Competencias adquiridas durante a formacao medica e as opinioes e atitudes sobre o aborto / Competences acquired during medical training and the opinions and attitudes about abortion

RESUMO

OBJETIVO: Avaliar e comparar o conhecimento, as atitudes e opiniões dos estudantes de Medicina quanto ao aborto no Brasil durante o evoluir do curso. MÉTODOS: Estudo transversal envolvendo 174 estudantes de Medicina. Foi aplicado um questionário cujas variáveis dependentes foram: o grau de informação sobre o aborto, incluindo seus aspectos jurídicos no Brasil, as situações em que concordaria com a ampliação do permissivo legal do aborto, o conhecimento de alguém submetido ao abortamento e o desconforto em realizar o procedimento de forma legal. As variáveis independentes estudadas foram: dados sociodemográficos, religião e situação acadêmica (primeira ou segunda metade do curso). Para análise dos dados foram utilizados os testes do χ2 e exato de Fischer, com nível de significância de 5%. RESULTADOS: Entre os entrevistados, 59,8% foram considerados bem informados acerca do tema. Os estudantes demonstraram conhecimento a respeito das complicações decorrentes do abortamento, sem diferenças com o evoluir do curso. O conhecimento dos aspectos legais do abortamento no Brasil foi demonstrado por 48,9% da amostra, sendo significativamente superior entre os alunos da segunda metade do curso (34,0 e 68,9% respectivamente; p<0,001). A vivência de situações do abortamento clandestino foi significativamente maior entre os alunos da metade final do curso (35,0 e 59,4% respectivamente p<0,001), o mesmo ocorrendo quanto ao conhecimento de alguém que tenha sido submetida ao procedimento de forma ilegal (5,0 e 18,9% respectivamente; p<0,001). A ampliação do permissivo legal do abortamento no Brasil foi concordado por 86,2% da amostra, porém 54,6% dos estudantes relataram que se sentem desconfortáveis em realizar o procedimento mesmo de forma legal, ambos sem significância ...

ABSTRACT

PURPOSE: To analyze and compare the knowledge, attitudes and opinions of medical students about abortion in Brazil during the progression of the course. METHODS: This was a cross-sectional study involving 174 medical students. A questionnaire was applied whose dependent variables were degree of information about abortion, including its legal aspects in Brazil, situations in which the students would agree with the expansion of permitted legal abortion, knowledge of someone undergoing abortion, and discomfort about performing the procedure legally. The independent variables were sociodemographic data, religion, and academic standing (first or second half of the course). For data analysis it was used χ2 and Fisher's exact tests, with the level of significance set at 5%. RESULTS: Among the interviewees, 59.8 % considered themselves well informed about the topic. Students demonstrated knowledge about the complications of abortion, with no differences with the progression of the course. Knowledge about the legal aspects of abortion in Brazil was shown by 48.9% of the sample, being significantly higher among students in the second half of the course (34.0 and 68.9%, respectively; p<0.001). Experiencing situations of clandestine abortion was significantly higher among students in the final half of the course (3.05 and 59.4%, respectively; p<0.001), the same being observed about knowing someone who underwent the procedure illegally (5.0 and 18.9%, respectively; p<0.001). The expansion of permissive legal abortion in Brazil was agreed about by 86.2% students, although 54.6% of the students reported that they felt uncomfortable about performing the procedure even legally, without statistical significance with the evolution of the course regarding the two situations. CONCLUSIONS: The experiences of abortion and the knowledge of legal aspects were significantly higher among students in the second half of the course, with ...