Poolkumlung Rada, Rongkapich Ratthapong, Sinthuchai Natchanika, Santibenchakul Somsook, Meevasana Vorachart, Jaisamrarn Unnop
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Departments of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, USA.
Contracept X. 2023 Mar 22;5:100091. doi: 10.1016/j.conx.2023.100091. eCollection 2023.
Following the amendment of the Thai abortion law in February 2021, the authors conducted an anonymous survey to assess knowledge, attitude, and intended practice toward abortion among fifth-year medical students at Chulalongkorn University.
The authors developed a self-administrated questionnaire consisting of three parts: knowledge of the recently amended Thai abortion law, attitude toward abortion, and intended practices. Pilot testing showed a high Cronbach's alpha and test-retest reliability coefficient.
Of the 292 surveyed medical students, 70% completed the questionnaire. The mean ± standard deviation of the knowledge part was 6.9 ± 1.8, of which the maximum score was 10. Nearly half of the participants (45.6%) answered at least 80% of the knowledge statements correctly. Sixty-four percent of participants answered correctly on the gestational limit for first-trimester abortion. Around one-third of participants answered correctly on the gestational limit for second-trimester abortion. Most participants (86.8%) agreed that abortion is a woman's right. The most acceptable conditions for abortion were pregnancy as a result of rape (93%) and serious anomalies that cause a nonviable neonate (95.6%).
Participants exhibited a lack of understanding regarding the legal gestational limit, which is a key aspect of the amendment. The findings of this study urge medical schools to emphasize the revised Thai abortion law in the Obstetrics and Gynecology curriculum.
Our results show that encouraging medical students to have up-to-date knowledge regarding the amendment of Thai abortion law may support their future decision to provide safe abortion services.
2021年2月泰国堕胎法修订后，作者开展了一项匿名调查，以评估朱拉隆功大学五年级医学生对堕胎的知识、态度和预期行为。
作者编制了一份自填式问卷，包括三个部分：对近期修订的泰国堕胎法的了解、对堕胎的态度以及预期行为。预测试显示该问卷具有较高的克朗巴哈系数和重测信度系数。
在292名接受调查的医学生中，70%完成了问卷。知识部分的平均得分±标准差为6.9±1.8，满分是10分。近一半的参与者（45.6%）正确回答了至少80%的知识陈述。64%的参与者正确回答了孕早期堕胎的孕周限制。约三分之一的参与者正确回答了孕中期堕胎的孕周限制。大多数参与者（86.8%）同意堕胎是女性的权利。最可接受的堕胎情况是因强奸导致的怀孕（93%）和导致新生儿无法存活的严重畸形（95.6%）。
参与者对法律规定的孕周限制缺乏了解，而这是修订案的一个关键方面。本研究结果敦促医学院校在妇产科课程中强调修订后的泰国堕胎法。
我们的结果表明，鼓励医学生掌握泰国堕胎法修订的最新知识，可能有助于他们未来做出提供安全堕胎服务的决定。
