医学大学生对气候变化认知及应对的现况调查

A survey on the perceptions and coping behaviors of climate change among medical undergraduates

目的了解山东省某医学高校学生对气候变化与健康关系的认知现况,探讨医学生对气候变化是否采取应对措施的影响因素。方法选取山东某医科大学为调查现场,采取分层整群抽样方式抽取研究对象1 486人进行问卷调查,调查内容包括一般人口学特征、对气候变化的了解及态度、应对气候变化的行为变化。结果 9.1%医学生对气候变化不了解或非常不了解,有9.4%医学生不确定气候变化正在发生的说法,不过有83.2%医学生认为通过改变个人行为将对气候变化产生影响。对气候变化的了解情况影响因素是居住地;是否赞同气候变化正在发生和是否信任媒体的报道是影响医学生对气候变化担心程度的主要因素;应对气候变化的行为变化影响因素是获取气候变化的信息渠道和是否信任媒体报道;多因素分析显示同意个人行为对气候变化产生影响(OR=1.345,95%CI:1.138~1.588)、认为权威机构正采取措施应对气候变化(OR=1.336,95%CI:1.111~1.607)、相信媒体对气候变化的报道(OR=1.239,95%CI:1.011~1.518)、对于气候变化对人类影响很乐观(OR=1.330,95%CI:1.144~1.546)的医学生更加愿意参加应对气候变化的环保行动。结论医学生对气候变化的了解情况较好,但仍需要学校、社会加大对气候变化的教育,针对各方面的影响因素制定与实施相关措施。

Objective:To understand the current situation of medical students'cognition of the relationship between climate change and health in a medical college of Shandong Province,and to discuss the influencing factors of whether medical students take countermeasures against climate change.Methods:A medical university of Shandong Province was selected as the investigation site,and a stratified cluster sampling method was adopted to select 1486 respondents for questionnaire survey.The main contents included general demographic characteristics,cognition and attitude towards climate change,and behavioral changes in response to climate change.Results:From the 1340 respondents,9.1%did not understand climate change,9.4%did not believe about climate change happening,and 83.2%believed that changing personal behavior had an impact on climate change.Residential type was a significant factor,which influenced medical students'attitudes.Whether to agree climate change happening and trust media reports or not were the main factors that influenced the degree of concern about climate change among medical students.Behavior change in response to climate change was influenced by access to information channels of climate change and whether trusting media reports.Multivariate analysis showed that medical students who agreed that individual behavior had an impact on climate change(OR=1.336,95%CI:1.111-1.607),believed that authorities were taking measures to deal with climate change(OR=1.345,95%CI:1.138-1.588),believed in media reports on climate change(OR=1.239,95%CI:1.011-1.518),and were optimistic about the impact of climate change on human beings(OR=1.330,95%CI:1.144-1.546)were more likely to participate in environmental protection actions to address climate change.Conclusion:Medical students have good understanding of climate change,but schools and society still need to improve education on climate change,through formulating and implementing relevant measures according to various influencing factors.