scholarly journals Factors Influencing Medical Students' Attitudes Towards Substance Use During Pregnancy

2021 ◽  
Author(s):  
Lou Richelle ◽  
Michèle Dramaix-Wilmet ◽  
Michel Roland ◽  
Nadine Kacenelenbogen
Keyword(s):  
Substance Use ◽  
Medical Students ◽  
Pregnant Women ◽  
Substance Use Disorder ◽  
Cross Sectional Study ◽  
Short Version ◽  
Cross Sectional ◽  
Care And Support ◽  
Students Attitudes ◽  
Women Who Use Drugs

Abstract Background: Many stigmas exist regarding people with substance use disorder especially among pregnant women, preventing optimal accessibility and quality of care. In this survey, we investigated attitudes of medical students regarding substance use during pregnancy and identified the factors that influence these attitudes. Methods: This cross-sectional study was conducted in 2019 and 2020 in Belgium using the short version of the "Substance Abuse Attitude Survey" questionnaire. We focused on two items regarding punishment of substance use during pregnancy. We analysed the concordance between these two, their correlation with other items (e.g stereotyping, morality, forced withdrawal, low treatment optimism) and the association between respondents’ agreement on punishment and their sociodemographic data. Results: The response rate was 65.2 % (370/567 online and face-to face questionnaires). 19.2% of respondents were in favour of punishment for alcohol use (n=353) and 15.1% for drug use (n=356) during pregnancy. The agreement analysis between the two items showed that14.3% of students were in favour of punishing both pregnant women who use drugs and those using alcohol. Respondents tended to be more in favour of punishment if they were male students, older, if they had a lower mother's education level or had no personal or family history of substance use. Attitudes appeared to be more punitive among students with limited contact with people with substance use disorder (i.e. none or limited to hospital). Students intending to specialise in internal medicine were more in favour of punishment of women whereas none of those intending to specialise in psychiatry were in favour. Conclusion: Our study shows that about 20% of surveyed medical students favoured punishing substance-using pregnant women. Awareness and training work seems to be necessary to ensure adequate care and support for this already vulnerable population.

scholarly journals Medical students' knowledge, attitudes and behaviours related to substance use in Lebanon: a cross-sectional study

2017 ◽  
Vol 23 (11) ◽  
pp. 734-743 ◽  
Author(s):  
Georges Assaf ◽  
Samar Noureddine ◽  
Silva Kouyoumdjian ◽  
Jamil El Khoury
Keyword(s):  
Substance Use ◽  
Medical Students ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Developing a comprehensive tool to assess professional attitude among physicians and medical students

2022 ◽  
Author(s):  
Neda Yavari ◽  
Fariba Asghari ◽  
Zahra Shahvari ◽  
Saharnaz Nedjat ◽  
Bagher Larijani
Keyword(s):  
Medical Students ◽  
Group Discussion ◽  
Cross Sectional Study ◽  
Second Phase ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Individual Interviews ◽  
Professional Attitude ◽  
Final Questionnaire ◽  
Students Attitudes

It appears that up until now, no comprehensive tool has been developed to assess medical students’ attitudes toward the different dimensions of professionalism. The present study aimed to develop a comprehensive quantitative tool to evaluate medical students’ attitudes toward professionalism. This study consisted of two phases: The first phase was item generation and questionnaire design based on literature review and a qualitative survey. The qualitative data were extracted from 49 semi-structured individual interviews and one focus group discussion. In the second phase, the questionnaire was developed and its face, content, and structure validity and reliability were evaluated. To measure the construct validity of the questionnaire, a cross-sectional study was conducted on 354 medical students at different academic levels at Isfahan University of Medical Sciences. The final questionnaire was loaded on five factors. The factors accounted for 43.5% of the total variance. Moreover, Cronbach's alpha was 0.84 for the total scale, and the interclass correlation coefficient was 0.77 for the test-retest reliability. The 17-item questionnaire measuring medical students’ professional attitude had acceptable validity and reliability and can be adopted in other studies on physicians’ and medical students’ professional attitudes.   

Music-based emotion regulation and healthy and unhealthy music use predict coping strategies in adults with substance use disorder: A cross-sectional study

2019 ◽  
pp. 030573561985452 ◽  
Author(s):  
Michael J. Silverman
Keyword(s):  
Substance Use ◽  
Emotion Regulation ◽  
Coping Strategies ◽  
Substance Use Disorder ◽  
Cross Sectional Study ◽  
Adaptive Coping ◽  
Regression Analyses ◽  
Sectional Study ◽  
Cross Sectional ◽  
And Coping

While many people use music for emotion regulation, there is a dearth of empirical inquiry investigating if music-based self-regulatory factors correlate with and predict coping in adults with substance use disorder (SUD). The purpose of this cross-sectional study was to explore music-based emotion regulation, healthy and unhealthy music use, and coping strategies in adults with SUD on a detoxification unit via correlational and multiple regression analyses. Participants ( N = 194) completed the Brief Music in Mood Regulation Scale, the Healthy-Unhealthy Music Scale, and the Brief COPE. Correlations and multiple regression analyses were conducted to determine which music-based emotion regulation factors were related to and predicted coping. There were a plethora of significant relationships between music-based factors and coping. Regression results indicated that solace predicted acceptance and entertainment predicted venting. Healthy music use predicted active coping and humor, while unhealthy music use predicted venting, denial, behavioral disengagement, and self-blame. Generally, unhealthy music use predicted maladaptive coping while healthy music use predicted adaptive coping. As music use is common for people with SUD, it seems that music-based emotion regulation training may have the possibility to augment adaptive coping skills with the ultimate goal of increasing the likelihood of recovery.

Perceived Sensitivity to Pain and Responsiveness to Non-noxious Sensation in Substance Use Disorder

Pain Medicine ◽  
2019 ◽  
Vol 21 (9) ◽  
pp. 1902-1912
Author(s):  
Naama Assayag ◽  
Yoram Bonneh ◽  
Shula Parush ◽  
Haim Mell ◽  
Ricky Kaplan Neeman ◽  
...  
Keyword(s):  
Substance Use ◽  
Logistic Regression ◽  
Substance Use Disorder ◽  
Pain Sensitivity ◽  
Pain Perception ◽  
Cross Sectional Study ◽  
Control Group ◽  
Model Parameters ◽  
Cross Sectional ◽  
Sensory Responsiveness

Abstract Objective This comparative cross-sectional study aimed to characterize individuals with substance use disorder (SUD) in self-perception of pain sensitivity, experimental auditory aversiveness, and non-noxious sensory responsiveness, as well as examine the associations with SUD. Methods Therapeutic community (TC) individuals with SUD (N = 63, male 88.9%) and healthy controls (N = 60, male 86.7%) completed the Pain Sensitivity Questionnaire (PSQ) and the Sensory Responsiveness Questionnaire–Intensity Scale (SRQ-IS), followed by a psychophysical auditory battery, the Battery of Averseness to Sounds (BAS)–Revised. Results The SUD group scored higher on the PSQ (P < 0.0001), BAS-R aversiveness (P < 0.0001), BAS-R-unpleasantness (P < 0.0001), and on the aftersensation of auditory aversiveness (P < 0.0001) and unpleasantness (P < 0.000). Fifty-four percent of the SUD group vs 11.7% of the control group were identified as having sensory modulation dysfunction (SMD; P < 0.0001). Logistic regression modeling revealed that the SRQ-IS-Aversive score had a stronger relationship, indicating a 12.6-times odds ratio for SUD (P = 0.0002). Finally, a risk score calculated from a linear combination of the logistic regression model parameters is presented based on the PSQ and SRQ. Conclusions This is the first study to explore sensory and aversive domains using experimental and self-reporting in situ, revealing pain perception alteration that co-occurs with high prevalence of SMD, specifically of the over-responsive type. Findings may be significant in clinical practice for treating pain, and for expanding therapeutic modalities as part of broader rehabilitation in TC and beyond, to better meet personalized therapy.

scholarly journals Pattern of Physical Activity among Undergraduate Medical Students: A Multicentric Cross-sectional Study Across Bihar, India

2020 ◽  
Author(s):  
Neha Chaudhary ◽  
Shradha Mishra ◽  
Manish Kumar ◽  
Yamini Sharma ◽  
Shamshad Ahmad
Keyword(s):  
Physical Activity ◽  
Medical Students ◽  
Physical Exercise ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Short Version ◽  
Sectional Study ◽  
Undergraduate Medical Students ◽  
Cross Sectional

Introduction: Inspite of the fact that the medical students have a greater awareness about a healthy lifestyle; their academic stress to perform well may poorly affect their pattern of physical activity and thus, compromise their overall health. Aim: To assess the level of physical activity among undergraduate medical students studying in various institutions across the state of Bihar and to evaluate the Metabolic Equivalent Task (MET) score so as to measure the intensity of physical activity performed by the participants. Materials and Methods: This was a cross-sectional study conducted among the undergraduate students, studying in different medical colleges across Bihar, India. An Online Google Form was created using a short version of the International Physical Activity Questionnaire (IPAQ). The collected data was analysed using Stata (Version 13) software. Results were presented as frequencies, mean and standard deviation. Chi-square test was applied to test for significant association at 0.05 level of significance. To identify the predictors of physical activity, multiple logistic regression analysis of the data was done. Results: A total of 1200 students participated in the study. Among these, 64.3% were males and 35.7% were females. More than half of the participants (57.6%) were aged <21 years. Majority of the participants (67.7%) had normal weight followed by overweight/obese (22.8%). Approximately, half of the participants (54.4%) reported availability of gym in their campus and only 26.7% of the participants were following regular routine of physical exercise. Maximum students under the study were residing in the hostel (89.4%); who were reaching college mainly by walking (74.8%), {OR=17.5 (12.9-23.5)}. On multivariate analysis; Body Mass Index (BMI), age, having an availability of gym in the campus and following a regular routine of physical exercise were found to be significant predictors of physical activity. Conclusion: In present study, the majority were sufficiently physically active. However, the low physical activity was observed among the overweight/obese participants is a distressing fact which may reflect the need to integrate the physical education electives in the curriculum

scholarly journals Attitudes of Israeli Medical Students Towards the Medical Treatment of Uninsured Migrants

2019 ◽  
Author(s):  
Zohar Mor ◽  
Adam Cadesky ◽  
Ran Halleluyan ◽  
Rivka Sheffer
Keyword(s):  
Medical Students ◽  
Clinical Training ◽  
Medical Training ◽  
Medical Schools ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Professional Responsibilities ◽  
Students Attitudes ◽  
Societal Expectations

Abstract Background: Undocumented migration to developed countries poses practical concerns, as migrants are not medically insured. This cross-sectional study aims to appraise the attitudes of Israeli medical students towards the uninsured migrant population. Methods: Participants from five medical schools in Israel completed anonymous questionnaires in Hebrew, based on the "Medical Students’ Attitudes Toward the Underserved" (MSATU), which assessed students' attitudes regarding the professional responsibility and societal expectations towards the migrants. It also evaluated students' views of the migrants as eligible for expensive medical procedures. Results: A total of 891 students completed the survey with a median age of 28 years. The majority were Jews (N=816, 91.6%) and singles (N=681, 68.5%). Participants in the pre-clinical years were likely to be female and unmarried compared to those in clinical training. They also demonstrated higher scores on professional responsibilities and societal expectations than students in clinical training, but no significant differences were found in their views on expensive medical services. Students of minorities (non-Jews and migrants) scored higher on professional responsibilities and societal expectations. The scores for professional responsibilities and societal expectations decreased as students progressed in their medical training (Spearman coefficient p=0.04 and p=0.01, respectively). This trend was more apparent in males rather than females. Conclusion: MSATU scores declined as students progressed through medical school, with females maintaining more favorable attitudes than males. Medical schools should attempt to maintain the enthusiasm and idealism that students possess as they enter medical training and provide clinical experience with migrant populations that allows for cross-cultural communication.

scholarly journals Second and third year medical students’ self-reported alcohol and substance use, smoking habits and academic performance at a South African medical school

2019 ◽  
Vol 24 ◽  
Author(s):  
Annelize Vorster ◽  
Anthonie M. Gerber ◽  
Lynette J. Van der Merwe ◽  
Sanet Van Zyl
Keyword(s):  
Substance Use ◽  
Academic Performance ◽  
Medical Students ◽  
Prescription Medication ◽  
Cross Sectional Study ◽  
Smoking Habits ◽  
Cross Sectional ◽  
Tertiary Institutions ◽  
Professional Students ◽  
Second Year

Background: Health professional students frequently use alcohol and narcotics. The potential impact on academic performance and professional behaviour is concerning.Aim: This study aimed to determine self-reported use of alcohol, illicit substances (e.g. cannabis, lysergic acid diethylamide [LSD], magic mushroom, cocaine, crack, ecstasy, methamphetamine and heroin), prescription medication and smoking habits, correlating academic performance.Setting: Faculty of Health Sciences, University of the Free State.Methods: An observational, descriptive, cross-sectional study design was used. Information was obtained using a self-administered questionnaire, capturing demographics, self-reported academic performance, drinking and smoking habits, and substance use. Coded responses were analysed using the Remark Office OMR 8 Software System. Descriptive statistics were calculated for categorical variables.Results: Completed questionnaires comprised 171 students. A total of 78.4% of second year and 82.8% of third year students reported using alcohol. Twenty-two per cent of second year and 24.1% of third year students reported cannabis use. In the second year group, three (2.7%) students reported using magic mushroom, two (1.8%) reported cocaine, two (1.8%) reported ecstasy and one (0.9%) reported using methamphetamine. Only third year students reported using LSD or ‘crack’. Cigarette smoking was common – 31.5% and 35.1% in both groups, respectively. Smokeless tobacco devices were used by 8.5% of second year and 7.1% of third year students. Almost 40% of both groups reported that they had smoked a water pipe. Academic performance achieved was mostly 60% – 69% (38.9%) among second year students and 70% – 79% (46.6%) among third year students.Conclusion: Self-reported use of alcohol and drugs and smoking among medical students is alarming. Additional student support, early identification and referral for management and/or rehabilitation should be a priority at tertiary institutions responsible for training future healthcare professionals.

scholarly journals Socioeconomic, demographic, and obstetric inequalities in food insecurity in pregnant women

2018 ◽  
Vol 18 (4) ◽  
pp. 815-824
Author(s):  
Renata Cordeiro Fernandes ◽  
Fernanda Manera ◽  
Larissa Boing ◽  
Doroteia Aparecida Höfelmann
Keyword(s):  
Food Insecurity ◽  
Pregnant Women ◽  
Family Health ◽  
Cross Sectional Study ◽  
Measurement Scale ◽  
Short Version ◽  
Cross Sectional ◽  
Black Skin ◽  
High Prevalence ◽  
The City

Abstract Objectives: to estimate the prevalence of Food Insecurity (FI) in pregnant women and to identify its association with demographic, socioeconomic, obstetric, and anthropometric variables in female users of Family Health Units (FHUs) in the city of Colombo, state of Paraná, South Region of Brazil. Methods: a cross-sectional study of a representative sample of pregnant women from 17 FHUs in Colombo. We used the short version of the Brazilian Household Food Insecurity Measurement Scale (EBIA). In addition, we used Poisson Regression Models with robust, crude, and adjusted variance to investigate the association between FI and exposure variables. Results: 316 pregnant women participated in the study. The prevalence of FI was 45.1% (CI95% = 39.6-50.6). Adjusted analysis showed higher prevalence of FI in pregnant women with 30 years of age or older (PR = 1.66; IC95% = 1.02-2.69), with black skin or indigenous background (PR= 1.39; CI95%= 1.08-1.79), with 7 years of education or less (PR = 1.58; CI95% = 1.14-2.19), and with lower income (PR = 2.07; CI95% = 1.36-3.14). Conclusions: There was a high prevalence of FI among pregnant women, particularly among those of older age and with worse socioeconomic conditions, a group that should be considered a priority for actions aimed at promoting food security.

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