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加拿大西部医学生的多种推荐健康行为:一项关于自我报告的知识、依从性、障碍和时间利用的描述性研究。

Multiple recommended health behaviors among medical students in Western Canada: a descriptive study of self-reported knowledge, adherence, barriers, and time use.

作者信息

Ip Nathanael, Scarrott Kendra, Conklin Annalijn I

机构信息

Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.

Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.

出版信息

Front Med (Lausanne). 2024 Nov 1;11:1468990. doi: 10.3389/fmed.2024.1468990. eCollection 2024.

DOI:10.3389/fmed.2024.1468990
PMID:39554501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11568874/
Abstract

BACKGROUND

General medical practitioners are responsible for promoting and prescribing lifestyle modification and serve as role models for healthy behaviors. We aimed to assess self-reported knowledge, adherence, barriers and time spent on all recommended health behaviors among medical students.

METHODS

A cross-sectional online survey of eight behavioral domains among undergraduate medical students in The University of British Columbia, Canada, was analysed using descriptive statistics and visual display.

RESULTS

Between March and April 2023, 137 medical students participated in the survey (74% female). Over 80% had knowledge of five health behavior recommendations, but lacked knowledge of specific dietary recommendations in particular. Over 60% reported meeting guideline-recommended levels for tobacco, weekly alcohol, daily alcohol (females only), and physical activity (males only). Large gaps existed between knowledge and adherence for physical activity, sleep, sedentariness, screen time, and dietary recommendations. Sex differences in knowledge and adherence to recommended health behaviors were identified. Time spent on wellness focused on sleep (47-49 h/week), diet (9.6 h/week), exercise (5.8 h/week), and hobbies (6.1 h/week). Forgetting recommendations (69% of females, 71% of males), and lack of time (72% of females, 52% of males) were principal barriers to knowledge and adherence.

CONCLUSION

Most medical students in Western Canada reported not meeting multiple recommended health behaviors. Time was the largest barrier to adherence and free time was spent on sleep. Medical education may require protected time and dedicated content for health behaviors to ensure future physicians can be role models of health promotion for patients.

摘要

背景

全科医生负责推广和开具生活方式改变的处方,并成为健康行为的榜样。我们旨在评估医学生自我报告的关于所有推荐健康行为的知识、依从性、障碍以及花费的时间。

方法

对加拿大英属哥伦比亚大学本科医学生的八个行为领域进行横断面在线调查,采用描述性统计和可视化展示进行分析。

结果

在2023年3月至4月期间,137名医学生参与了调查(74%为女性)。超过80%的学生了解五项健康行为建议,但尤其缺乏特定饮食建议的知识。超过60%的学生报告在烟草、每周饮酒量、每日饮酒量(仅女性)和体育活动(仅男性)方面达到了指南推荐水平。在体育活动、睡眠、久坐、屏幕时间和饮食建议的知识与依从性之间存在很大差距。确定了在推荐健康行为的知识和依从性方面的性别差异。花在健康方面的时间主要集中在睡眠(每周47 - 49小时)、饮食(每周9.6小时)、锻炼(每周5.8小时)和爱好(每周6.1小时)。忘记建议(69%的女性,71%的男性)和缺乏时间(72%的女性,52%的男性)是知识和依从性的主要障碍。

结论

加拿大西部的大多数医学生报告未达到多项推荐的健康行为。时间是依从性的最大障碍,自由时间主要花在睡眠上。医学教育可能需要有专门的时间和专门的健康行为内容,以确保未来的医生能够成为患者健康促进的榜样。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/39b13444e701/fmed-11-1468990-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/5c1ecdf91d66/fmed-11-1468990-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/e5739929c68d/fmed-11-1468990-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/db2a7e170234/fmed-11-1468990-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/c3d417db8ef2/fmed-11-1468990-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/39b13444e701/fmed-11-1468990-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/5c1ecdf91d66/fmed-11-1468990-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/e5739929c68d/fmed-11-1468990-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/db2a7e170234/fmed-11-1468990-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/c3d417db8ef2/fmed-11-1468990-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd01/11568874/39b13444e701/fmed-11-1468990-g005.jpg

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