Knowledge and practices regarding tuberculosis: a survey of final-year medical students from Canada, India and Uganda
Knowledge and practices regarding tuberculosis: a survey of final-year medical students from Canada, India and Uganda
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DOI：
10.1046/j.1365-2923.2001.00918.x
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发表时间：
2001-06-01
影响因子：
6
通讯作者：
Schmuck, ML
中科院分区：
文献类型：
--
作者：
Emili, J;Norman, GR;Schmuck, ML
结核病是世界上最常见的传染病之一，也是单一传染病导致死亡人数最多的疾病。目的比较来自结核病流行地区和非结核病流行地区的医学院毕业班学生对结核病的知识和实践情况。加拿大麦克马斯特大学、印度基督教医学院和乌干达马凯雷雷大学的医科学生。方法采用20道选择题问卷，评估知识、实践和接触情况。每个研究点的总知识得分（最高= 13）和总实践得分（最高= 5）被创建。结果共回收问卷160份；麦克马斯特大学的回复率为68.4%(65/95)，基督教医学院的回复率为39.7%(23/58)，马凯雷雷大学的回复率为78.3%（72/92）。马凯雷雷大学学生的知识得分最高，但在调整患者接触和课程时间后差异无统计学意义（F(2153) = 1.80, P = 0.16）。然而，在调整课程时间和患者暴露后，实践成绩的差异仍然显著（F(2153) = 5.14, P = 0.006）。知识得分（F(1156) = 5.05, P = 0.02）、患者暴露（F(1153) = 9.11, P = 0.003）、课程时间和患者暴露（F(2153) = 5.14, P = 0.006）是总实践得分的正向预测因子。结论：本研究表明，加拿大、印度和乌干达三所医学院的本科生对结核病的暴露程度、总知识和实践能力存在显著差异。总的来说，三个毕业班的知识基础和实践能力都是足够的。
Context Tuberculosis is one of the most: common infectious diseases worldwide and is responsible for the largest number of deaths from a single infectious cause.Objective The objective of this study was to compare the knowledge of and practices regarding tuberculosis in final-year medical students at schools from endemic and non-endemic areas.Subjects Final-year medical students at McMaster University in Canada, the Christian Medical College in India, and Makerere University in Uganda. Methods A questionnaire consisting of 20 multiple-choice questions assessing knowledge, practices, and exposure. A total knowledge score (maximum = 13) and a total practice score (maximum = 5) were created for each study site.Results 160 questionnaires were returned; the response rate was 68.4% (65/95) for McMaster University, 39.7% (23/58) for the Christian Medical College and 78.3% (72/92) for Makerere University. Students from Makerere University had the highest knowledge scores but differences were non-significant after adjustment for patient exposure and curriculum time (F(2,153) = 1.80, P = 0.16). Differences in practice scores, however, remained significant after adjusting for curriculum time and patient exposure (F(2,153) = 5.14, P = 0.006). Knowledge score (F(1,156) = 5.05, P = 0.02), patient exposure (F(1,153) = 9.11, P = 0.003), and curriculum time and patient exposure (F(2,153) = 5.14, P = 0.006) were statistically significant positive predictors of the total practice score.Conclusions This study demonstrated significant differences in undergraduate exposure to tuberculosis, total knowledge, and practice competency at three medical schools in Canada, India, and Uganda. In general, the knowledge base and practice competency of all three graduating classes was adequate.