Busola O, Akinsola O J, Adejimi Adebola
Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria (
Department of Clinical and Professional Practice, Nelson R. Mandela School of Medicine, University of Kwa-Zulu Natal, South Africa (
Afr Health Sci. 2019 Mar;19(1):1486-1498. doi: 10.4314/ahs.v19i1.22.
Medical practitioners are ideally positioned to mitigate the impact of gender based violence (GBV) on the health of victims. However, there is a lack of information on students' ability and willingness to do so.
To identify factors which impact on students' attainment of the knowledge and perceived ability to manage victims.
A cross-sectional survey was conducted on 388 (91.5%) final year medical students from three medical schools in South West, Nigeria.
Students were knowledgeable on sexual (63.7%) and physical (54.6%) forms of GBV and unfamiliar with other forms. The mean scores for knowledge (7.1 ± 2.5 out of 11); attitude (52.6 ± 10.3 out of 80); personal comfort (44.1 ± 10.0 out of 65) and skills (3.1 ± 2.6 out of 7) were calculated. Younger respondents, females and married students reported less skill to manage victims. The location of school, previous training and personal comfort remained significant determinants of students' self reported skills on GBV. Respondents with prior training on GBV and comfortable with managing patients, were four times more likely to perceive they were more skilled than their peers [AOR = 4.33, 95% CI: 2.37 - 7.90 and AOR 3.53; 95% CI 2.16-5.78 respectively].
Formalised skills training on GBV is a necessity, especially for young, female students and training cannot be left to serendipity. The medical curriculum should be reviewed.
医疗从业者在减轻性别暴力（GBV）对受害者健康的影响方面具有理想的地位。然而，关于学生在这方面的能力和意愿的信息却很匮乏。
确定影响学生获取管理受害者知识和感知能力的因素。
对尼日利亚西南部三所医学院的388名（91.5%）最后一年医学生进行了横断面调查。
学生对性暴力（63.7%）和身体暴力（54.6%）形式的性别暴力有所了解，对其他形式则不熟悉。计算了知识（满分11分，平均得分7.1±2.5）、态度（满分80分，平均得分52.6±10.3）、个人舒适度（满分65分，平均得分44.1±10.0）和技能（满分7分，平均得分3.1±2.6）的平均分。较年轻的受访者、女性和已婚学生表示管理受害者的技能较低。学校所在地、以前的培训和个人舒适度仍然是学生自我报告的性别暴力技能的重要决定因素。接受过性别暴力相关培训且对管理患者感到舒适的受访者，认为自己比同龄人更有技能的可能性是其他人的四倍[AOR = 4.33，95% CI：2.37 - 7.90；以及AOR 3.53；95% CI 2.16 - 5.78]。
对性别暴力进行正规技能培训是必要的，特别是对于年轻女学生，培训不能靠碰运气。医学课程应进行审查。
