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多哥洛美大学医学和药学专业学生对妇科癌症风险因素的认知:一项于2021年9月1日至31日开展的前瞻性横断面研究。

Knowledge of risk factors for gynecological cancers among medical and pharmacy students at the university of Lomé, Togo: a prospective cross-sectional study from 1 to 31 September 2021.

作者信息

Djiwa Toukilnan, Fouelifa Loïc, Bombonne Mayi, Simgban Panakinao, Darre Tchin

机构信息

Department of Pathological Anatomy, Teaching Hospital of Lomé, BP 1515, Lomé, Togo.

出版信息

BMC Med Educ. 2025 Apr 8;25(1):501. doi: 10.1186/s12909-025-07069-y.

DOI:10.1186/s12909-025-07069-y
PMID:40200281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11980286/
Abstract

INTRODUCTION

Gynecological cancers are often diagnosed at a late stage in Togo, due to difficulty of access to means of screening and a lack of technical platform. The aim of our study was to assess the knowledge of medical and pharmacy students at the University of Lomé about the risk factors for gynaecological cancers.

METHODOLOGY

This was a cross-sectional prospective study with a descriptive and analytical aim, carried out among undergraduate to doctoral students regularly enrolled at the Faculty of Health Sciences. The variables studied were as follows: the socio-demographic characteristics of the students, namely age, gender, field of study (medicine or pharmacy), study cycle (bachelor, master or doctorate), the fact of having completed an internship in the obstetrics gynecology department; the notion of education on gynecological cancers and sources of information and finally knowledge of the risk factors for gynecological cancers.

RESULTS

A total of 640 students correctly completed the form. The mean age was 24.66 ± 2.7 years. The sex ratio (M/F) was 2.5. The students had a good knowledge of the risk factors for cervical cancer. Indeed 56.6% (n = 362) knew the risk factors of the cervical cancer; but knowledge of risk factors of ovarian, endometrial, vaginal, and vulvar cancers was low. The main source of information was the courses at the Faculty of Health Sciences. Factors associated with knowledge of risk factors of cervical cancer were age (p-value = 0.0002), female gender (p-value = 0.0001; ORa = 2.46; 95% CI [1.31-3.36]) and the fact of having followed a course on cervical cancer (p-value = 0.0073; ORa = 1.68; 95% CI [1.25-32.08]). Having done an internship in the gynecology department was the only factor associated with knowing the risk factors for ovarian cancer (p-value = 0.00001; ORa = 2.29; 95% CI [1,64-2.72]) and endometrial cancer (p-value = 0.0045; RCa = 2.63; 95% CI [1.56-3.07]).

CONCLUSION

The knowledge of risk factors of the gynecological cancer by the students of the Faculty of Health Sciences is relatively low, varying according to the type of cancer. More than half of the students knew the risk factors for cervical cancer. However, risk factors for ovarian, endometrial, vaginal and vulvar cancers were not sufficiently known by the students. It appears to promote self-learning for an improvement of this knowledge.

TRIAL REGISTRATION

Not applicable.

摘要

引言

由于难以获得筛查手段且缺乏技术平台,多哥的妇科癌症往往在晚期才被诊断出来。我们研究的目的是评估洛美大学医学和药学专业学生对妇科癌症危险因素的了解情况。

方法

这是一项具有描述性和分析性目的的横断面前瞻性研究,在健康科学学院正常注册的本科至博士生中进行。研究的变量如下:学生的社会人口统计学特征,即年龄、性别、学习领域(医学或药学)、学习阶段(学士、硕士或博士)、是否在妇产科完成实习;妇科癌症的教育概念和信息来源,以及最终对妇科癌症危险因素的了解。

结果

共有640名学生正确填写了表格。平均年龄为24.66±2.7岁。性别比(男/女)为2.5。学生对宫颈癌的危险因素有较好的了解。事实上,56.6%(n = 362)知道宫颈癌的危险因素;但对卵巢癌、子宫内膜癌、阴道癌和外阴癌危险因素的了解较少。主要信息来源是健康科学学院的课程。与宫颈癌危险因素知识相关的因素有年龄(p值 = 0.0002)、女性性别(p值 = 0.0001;优势比a = 2.46;95%置信区间[1.31 - 3.36])以及是否学习过宫颈癌相关课程(p值 = 0.0073;优势比a = 1.68;95%置信区间[1.25 - 32.08])。在妇科科室实习是与了解卵巢癌(p值 = 0.00001;优势比a = 2.29;95%置信区间[1.64 - 2.72])和子宫内膜癌(p值 = 0.0045;相对危险度a = 2.63;95%置信区间[1.56 - 3.07])危险因素相关的唯一因素。

结论

健康科学学院学生对妇科癌症危险因素的了解相对较低,因癌症类型而异。超过一半的学生知道宫颈癌的危险因素。然而,学生对卵巢癌、子宫内膜癌、阴道癌和外阴癌的危险因素了解不足。似乎有必要促进自主学习以改善这方面的知识。

试验注册

不适用。

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