Chung T W, Lam T H, Cheng Y H
Department of Community Medicine & Unit for Behavioural Sciences, University of Hong Kong.
Med Educ. 1996 Jul;30(4):290. doi: 10.1111/j.1365-2923.1996.tb00831.x.
A 3-hour seminar on tobacco was introduced to second year (pre-clinical) medical students in Hong Kong in 1994. The differences in knowledge and attitudes were measured by a self-administered and anonymous questionnaire with 14 items before the seminar (n = 145), and again 2 weeks after the seminar (n = 151). The students also completed an evaluation form at the end of the seminar. Before the seminar, the students were most deficient in their knowledge on the exact magnitude of the risks from smoking and on the risks from smoking relative to the risks from air pollution and asbestos. After the seminar, their knowledge increased significantly (P < 0.005). As for attitudes, in the pre-test 35% strongly agreed that tobacco advertising should be completely banned, and 50% did so in the post-test (P = 0.02). The corresponding figures for banning of all forms of tobacco promotion were 26% and 43% (P < 0.005). In the pre-test, one in four students strongly disagreed that doctor's advice to their patients to stop smoking is totally ineffective, with this proportion increasing to 70% in the post-test (P < 0.005). The majority of the students stated that the seminar was useful. The preclinical medical curriculum should, at the very least, include a tobacco seminar. Our survey shows that it is effective in improving students' knowledge and attitudes on tobacco control.
1994年，一场为时3小时的烟草研讨会面向香港的二年级（临床前）医学生举办。通过一份包含14个项目的自填式匿名问卷，在研讨会前（n = 145）和研讨会后两周（n = 151）测量学生在知识和态度方面的差异。学生们在研讨会结束时还填写了一份评估表。研讨会前，学生在吸烟风险的确切程度以及吸烟风险相对于空气污染和石棉风险方面的知识最为欠缺。研讨会后，他们的知识显著增加（P < 0.005）。至于态度方面，在预测试中，35%的学生强烈同意应完全禁止烟草广告，在测试后这一比例为50%（P = 0.02）。禁止所有形式烟草促销的相应比例分别为26%和43%（P < 0.005）。在预测试中，四分之一的学生强烈不同意医生劝患者戒烟完全无效，而在测试后这一比例增至70%（P < 0.005）。大多数学生表示该研讨会很有用。临床前医学课程至少应包括一场烟草研讨会。我们的调查表明，它在提高学生对烟草控制的知识和态度方面是有效的。
