背景电子烟的使用,或vaping,已知与潜在危及生命的肺损伤有关,美国疾病控制和预防中心报告,由于电子烟或电子烟相关的肺损伤,导致2,807人住院和68人死亡。Vaping也是COVID-19传播的危险因素,并与之有关。尽管电子烟的后果,医学生对电子烟的看法和培训尚不清楚.这项研究旨在调查未来医疗保健提供者对电子烟的知识和看法。方法匿名,在2019年10月和2020年1月,通过安全的网站链接,对Nova东南大学KiranC.Patel骨科医学院的259名一年级至四年级医学生进行了在线调查.调查由两部分组成。所有参与者回答了第一节,涉及九个问题。第一部分讨论了社会人口统计学特征,个人对vaping的看法,电子烟医学教育的评级和影响,以及学生们是否曾经尝试过电子烟。如果学生们曾经吸过烟,他们进入调查的第二节,包括九个额外的问题。报告过去没有使用电子烟的学生结束了调查,没有进入第二节。第二部分通过质疑首次使用的年龄来评估用户的电子烟习惯,使用频率和性质,第一次尝试和/或继续使用的原因,退出的计划,个人使用的影响,和当前使用。用频率和百分比分布分析数据。结果大多数受访者年龄在18-25岁(66.8%)和女性(60.2%)。几乎所有学生(96.5%)都意识到电子烟对健康的负面影响。超过三分之二的学生(68.7%)认为他们的vaping医学教育不足,大多数(76.1%)表示他们的医学院课程没有影响他们对此事的看法。由于最近的新闻和媒体,大多数学生(71.0%)对电子烟的态度更为消极。在受访者中,超过三分之二(37.5%)的人至少吸过一次烟,并被贴上了“vapers”标签。“第一次尝试vaping的最常见原因是娱乐性(60.8%)。一半的vapers(50.5%)承认在过去一年中使用vaping,大多数vapers(90.6%)认为他们的vaping不会影响其他人。据报道,尽管知道vaping的危险,但仍有近三分之一的vapers(32.3%)使用vaping。和几个(6.3%)不认为vaping危险。结论这项在单一医学院进行的试点研究的结果表明,电子烟教育可能存在缺陷,至少正如受访者所认为的那样,并通过他们与电子烟相关的行为证明了这一点。尚不清楚这些医学生的电子烟观点和做法是否会受到更好的电子烟教育的积极影响,或者这些做法是否可推广到其他学生。然而,数据表明,有必要考虑对医学院课程进行更广泛的分析,以了解这些及相关领域的电子烟教育和学生培训。加强医学院课程的建议包括以电子烟为主的呼吸和胃肠道讲座,基于问题的电子烟案例研究,标准化的患者接触,和医学生教授的社区教育计划。
Background E-cigarette use, or vaping, is known to be associated with potentially life-threatening lung injury, with the Centers for Disease Control and Prevention reporting 2,807 hospitalizations and 68 deaths in the United States due to e-cigarette or vaping-associated lung injury. Vaping is also a risk factor for and is implicated in the spreading of COVID-19. Despite the consequences of vaping, the views and training of medical students regarding vaping is unclear. This
study sought to investigate the knowledge and perception of vaping amongst future health care providers. Methods An anonymous, online survey was administered to 259 first through fourth year medical students at Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine via a secure website link in October 2019 and January 2020. The survey consisted of two sections. All participants answered section one, involving nine questions. This first section addressed sociodemographic characteristics, personal views on vaping, rating and impact of vaping medical education, and whether students had ever tried vaping. If students had ever vaped, they proceeded to section two of the survey including nine additional questions. Students that reported no past vaping use ended the survey and did not proceed to section two. Section two focused on evaluating vaping habits of users by questioning age of first usage, use frequency and nature, reasons for first trying and/or continuing to use, plans for quitting, personal impact of use, and current use. Data was analyzed with frequency and percentage distributions. Results Most respondents were of age 18-25 years (66.8%) and female (60.2%). Almost all students (96.5%) were aware of the negative health consequences of vaping. More than two thirds of students (68.7%) rated their vaping medical education as inadequate and the majority (76.1%) indicated their medical school curriculum did not impact their view on the matter. Most students (71.0%) reported a more negative stance on vaping due to recent news and media. Of the respondents, over two thirds (37.5%) vaped at least once and were labeled \"vapers.\" The most commonly stated reason for first trying vaping was recreational (60.8%). Half of vapers (50.5%) admitted to vaping in the past year and most vapers (90.6%) did not think their vaping impacted others. Current vaping use was reported in almost one-third of vapers (32.3%) despite knowing its dangers, and several (6.3%) did not consider vaping dangerous. Conclusion The findings from this pilot
study conducted at a single medical school indicate possible deficiencies in vaping education, at least as perceived by the respondents and demonstrated by their vaping-related actions. It is unknown if the stated vaping views and practices of these medical students would be positively impacted by better vaping education or if these practices are generalizable to other students. However, the data suggests there is a need to consider more extensive analyses of medical school curriculums with respect to vaping education and training of students in these and related areas. Recommendations to enhance medical school curriculums include vaping-focused respiratory and gastrointestinal lectures, problem-based case studies on vaping, standardized patient encounters, and a community education program taught by medical students.