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一项关于泰国医学生在堕胎法修订后对堕胎的态度及其提供堕胎服务信心的全国性调查。

A national survey on Thai medical students' attitudes towards abortion and their confidence in providing abortion services following the amendment to abortion law.

作者信息

Leetrakool Hathaipat, Wonglerttham Thanathorn, Sonthyanonth Sornchaya, Sothornwit Jen

机构信息

Faculty of Medicine, Khon Kaen University, Thailand.

Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Thailand.

出版信息

Eur J Obstet Gynecol Reprod Biol X. 2024 Dec 29;25:100364. doi: 10.1016/j.eurox.2024.100364. eCollection 2025 Mar.

Abstract

OBJECTIVES

This study aimed to evaluate medical students' attitudes towards abortion and their confidence in providing abortion services in the future.

MATERIAL AND METHODS

A national cross-sectional online survey was conducted among fifth and sixth-year medical students from 10 Thai universities. A self-administered questionnaire assessed their knowledge, attitudes, and confidence regarding abortion services. Of 340 questionnaires sent, 234 responses were received. We used descriptive statistics and multivariable analysis to explore agreement with abortion and confidence.

RESULTS

The mean attitude score towards abortion was 72.68 ± 7.46 out of 85, with 75.6 % of students indicated a favorable attitude toward abortion. The most widely accepted reasons for abortion were serious congenital anomalies in the fetus (99.6 %) and pregnancy resulting from sexual crimes (98.7 %). However, only 42.8 % of the students were willing to provide abortion services, and 33.8 % felt confident in doing so. Additionally, 77.8 % believed that participating in abortion procedures during medical school would increase their confidence in providing these services. No factors were found to be significantly associated with agreement on abortion.

CONCLUSION

Although most medical students had a positive attitude towards abortion, only a minority expressed willingness and confidence in providing abortion care. These findings underscore the importance of incorporating hands-on experience in abortion procedures in medical school curricula.

摘要

目的

本研究旨在评估医学生对堕胎的态度以及他们未来提供堕胎服务的信心。

材料与方法

对泰国10所大学的五年级和六年级医学生进行了一项全国性横断面在线调查。一份自填式问卷评估了他们对堕胎服务的知识、态度和信心。在发送的340份问卷中,共收到234份回复。我们使用描述性统计和多变量分析来探讨对堕胎的认同度和信心。

结果

在满分85分中,对堕胎的平均态度得分为72.68 ± 7.46,75.6%的学生对堕胎持支持态度。最被广泛接受的堕胎原因是胎儿严重先天性异常(99.6%)和性犯罪导致的怀孕(98.7%)。然而,只有42.8%的学生愿意提供堕胎服务,33.8%的学生对此有信心。此外,77.8%的学生认为在医学院期间参与堕胎手术会增加他们提供这些服务的信心。未发现有因素与对堕胎的认同度显著相关。

结论

尽管大多数医学生对堕胎持积极态度,但只有少数人表示愿意并对提供堕胎护理有信心。这些发现强调了在医学院课程中纳入堕胎手术实践经验的重要性。

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