卫生工作者在全球消除结核病工作中发挥着核心作用。如果医学生对结核病患者有偏见,这可能使他们在未来担任卫生工作者时难以为结核病患者提供有效的医疗保健.目前没有关于中国医学生对结核病患者偏见的研究。本研究旨在探讨医学生对结核病患者的偏见现状及其相关预测因素。
■我们对大连某医科大学的医学生进行了横断面问卷调查,辽宁省,中国东北。采用多元logistic回归分析确定医学生对结核病患者偏见的预测因素。
■超过一半(57.23%)的医学生对结核病患者持有偏见。多因素logistic回归分析显示,未接受结核病健康教育(OR:2.12,95%CI:1.35~3.32),不认识结核病患者(OR:2.52,95%CI:1.39-4.56),和对TB/TB患者的恐惧(OR:6.79,95%CI:4.36-10.56)被确定为医学生对TB患者偏见的危险因素。相反,居住在农村地区(OR:0.60,95%CI:0.38-0.95),大五人格特质的同意性(OR:0.82,95%CI:0.73-0.92)和情绪稳定性(OR:0.90,95%CI:0.81-1.00),更好地了解结核病知识(OR:0.58,95%CI:0.38-0.89)被确定为保护因素。
■在中国,相当多的医学生仍然对结核病患者表现出偏见。有针对性的干预措施,例如将结核病健康教育纳入医学生的核心课程,增强他们的好感和情绪稳定性,仍然需要。此外,应该更加关注来自城市背景的医学生或那些怀有恐惧或不认识结核病患者的学生。
Health workers play a central role in global tuberculosis (TB) elimination efforts. If medical students have prejudiced attitudes toward TB patients, this may make it difficult for them to provide effective health care to TB patients in their future roles as health workers. There is currently no research on
prejudice toward TB patients among medical students in
China. This study aimed to explore the current status of medical students\'
prejudice against patients with TB and its associated predictors.
We conducted a cross-sectional questionnaire survey among medical students at a medical university in Dalian, Liaoning Province, Northeast
China. Multiple logistic regression analysis was employed to determine the predictive factors of medical students\'
prejudice against patients with TB.
More than half (57.23%) of the medical students held prejudices against individuals with TB. Multivariate logistic regression analysis revealed that not receiving TB health education (OR: 2.12, 95% CI: 1.35-3.32), not knowing a person with TB (OR: 2.52, 95% CI: 1.39-4.56), and fear of TB/TB patients (OR: 6.79, 95% CI: 4.36-10.56) were identified as risk factors for medical students\' prejudice against TB patients. Conversely, residing in rural areas (OR: 0.60, 95% CI: 0.38-0.95), agreeableness (OR: 0.82, 95% CI: 0.73-0.92) and emotional stability (OR: 0.90, 95% CI: 0.81-1.00) in the Big Five personality traits, and a better understanding of TB knowledge (OR: 0.58, 95% CI: 0.38-0.89) were identified as protective factors.
In
China, a considerable number of medical students still exhibit
prejudice against patients with TB. Targeted interventions, such as incorporating TB health education into the core curriculum of medical students, and enhance their agreeableness and emotional stability, are still needed. Furthermore, greater focus should be placed on medical students from urban backgrounds or those who harbor fear or do not know a person with TB.