Abortion attitudes, training, and experience among medical students in Jamaica, West Indies
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Authors
Matthews, Glenmarie
Atrio, Jessica
Fletcher, Horace
Medley, Nathalie
Walker, Leo
Benfield, Nerys
Issue Date
2020-05-01
Type
Article
Language
en_US
Keywords
Abortion , Abortion Attitude Sum Score (Abas) , Medical Students , Abortion Training , Jamaica Abortion
Alternative Title
Abstract
Objective:
To define abortion attitudes, training and experience among medical students in Jamaica, a restricted environment for legal abortion.
Method:
From September to November 2017 we conducted an anonymous online cross-sectional survey among medical students enrolled at the University of West Indies (UWI) in Jamaica. An abortion attitudes sum score was used for analysis. Multivariate regression was applied to evaluate the impact of characteristics and experiences on abortion attitudes.
Results:
The primary outcome was a validated composite abortion attitudes sum score, ranging from zero to forty-five. 1404 students completed the survey for a response rate of 88%. 64% had a positive attitude towards abortion. In multivariate analysis, medical students’ attitudes were favorably impacted by a prior personal or family experience with abortion, identifying as non-religious, being older in age and mixed raced. 1321 (94%) agreed that abortion training should be included in the medical school curriculum. 78.8% reported no abortion training and only 17.9% reported miscarriage management training.
Conclusion:
Medical students at UWI had favorable attitudes towards abortion, despite their limited training in a restrictive environment. Prior personal experience with abortion and being non-religious were the strongest predictor of favorable attitudes. Increased training and clinical exposure may prove to be crucial in improving access of safe abortion.
Description
Citation
Matthews, G., Atrio, J., Fletcher, H., Medley, N., Walker, L., & Benfield, N. (2020). Abortion attitudes, training, and experience among medical students in Jamaica, West Indies. Contraception and reproductive medicine, 5, 4. https://doi.org/10.1186/s40834-020-00106-9
Publisher
Contraception and Reproductive Medicine