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ISLAMIC MEDICAL EDUCATION RESOURCES 04

0602-ASSOCIATION BETWEEN KNOWLEDGE AND PRACTICE OF CANCER PREVENTION AMONG MEDICAL STUDENTS

Omar Hasan Kasule Sr.

Introduction: This is a continuation of the author’s study of cancer knowledge, attitudes, and practice among students to test the null hypothesis that knowledge does not on its own lead to changes in opinions, attitudes, or lifestyle practices.

 

Objectives: Explore the association between knowledge (K) and Opinions/attitudes (A) or practices (P) with regard to cancer prevention.

 

Methodology: Data was collected by questionnaire from medical students in years 1 -3 after informed consent. Data keying and editing was with Excel and analysis with SPSS version 12.0. The association between knowledge variables on one hand and opinion, attitude, and practice variables on the other hand was investigated using the Pearson chi-square test for association or Fischer’s exact test for small cell numbers. Adjustment for 2 potential confounders (gender and year of study) identified in an earlier analysis (Int Med J Vol 4 No. 1 June 2005) was carried out using multiple logistic regression models Levels for the stepwise regression model were set as 0.05 for entry and 0.1 for removal and the maximum number of iterations was set at 20.

 

Results: There was borderline association between knowledge and practice with regard to consumption of meat, fruits, and green vegetables. There was no significant association between knowledge on one hand and attitude with regard to smoking, meat consumption, and green vegetable consumption on the other.

 

Discussion and conclusions: Knowledge does not automatically lead to change of attitudes or practices. This should therefore prompt a re-examination of current health education strategies based on imparting knowledge. It should also lead to exploration to new methods of motivating change in behavior such as religious sermons or youth entertainment media.

 

TABLE 1: RELATION BETWEEN KNOWING THAT STOPPING SMOKING PREVENTS CANCER AND THE ATTITUDE OF NOT WANTING TO SIT NEXT TO SOMEONE SMOKING

 

Knowledge

Attitude: I do not want sitting next to someone smoking

Agree

Do not agree

Total

Stopping smoking prevents cancer      Agree

                                                            Do not agree

178 (92.7%)

14(7.3%)

192 (100%)

1(100%)

0(0%)

1 (100%)

Total

179

14

193

Exact p-value = 0.927

 

TABLE 2: RELATION BETWEEN KNOWING THAT STOPPING SMOKING PREVENTS CANCER AND THE PRACTICE OF SMIOKING

 

Knowledge

Practice: smoking status

Smoker & ex-smoker

Never smoker

Total

Stopping smoking prevents cancer      Agree

                                                            Do not agree

17(8.9%)

174(91.1%)

191(100%)

0(0%)

1(100%)

1(100%)

Total

17

175

192

Exact p-value = 0.911

 

TABLE 3: RELATION BETWEEN KNOWING THAT INCREASING MEAT INTAKE IN THE DIET PREVENTS CANCER and THE ATTITUDE OF NOT BEING CONCERNED ABOUT WHAT IS EATEN

 

Knowledge

Attitude: I do not care what I eat

Agree

Do not agree

Total

Increasing meat intake prevents cancer      Agree

                                                                  Do not agree

4(22.2%)

14(77.8%)

18(100%)

21(14.1%)

128(85.9%)

149(100%)

Total

25

142

157

Exact p-value = 0.272

 

TABLE 4: RELATION BETWEEN KNOWING THAT INCREASING MEAT INTAKE IN THE DIET PREVENTS CANCER and THE PRACTICE OF MEAT CONSUMPTION

 

Knowledge

Practice: Meet consumption of per week

7 times or more

Less than 7 times

Total

Increasing meat intake prevents cancer      Agree

                                                                  Do not agree

11(61.1%)

7(38.9%)

18 (100%)

54(36.7%)

93(63.3%)

147 (100%)

Total

65

100

165

Exact p-value = 0.042

 

TABLE 5: RELATION BETWEEN KNOWING THAT INCLUDING GREEN VEGETABLES AND FRUITS IN THE DIET PREVENTS CANCER and THE ATTITUDE OF NOT CARING ABOUT WHAT IS EATEN

 

Knowledge

Attitude: I do not care what I eat

Agree

Do not agree

Total

Green vegetables and fruits prevents cancer   Agree

                                                                     Do not agree

22(13.7%)

139(86.3%)

161(100%)

5(23.8%)

16(76.2%)

21(100%)

Total

27

155

182

Exact p-value = 0.179

 

TABLE 6: RELATION BETWEEN KNOWING THAT INCLUDING GREEN VEGETABLES AND FRUITS IN THE DIET PREVENTS CANCER and THE PRACTICE OF FRUIT CONSUMPTION

 

Knowledge

Practice: Fruit consumption per week

7 times or more

Less than 7 times

Total

Green vegetables and fruits prevents cancer   Agree

                                                                     Do not agree

15(9.4%)

145(90.6%)

160

5(23.8%)

16(76.2%)

21

Total

20

30

181

Exact p-value = 0.062

 

 

 

TABLE 7: RELATION BETWEEN KNOWING THAT INCLUDING GREEN VEGETABLES AND FRUITS IN THE DIET PREVENTS CANCER and THE PRACTICE OF GEEN VEGETABLE CONSUMPTION

 

Knowledge

Practice: Green vegetable consumption per week

0 times

1-3 times

4-6 times

7+ times

Total

Green vegetables and fruits prevents cancer   Agree

                                                                     Do not agree

32(20.0%)

6(3.8%)

59(36.9%)

63(39.4%)

181(100%)

2(9.5%)

0(0%)

4(19.0%)

15(71.4%)

21(100%)

Total

 

 

 

 

 

P value from Pearson chi square = 0.046

Professor Omar Hasan Kasule Sr February 2006