Key Words: disease outbreaks, influenza virus, health knowledge, attitudes, practice, medical students, volunteers
Abstract
INTRODUCTION
Reductions in health personnel during disasters or epidemics such as an influenza pandemic may need to include volunteer students.
OBJECTIVE
The aim of this article is to determine knowledge and practices about pandemic influenza and the attitudes towards volunteer work in Peruvian medical students.
METHODS
We performed a cross-sectional analytic study by simple sampling using a survey regarding “knowledge and practices” about pandemic influenza and the attitudes to volunteer work.
RESULTS
From the group of 865 students who were surveyed, 848 accepted to participate in the investigation (54% were male and their mean age was 22.1 ± 3.0). Ninety-seven percent correctly identified the spread routes of influenza and 81% knew its treatment. Regarding preventive measures, covering the mouth when coughing/sneezing and hand-washing were the most commonly recognized options (95% y 92%, respectively), and vaccination was the less recognized one (54%). The most common practice, readily acknowledged as preventive, was covering when coughing/sneezing (86%). Regarding volunteer works, students answered that it is a moral/ethical/professional obligation (77%); that a contingency university service needs to be established (88%), that it does not have to substitute for the lack of workers (49%), and that its role should be related to hospital work (83%). Coming from a public university was more associated to the concept that volunteer work was a moral obligation and that the student should be punished if he/she refuses to be a volunteer, whereas being from a private university was more related to a history of been involved in volunteering programs.
CONCLUSIONS
In general, medical students have good knowledge and practices toward influenza. There is a good disposition to volunteer their work and skills, recognizing it as a moral/ethical/professional obligation.
This article does not have an English version.
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INTRODUCCIÓN
La reducción crítica en el personal de salud ante situaciones de desastre o epidemia como una pandemia de influenza podría requerir la necesidad de incluir estudiantes voluntarios.
OBJETIVO
El objetivo del artículo es determinar los conocimientos y prácticas sobre influenza pandémica y la actitud hacia el voluntariado en estudiantes de medicina peruanos.
MÉTODOS
Estudio transversal analítico por muestreo simple utilizando una encuesta.
RESULTADOS
De los 865 estudiantes, 848 aceptaron participar en el estudio (54% varones, edad promedio 22,1 ± 3,03). El 97% identificó de manera correcta las vías de propagación de la influenza y el 81% conocía su tratamiento. Sobre medidas preventivas correctas, cubrirse al toser o estornudar y lavado de manos fueron las respuestas mejores reconocidas (95% y 92%, respectivamente) y la vacunación fue la menor (54%). La práctica más frecuentemente realizada fue cubrirse al toser o estornudar (86%). Al respecto del voluntariado los participantes respondieron que es un deber moral/ético/profesional (77%), que se debe instituir un servicio universitario de contingencia (88%), que no debe suplir la falencia de trabajadores (49%) y que debe radicar en atención médica hospitalaria (83%). El pertenecer a universidades estatales estuvo más asociado a pensar que el voluntariado es una obligación moral y que el estudiante debe ser castigado en caso se niegue a ser voluntario, mientras que el pertenecer a universidades particulares estuvo más asociado con el antecedente de haber participado en un programa de voluntariado.
CONCLUSIONES
En general, los estudiantes poseen un buen nivel de conocimientos y prácticas sobre influenza. Hay una buena disposición hacia el voluntariado reconociéndolo como una obligación moral/ética/profesional.
Authors:
Julio A. Huapaya[1], Julio Maquera-Afaray[2], Patricia J. García[3], César Cárcamo[1], Javier A. Cieza[1]
Affiliation:
[1] Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Perú
[2] Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú
[3] Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia, Lima, Perú
E-mail: vigo_ma@hotmail.com
Author address:
[1] Avenida Grau 800
Lima 13
Perú
Citation: Huapaya JA, Maquera-Afaray J, García P, Cárcamo C, Cieza J. Knowledge, practices and attitudes toward volunteer work in an influenza pandemic: cross-sectional study with Peruvian medical students. Medwave 2015 May;15(4):e6136 doi: 10.5867/medwave.2015.04.6136
Submission date: 27/2/2015
Acceptance date: 28/4/2015
Publication date: 8/5/2015
Origin: not requested
Type of review: reviewed by five external peer reviewers, double-blind
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- Perú, Ministerio de Salud. Plan nacional de preparación y respuesta frente a una potencial pandemia de influenza. Lima Perú: Ministerio de Salud, 2006. | Link |
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- Perú, Instituto Estatal de Estadística e Informática. Censos estatales 2007, XI de población y VI de vivienda. Lima: Instituto Estatal de Estadística e Enformática, 2008. | Link |
- University of Alberta. Questionnaire on knowledge and attitudes towards pandemic influenza issues. ualberta.ca [on line] | Link |
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- Mahmoud MI, El-Harbi K. Pandemic influenza: perception of medical students medical college. Taibah University. Medina, Saudi Arabia 2009. Bull Alex Fac Med. 2010;46(1):57-64. | Link |
- Ghabili K, Shoja MM, Kamran P. Avian influenza knowledge among medical students, Iran. Emerg Infect Dis. 2008 Apr;14(4):672-3. | CrossRef | PubMed |
- Herman B, Rosychuk RJ, Bailey T, Lake R, Yonge O, Marrie TJ. Medical students and pandemic influenza. Emerg Infect Dis. 2007 Nov;13(11):1781-3. | CrossRef | PubMed |
- Soria J, Solari L, Cabezas C, Ticona E. Guía para el manejo de pacientes con la nueva influenza A (H1N1). Rev Peru Med Exp Salud Publica. 2009;26(3): 110-119. | Link |
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- Mavros MN, Mitsikostas PK, Kontopidis IG, Moris DN, Dimopoulos G, Falagas ME. H1N1v influenza vaccine in Greek medical students. Eur J Public Health. 2011 Jun;21(3):329-32. | CrossRef | PubMed |
- Rosychuk RJ, Bailey T, Haines C, Lake R, Herman B, Yonge O, et al. Willingness to volunteer during an influenza pandemic: perspectives from students and staff at a large Canadian university. Influenza Other Respir Viruses. 2008 Mar;2(2):71-9. | CrossRef | PubMed |
- Seale H, Leask J, Po K, MacIntyre CR. "Will they just pack up and leave?" - attitudes and intended behaviour of hospital health care workers during an influenza pandemic. BMC Health Serv Res. 2009 Feb 13;9:30. | CrossRef | PubMed |
- Rivas-Nieto AC, Curioso WH, Guillén C. Participación estudiantil en proyectos de intervención rural en salud: la experiencia IRIS-X en Perú. Rev Peru Med Exp Salud Publica. 2009;26(3): 387-394. | Link |
- Villafuerte-Galvez J, Curioso WH, Miranda JJ. The role of medical students in the fight to control neglected tropical diseases: a view from Peru. PLoS Negl Trop Dis. 2008 Sep 24;2(9):e292. | CrossRef | PubMed |
- Escalante-Romero l, Cueva-Chávez L, Linares-Reyes E, Blossiers-Mazzini C. Experiencias de trabajo en actividades en atención primaria de salud realizadas por estudiantes de medicina de Perú. Cimel. 2010;15(1):14-18. | Link |
- Curioso WH, Lazo-Escalante M, Gotuzzo E, García HH, Gilman RH, García PJ. Entrenando a la nueva generación de estudiantes en salud global en una universidad peruana. Rev Peru Med Exp Slud Publica. 2008;25(3):269-273. | Link |
Perú, Ministerio de Salud. Plan nacional de preparación y respuesta frente a una potencial pandemia de influenza. Lima Perú: Ministerio de Salud, 2006. | Link |Dowdle WR. Influenza pandemic periodicity, virus recycling, and the art of risk assessment. Emerg Infect Dis. 2006 Jan;12(1):34-9. | CrossRef | PubMed |Osterholm MT. Preparing for the next pandemic. N Engl J Med. 2005 May 5;352(18):1839-42. | CrossRef | PubMed |Baden LR, Drazen JM, Kritek PA, Curfman GD, Morrissey S, Campion EW. H1N1 influenza A disease--information for health professionals. N Engl J Med. 2009 Jun 18;360(25):2666-7. | CrossRef | PubMed |Franco-paredes C, Rodríguez-Morales AJ, Santos-Preciado JI. Aspectos clínicos y epidemiológicos de la influenza. Cimel. 2006;11(1):27-34. | Link |Starr I. Influenza in 1918: recollections of the epidemic in Philadelphia. 1976. Ann Intern Med. 2006 Jul 18;145(2):138-40. | CrossRef | PubMed |Oshitani H, Kamigaki T, Suzuki A. Major issues and challenges of influenza pandemic preparedness in developing countries. Emerg Infect Dis. 2008 Jun;14(6):875-80. | CrossRef | PubMed |Pamo-Reyna OG. La pandemia y el pandemonio de la influenza A (H1N1) en el Perú. Rev Soc Per Med Interna. 2009;22(3):110-119. Perú, Instituto Estatal de Estadística e Informática. Censos estatales 2007, XI de población y VI de vivienda. Lima: Instituto Estatal de Estadística e Enformática, 2008. | Link |University of Alberta. Questionnaire on knowledge and attitudes towards pandemic influenza issues. ualberta.ca [on line] | Link |Stata Corp. Stata statistical software: release 10. College Station. Texas, United States: Stata Corporation, 2007. Purssell E, While A. Knowledge about pandemic influenza in healthcare and non-healthcare students in London. Health Education Journal. 2010;70(2):217-224. | Link |Mahmoud MI, El-Harbi K. Pandemic influenza: perception of medical students medical college. Taibah University. Medina, Saudi Arabia 2009. Bull Alex Fac Med. 2010;46(1):57-64. | Link |Ghabili K, Shoja MM, Kamran P. Avian influenza knowledge among medical students, Iran. Emerg Infect Dis. 2008 Apr;14(4):672-3. | CrossRef | PubMed |Herman B, Rosychuk RJ, Bailey T, Lake R, Yonge O, Marrie TJ. Medical students and pandemic influenza. Emerg Infect Dis. 2007 Nov;13(11):1781-3. | CrossRef | PubMed |Soria J, Solari L, Cabezas C, Ticona E. Guía para el manejo de pacientes con la nueva influenza A (H1N1). Rev Peru Med Exp Salud Publica. 2009;26(3): 110-119. | Link |Burch J, Corbett M, Stock C, Nicholson K, Elliot AJ, Duffy S, et al. Prescription of anti-influenza drugs for healthy adults: a systematic review and meta-analysis. Lancet Infect Dis. 2009 Sep;9(9):537-45. | CrossRef | PubMed |Mavros MN, Mitsikostas PK, Kontopidis IG, Moris DN, Dimopoulos G, Falagas ME. H1N1v influenza vaccine in Greek medical students. Eur J Public Health. 2011 Jun;21(3):329-32. | CrossRef | PubMed |Rosychuk RJ, Bailey T, Haines C, Lake R, Herman B, Yonge O, et al. Willingness to volunteer during an influenza pandemic: perspectives from students and staff at a large Canadian university. Influenza Other Respir Viruses. 2008 Mar;2(2):71-9. | CrossRef | PubMed |Seale H, Leask J, Po K, MacIntyre CR. "Will they just pack up and leave?" - attitudes and intended behaviour of hospital health care workers during an influenza pandemic. BMC Health Serv Res. 2009 Feb 13;9:30. | CrossRef | PubMed |Rivas-Nieto AC, Curioso WH, Guillén C. Participación estudiantil en proyectos de intervención rural en salud: la experiencia IRIS-X en Perú. Rev Peru Med Exp Salud Publica. 2009;26(3): 387-394. | Link |Villafuerte-Galvez J, Curioso WH, Miranda JJ. The role of medical students in the fight to control neglected tropical diseases: a view from Peru. PLoS Negl Trop Dis. 2008 Sep 24;2(9):e292. | CrossRef | PubMed |Escalante-Romero l, Cueva-Chávez L, Linares-Reyes E, Blossiers-Mazzini C. Experiencias de trabajo en actividades en atención primaria de salud realizadas por estudiantes de medicina de Perú. Cimel. 2010;15(1):14-18. | Link |Curioso WH, Lazo-Escalante M, Gotuzzo E, García HH, Gilman RH, García PJ. Entrenando a la nueva generación de estudiantes en salud global en una universidad peruana. Rev Peru Med Exp Slud Publica. 2008;25(3):269-273. | Link |
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