scholarly journals Knowledge and Attitudes Regarding Transgender and Intersex Individuals Among Medical Students and Health Care Providers of Karachi, Pakistan

Background: Transgender and intersex individuals face numerous hurdles in accessing health facilities. Furthermore, there is no formal training for the provision of care for such a vulnerable population. This study explores the knowledge and attitude of medical students and Healthcare Providers (HCPs) about transgender and intersex individuals in Karachi. Methods: The cross-sectional study was conducted among medical students of a government medical college and HCPs, from August to September 2019. A structured questionnaire was used to assess the knowledge and attitude of study participants, towards intersex and transgender individuals. Data were analyzed using SPSS 20. Results: Of the 200 participants, 171 returned the complete questionnaire with a response rate of 85.5%. There were 100(58.5%) females and 71(41.5%) males, with 93(54.4%) medical students and 78(45.6%) HCPs. All study participants were familiar with the term transgender, whereas 138(80.7%) reported having heard the term intersex, whereas 35(20.5%) regarded the conditions as a mental illness. Knowledge of PMC code regarding gender orientation was significantly higher in HCPs than medical students (41% vs 14%, p<0.001). Medical students were more in favor of corrective surgery to be performed (61.3%) as compared to the HCPs (43.6%) (p=0.02). Conclusion: Even though medical students and HCPs were familiar with transgender and intersex terms yet there were different misconceptions regarding them. However, our target population was willing to learn the healthcare needs of such individuals. It is recommended that the latest guidelines regarding gender spectrum are taught in the medical curriculum.

Author(s):  
Rajiv Kumar Gupta ◽  
Parveen Singh ◽  
Rashmi Kumari ◽  
Bhavna Langer ◽  
Pawan Sharma ◽  
...  

Background: Emergency contraception (EC) which is the only method indicated after the unprotected sexual intercourse prevents unintended pregnancies and its harmful consequences like unsafe abortion or unintended child delivery. Since medical students are the future medical professional and would be the main channel to provide preventive, promotive and curative services to the population at large, their knowledge and attitude towards EC is an important context in the overall health scenario of India. The study aimed to assess the knowledge and attitudes of medical students towards use of EC.Methods: This cross sectional questionnaire based study was conducted among 2nd professional MBBS students in a Government Medical College in North India. The self administered questionnaire intended to seek information on knowledge and attitude of the students. The data so collected was expressed in percentages and Chi square test was used as test of significance.Results: All the respondents had heard of EC with mass media as the main source of information. More than 90% of the respondents knew about the indications for use of EC as well as the timing of the use of EC. Female respondents had better knowledge about composition of EC as well mechanism of action (p<0.05). More than 90% would recommend EC in case of unprotected sexual intercourse and 83.5% had positive attitude towards EC.Conclusions: Although knowledge about EC was good on certain parameters, yet lack of in depth knowledge among future health care providers is a cause of concern. So, attention be given to special issues relating to EC from early years of medical education till internship. 


Author(s):  
Waggas D ◽  
◽  
Hasan AA ◽  

Background: The emerging respiratory disease is caused by the novel type of corona virus which is named as COVID-19. This respiratory illness has received internal attention and it is categorized as highly threaten disease in the US by the Centers for Disease Control and Prevention. The purpose of the study was to assess the knowledge, attitude and practice of undergraduate medical students towards COVID-19. Methods: Descriptive cross-sectional design was used to assess knowledge, practice and attitudes of 255 undergraduate medical students towards COVID-19. Study participants were recruited from the Fakeeh College for Medical Sciences between April and August 2020. Results: The results of study participants showed that undergraduate medical students had moderate knowledge towards COVID-19 (Mean=20.54, SD ± 4.67). Also, participants had high level of knowledge regarding nature of diseases and precautionary measures by health care providers dimensions. However, they expressed limited knowledge towards mode of transmission. Moreover, study participants demonstrated an optimistic attitude toward disease as the average 43.78 and good practice towards COVID-19 (average 18.67). Conclusions: The study results revealed that study participants demonstrated good knowledge with favorable and accepted practice. This study suggests the importance of emphasis on infectious disease in medical curriculum.


2020 ◽  
Author(s):  
Emad Aborajooh ◽  
Mohammed Qussay Al-Sabbagh ◽  
Baraa Mafrachi ◽  
Muhammad Yassin ◽  
Rami Dwairi ◽  
...  

UNSTRUCTURED We aimed to measure levels of knowledge, awareness, and stress about COVID-19 among health care providers (HCP) in Jordan. This was a cross-sectional study on 397 HCPs that utilized an internet-based questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment (PEE), future perception, and psychological distress. Ordinal logistic regression analysis was used to evaluate factors associated with knowledge and psychological stress. Overall, 24.4% and 21.2% of the participants showed excellent knowledge and poor knowledge, respectively. Social media (61.7%) was the most commonly used source of information. Being female (β= 0.521, 95% CI 0.049 to 0.992), physician (β=1.421, 95% CI 0.849 to 1.992), or using literature to gain knowledge (β= 1.161, 95% CI 0.657 to 1.664) were positive predictors of higher knowledge. While having higher stress (β= -0.854, 95% CI -1.488 to -0.221) and using social media (β= -0.434, 95% CI -0.865 to -0.003) or conventional media (β= -0.884, 95% CI -1.358 to -0.409) for information were negative predictors of knowledge levels. HCPs are advised to use the literature as a source of information about the virus, its transmission, and the best practice. PPEs should be secured for HCPs to the psychological stress associated with treating COVID-19 patients.


2021 ◽  
Author(s):  
Ismat Babiker ◽  
Mohamed K. Elnaeim ◽  
Awab K.Elnaeim

Abstract Objective: the objective of this study was to assess the awareness of the community in Sudan of which seizure type(s) should present to health care providers.Methods: This is a cross-sectional descriptive internet-based survey that was conducted in Sudan during the period from January to April 2018, using google forms. The survey consisted of demographic data (age, gender, educational level), a statement evaluating participants’ sources of obtaining information regarding epilepsy, a statement assessing awareness about the primary care provider for people with epilepsy (PWE), and a statement describing the symptomatology of different seizure types in simple Arabic, asking what description(s) participants thought should present to health care providers. We included participants residing in Sudan, and those with a college degree or higher education. Four hundred sixty-seven participants completed the survey.Results: 467 participants were included, of whom, 279 (60%) were females. The mean age of participants was 28 years. Two-thirds of participants obtained their information from non-scientific sources. 84% of the participants were aware that doctors are the primary health care providers for people with epilepsy.The majority (92.%) of participants were aware that patients with symptoms corresponding to the generalized tonic-clonic seizure description should present to doctors, compared with two-thirds of participants for focal seizure symptom description, and only 30.6 % of participants for absence seizure symptom description.Conclusion: This study demonstrated poor awareness about the necessity of presentation for focal and absence seizures. We hypothesize that this lack of awareness may contribute to the epilepsy treatment gap, and we recommend further studies to examine this hypothesis.


Author(s):  
Basmah Mohammed Alazmi ◽  
Shaikha Sulayyem Alsharari ◽  
Razan motawkel ◽  
Sara Alzahrani ◽  
Anhar Alfateel ◽  
...  

Background: Nowadays there are a lot of women using contraceptive oral combined pills for birth control and as we know VTE is one of the complications when it used for a long time, and here in this study our aim is to assess the awareness and knowledge of females who live in Saudi Arabia about COCP and its complications like VTE. A cross-sectional observational study based on a questionnaire conducted among females who live in Saudi Arabia. Data collection was done by using online survey which contains questions about the age, education and contraception. Methods: An observational cross-sectional study carried out during December 2020 in Saudi Arabia. We minimize our target population through inclusion criteria: 1- Female 2- Live in Saudi Arabia 3- Agree to participate. Sample size was 454 participants calculated by using survey system website through sample size calculator with Confidence Level 95% and margin of error 5%. Result: A total of 454 patients completed the survey questionnaire. The results showed that the vast majority of the study participants aged 20 years or more. Moreover, more than 90% of the study participants were Saudi females. The average body weight is around 95 kg and height 164.2 cm. The results also indicated that two-third of the study participants attained university education level compared to 16.1% obtained secondary education. Additionally, 36.6% of the study participants worked as a housewife, 18.1% working in health field. Moreover, 40% of the respondents reside in the western regions, 34% live in eastern regions compared to the lowest percentage in South region 3.3%. Conclusion: In summary, this study revealed that the internet was the main source of knowledge. Health care providers should perform their intended role in improving the female’s awareness regarding family planning. The criteria for preferable contraceptive method are that it has few or no side effects, also it depends on how much effective and convenient it is. Educational programs may be warranted to minimize the fear of side effects and to enhance the general knowledge about contraception.


Author(s):  
Mohamad Alameddine ◽  
Hussein Soueidan ◽  
Maha Makki ◽  
Hani Tamim ◽  
Eveline Hitti

BACKGROUND The use of smart devices (SD) by healthcare providers in care settings is a common practice nowadays. Such use is not restricted to applications related to the care of patients but often extends to personal calls and applications with frequent prompts and interruptions. This enhances the risk of distractions caused by SD in the hospital settings and raises concerns on service quality and patient safety. Such concerns are exacerbated in complex care settings like the Emergency Department (ED). OBJECTIVE This study measured the frequency and patterns of SD use among healthcare providers in the ED of a large academic health center in Lebanon. The perceived consequences of care providers on using SDs on the provider-provider communication and the care quality of patients in ED were further assessed. The study further examined the factors associated with the use of smart devices and measured the approval for regulating such use. METHODS The study was carried at the ED of an academic health center in Lebanon. The ED received the highest volume of patient visits in the country. Data was collected using a cross-sectional electronic survey sent to all ED healthcare providers (n=236). The target population included core ED faculty members, attending physicians, residents, medical students, and the nursing care providers. RESULTS Half of the target population responded to the questionnaire. A total of 85.6% of the respondents use one or more medical applications on their smart devices. The respondents believed that using the SD in the ED improved the coordination among the care team (81.6%) and that it was beneficial to patient care (78.9%). In addition, 41.1% of the respondents acknowledged they were distracted when using their SD for non-work purposes. Furthermore, 54.8% of the respondents acknowledged having witnessed their colleagues committed a near miss or an error due to the smart device-caused distractions. Regression analysis revealed that age and missing information due to using the SD are major predictors of committing an error at the ED (p<0.05). Interestingly, more than 40% of the respondents were significantly addicted to using SD and more than third of them felt the need to cut down on such use. CONCLUSIONS The findings of this study make it imperative to safeguard the safety and wellbeing of patients, particularly in high intensity, high volume department such as the ED. Irrespective of the positive role the SD play in the healthcare process, the negative effects of its use mandate proper regulation. This is an ethical mandate taking into consideration the important consequences such use may have on care processes and outcomes.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mansoor Ahmed ◽  
Hyea Bin Im ◽  
Jung Hye Hwang ◽  
Dongwoon Han

Abstract Background Pregnant women’s disclosure of herbal medicine (HM) use to their health care providers during pregnancy is crucial, as misuse of HM can have a detrimental effect on both pregnant woman and the fetus. However, the lack of disclosure of HM use to physicians remains a public health concern in developing countries such as Nepal. Methods A cross-sectional study was conducted among 400 postpartum women admitted at Maternity and Women’s Hospital located in Kathmandu, Nepal. The survey instrument included 30 questions on the use of HM during pregnancy, sociodemographic and health characteristics, and pregnancy outcomes. Chi-square test and logistic regression were conducted for data analysis using SPSS ver. 21.0., and a p-value of less than 0.05 was considered statistically significant for all analyses. Results 60.3% of respondents used at least one herbal remedy during their previous pregnancy, and the overall disclosure rate of HM use to healthcare providers was 54.6%. Women with secondary education level and four or more antenatal care visits were more likely to disclose their HM use to healthcare providers. Conclusions This study highlights that despite the popular use of HM among pregnant women in Nepal, most women obtained HM-related information from informal sources and did not disclose their HM use to physicians. To ensure the safe use of HM, physicians should integrate questions regarding patients’ HM use into their routine patient assessments to facilitate active communication and improve the quality of care.


2020 ◽  
pp. 103985622097193
Author(s):  
Sarah E Gordon ◽  
Leah A Kininmonth ◽  
Giles Newton-Howes ◽  
Gordon L Purdie ◽  
Tracey Gardiner

Objective: To assess and compare attitudes of medical students in response to two service-user-led anti-stigma and discrimination education programmes. Method: Two programmes, consistent with the key elements of effective contact-based anti-stigma and discrimination education programmes for healthcare providers, were delivered to medical students in their penultimate and final year: a more intensive version of the programme in 2015/2016 and a briefer programme in 2016/2017. Attitudes were assessed using the Recovery Attitudes Questionnaire (RAQ) and the Opening Minds Stigma Scale for Health Care Providers (OMS-HC-20) at the beginning and end of their final year. Results: There were no significant differences between the years in initial scores on either scale. Both cohorts showed statistically significant reductions in scores on both scales after completion of the programme, indicating overall improvements in students’ attitudes with reductions in stigma, and more positive attitudes towards recovery of those in mental distress. The more intensive programme led to significantly greater improvement in reductions in stigma than the less intensive programme. Conclusion: Findings support the need for contact-based anti-stigma and discrimination education programmes for medical students that are both intensive and repeated over time.


2021 ◽  
Vol 10 (1) ◽  
pp. 71-77
Author(s):  
Aadil Ameer Ali ◽  
Noman Haq ◽  
Muhammad Rafiq ◽  
Amjad Hussain ◽  
Muhammad Ismail ◽  
...  

This observational study was conducted to assess the attitude, knowledge and practices of health-care providers in context of novel corona virus or COvid-19 in Pakistan. A cross sectional survey has been conducted among the physicians, dentists, physiotherapists, pharmacists and nurses in a number of medical and health related facilities of Pakistan from April to June 2020. A self-constructed questionnaire was used among the 277 health care providers and SPSS version 23 was used to analyze the data. Male participants constituted 55.6% (n=154) of the total sample size. However, 91% of total participants aged between 23 to 33 years (n=252). In addition to this 71% participants were unmarried. In academic perspective 74.4% of the candidates were graduates and most of them were MBBS. Around 46.6 % people were permanent residents of Sindh while others belong to different regions of the country. Assessment revealed of knowledge, attitude and practice results showed that the great majority i.e. 96% (n=266) of the healthcare providers had adequate knowledge with respect to Covid-19. Moreover, 59.2% people (n=164) demonstrated positive attitude towards covid-19. Contrastingly, practices of a large number of healthcare providers were not found appropriate that makes up to 57.4% (n=159). The study concluded that the health care providers working in Pakistan have good knowledge and positive attitude towards covid-19, whereas the practice of Pakistani health care providers needs serious attention, because the results reveled the practice is below the mark.


Author(s):  
Khalid Mohammed Aloudah ◽  
Abdulaziz Ahmed Ataweel ◽  
Sajida Agha ◽  
Syed Waqas Hussain Shah

Objective: Raising awareness on corneal donation among doctors and medical students is an important step to attain more local corneal donations. The objective of the study was to evaluate the knowledge and attitude of medical students regarding corneal donations. Method: A cross-sectional study was conducted among 5th and final year’s medical students from August 2019 to October 2019. Non-probability convenience sampling was employed. A self-administered questionnaire that evaluated the aspects of knowledge and attitudes about corneal donation was used after informed consent was taken. SPSS 20 was used for statistical analysis. Results: The study participants had a mean score of 3.24+1.86 on the knowledge aspect. Eighty percent correctly recognized that people who die with AIDS cannot donate. The most chosen reason for eyes donation was that pledged corneas can give vision to a blind person (n=66, 47%). Religious beliefs were a major obstacle for eye donation (n=62, 44%). The internet was identified by 79 (56%) of the participants to be the most common source of information. No significant difference was found in the knowledge level of the 5th year (3.31 + 1.84) and final year (3.17 + 1.89) medical students (p=0.65). Conclusion: The study showed a low level of knowledge of students about corneal donations. While raising awareness among medical students is important to increase donation rates, media and internet are not enough for improving the student’s knowledge. Information about the basics of corneal donation is important to fill gaps in knowledge. Keywords: Knowledge, attitude, corneal donation, Medical students


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