关键词: climate action climate change eco-anxiety infectious diseases medical education planetary health

Mesh : Humans Italy Female Male Cross-Sectional Studies Students, Medical / statistics & numerical data psychology Surveys and Questionnaires Adult Physicians / statistics & numerical data psychology Climate Change Health Knowledge, Attitudes, Practice Communicable Diseases / epidemiology Young Adult

来  源:   DOI:10.3389/fpubh.2024.1382505   PDF(Pubmed)

Abstract:
UNASSIGNED: The eco-climatic crisis has been defined by the World Health Organization as the \"single biggest health threat facing humanity,\" influencing both the emergence of zoonoses and the spread of vector-borne and water-borne diseases. The aim of this survey was to explore knowledge, eco-anxiety and attitudes toward the ecological and climate crisis among young Italian doctors and medical students.
UNASSIGNED: A cross-sectional, multicenter survey was conducted from November 2022 to June 2023, by administering an anonymous questionnaire to Italian doctors and students of medicine. Endpoint of the study was a Knowledge, Attitudes and Practices (KAP) score on ecological and climate crisis (0-20 points). Association between variables and KAP score was assessed by Kruskal-Wallis\' or Spearman\'s test, as appropriate, and significant variables were included into ordinal regression model and reported as adjusted odds ratio (aOR) with their 95% confidence intervals (CI).
UNASSIGNED: Both KAP and eco-anxiety scores showed acceptable levels of consistency with Cronbach\'s alpha. A total of 605 medical doctors and students living in 19 Italian regions were included in the study. Median age [Q1-Q3] was 27.6 [24.1-31.3] and females were 352 (58.2%). Despite showing good attitudes toward climate action, knowledge gap were found, with 42.5% (n = 257) of the respondents not knowing the temperature limits set by the Paris Agreements and 45.5% (n = 275) believing that climate change is caused by sunspots. Fears suggestive for eco-anxiety were common. At multivariable ordinal regression, high levels of eco-anxiety (aOR 1.29, p = 0.001) and low trust in government action (aOR 1.96, p = 0.003) were associated with a higher KAP score. Only one Italian medical school offered an educational module on climate change.
UNASSIGNED: Young Italian doctors and medical students are concerned about the climate crisis but show poor knowledge of these topics. The Italian academic system should urgently respond to this need.
摘要:
世界卫生组织将生态气候危机定义为“人类面临的最大健康威胁”。“影响人畜共患病的出现和媒介传播和水传播疾病的传播。这项调查的目的是探索知识,意大利年轻医生和医学生的生态焦虑和对生态和气候危机的态度。
横截面,多中心调查于2022年11月至2023年6月进行,方法是对意大利医生和医学学生进行匿名问卷调查.这项研究的终点是知识,生态和气候危机的态度和实践(KAP)得分(0-20分)。变量与KAP评分之间的关联通过Kruskal-Wallis\'或Spearman\'s检验进行评估,在适当的情况下,和显著变量被纳入序数回归模型,并报告为校正比值比(aOR)及其95%置信区间(CI).
KAP和生态焦虑评分均与Cronbach的alpha表现出可接受的一致性水平。共有居住在19个意大利地区的605名医生和学生被纳入研究。中位年龄[Q1-Q3]为27.6[24.1-31.3],女性为352(58.2%)。尽管对气候行动表现出良好的态度,发现了知识差距,42.5%(n=257)的受访者不知道《巴黎协定》设定的温度限制,45.5%(n=275)的受访者认为气候变化是由太阳黑子引起的。对生态焦虑的恐惧很常见。在多变量序数回归中,高水平的生态焦虑(aOR1.29,p=0.001)和对政府行为的低信任度(aOR1.96,p=0.003)与较高的KAP评分相关.只有一所意大利医学院提供了有关气候变化的教育模块。
年轻的意大利医生和医学生对气候危机感到担忧,但对这些主题却知之甚少。意大利学术系统应紧急应对这一需求。
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