Araştırma Makalesi
BibTex RIS Kaynak Göster

Assessment of Environmental Risk Perception Among Medical Students at a Medical Faculty in Ankara

Yıl 2025, Cilt: 34 Sayı: 2, 84 - 92, 23.05.2025

Öz

Objective: This descriptive study aimed to assess medical students’ risk perceptions regarding environmental risks through an online survey.
Methods: The study included 5th and 6th-grade students at a Medical Faculty in Ankara, Turkey. Participants were invited to take part in the study via email, and data were collected through an online questionnaire. The questionnaire included sociodemographic characteristics, career preferences, activities related to environmental health, risk perceptions regarding 20 environmental issues, opinions on environmental problems, and education.
Results: The top five perceived risk issues were climate change (85.2%), water pollution (78.4%), fossil fuels (74.7%), air pollution (74.7%), and chemical pollution in food (66.7%). Gender, perceived health, healthy behaviors, membership in an environmental NGO, and engagement in environmental activities were associated factors in environmental risk perception scores. More than half of the students found the topics related to the impacts of climate change in their medical education to be insufficient. Gender and membership of an environmental NGO were significant factors in multivariate analysis.
Conclusion: Developing curricula and extracurricular activities centered the environment may enhance physicians’ contributions to mitigating climate change and promoting sustainable healthcare practices.

Kaynakça

  • WHO Public health and environment. 2016.Available at: https://www.who.int/data/gho/data/themes/public-health-and-environment Accessed September 13, 2023.
  • Solomon GM. Principles of Environmental Health. In: LaDou J, Harrison R (Eds). Current Diagnosis & Treatment Occupational & Environmental Medicine, 6th Edition. USA: McGraw Hill; 2021. p. 755-763.
  • World Medical Assosciation. WMA Statement on The Role of Physicians in Environmental Issues. Available at: https://www.wma.net/policies-post/wma-statement-on-the-role-of-physicians-in-environmental-issues Accessed August 2, 2023.
  • WHO. Ambient (outdoor) air pollutionAvailable at: https://www.who.int/news-room/fact-sheets/detail/ambient-(outdoor)-air-quality-and-health Accessed August 24, 2023.
  • Gupta D, Shantharam L, MacDonald BK. Sustainable healthcare in medical education: Survey of the student perspectives at a UK medical school. BMC Med Educ 2022;22:689. https://doi.org/10.1186/s12909-022-03737-5
  • American Psychological Association. APA Dictionary of Psychology. American Psychological Association. Available at: https://dictionary.apa.org/awareness. Accessed September 4, 2023.
  • World Economic Forum. Here’s how healthcare can reduce its carbon footprint. Available at: https://www.weforum.org/agenda/2022/10/cop27-how-healthcare-can-reduce-carbon-footprint/ Accessed July 24, 2023.
  • Health Care Without Harm. Health Care’s Climate Footprint How the Health Sector Contributes to The Global Climate Crisis and Opportunities For Action. Available at: https://noharm-uscanada.org/ClimateFootprintReport Accessed September 4, 2023.
  • Shaw E, Walpolea S, McLean M et al. AMEE Consensus Statement: Planetary health and education for sustainable healthcare. Med Teach 2021;43(3):272-86. doi:10.1080/0142159X.2020.1860207.
  • Zeng J, Jiang M, Yuan M. Environmental risk perception, risk culture, and pro-environmental behavior. Int J Environ Res Public Health 2020;17(5):1750. doi: 10.3390/ijerph17051750
  • WHO. Climate change and health. Available at: https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health Accessed September 7, 2023.
  • Greenwald L, Blanchard O, Hayden C, Sheeld P. Climate and health education: A critical review at one medical school. Front Public Health 2023;10:1092359. doi: 10.3389/fpubh.2022.1092359.
  • Romanello M, Di Napoli C, Drummond P et al. The 2022 report of the Lancet Countdown on health and climate change: Health at the mercy of fossil fuels. Lancet 2022;400(10363):1619-54. doi: 10.1016/S0140-6736(22)01540-9. 
  • Slater M, Bartlett S. 10 things a doctor can do to combat climate change. BMJ 2022;379:o2650. doi: 10.1136/bmj.o2650.
  • Dobson J, Cook S, Frumkin H, Haines A, Abbasi K. Accelerating climate action: The role of health professionals. BMJ 2021;375: n2425 doi:https://doi.org/10.1136/bmj.n2425.
  • WHO The Global Health Observatory. Ambient Air pollution. Available at: https://www.who.int/data/gho/data/themes/topics/indicator-groups/indicator-group-details/GHO/ambient-air-pollution Accessed September 7, 2023.
  • Fernandes L, Mesquita AM. Developing knowledge and clinical competency in a respiratory systembased practice of finalyear medical students through a novel structured bedside teaching module. J Educ Health Promot 2018;7:82. doi: 10.4103/jehp.jehp_75_16. 
  • McDonnell J, Correia de Sousa J, Baxter N et al. Building capacity to improve respiratory care: The education strategy of the International Primary Care Respiratory Group 2014-2020. NPJ Prim Care Respir Med 2014;25:24:14072. doi: 10.1038/npjpcrm.2014.72.
  • Huber GL, Miller RD. Training of Undergraduate Medical School Students in Pulmonary diseases: A regional analysis of New England Medical Schools. Chest 1976;70(2):267-73. doi: 10.1378/chest.70.2.267.
  • Yapici G, Ögenler O, Kurt AÖ et al. Assessment of environmental attitudes and risk perceptions among University Students in Mersin, Turkey. J Environ Public Health 2017;5650926. doi: 10.1155/2017/5650926.
  • Alsoghair M, Almazyad M, Alburaykan T et al. Medical students and COVID-19: Knowledge, preventive behaviors, and risk perception. Int J Environ Res Public Health 2021;18(2):842. doi: 10.3390/ijerph18020842.
  • Dangui Z, William BT. COVID-19 epidemic and Chinese medical students: Perception, emotions, attitudes, and conformity during domicile quarantine. J Infect Dev Ctries 2022;16(1):41-8.doi: 10.3855/jidc.14328.
  • Qin S, Zhou M, Ding Y. Risk Perception measurement and influencing factors of COVID-19 in Medical College students. Front Public Health 2021;9:774572. doi: 10.3389/fpubh.2021.774572. 
  • Altuwaijri NR, Almatroudi MA, Alodhaibi IA et al. COVID-19 and Saudi medical students: A cross-sectional study on knowledge, preventive behaviors, and risk perception. J Family Med Prim Care 2022;11(9):5087-92. doi: 10.4103/jfmpc.jfmpc_1791_21. 
  • Ferrer R, Klein WM. Risk perceptions and health behavior. Curr Opin Psychol 2015;5:85-9. doi: 10.1016/j.copsyc.2015.03.012.
  • Burrows L. Deaths from fossil fuel emissions higher than previously thought. Fossil fuel air pollution responsible for more than 8 million people worldwide in 2018. Harvard University John A. Paulson School of Engineering. Available at: https://seas.harvard.edu/news/2021/02/deaths-fossil-fuel-emissions-higher-previously-thought Accessed September 2, 2023.
  • Medical Schools Council. Education For Sustainable Healthcare. A curriculum for the UK. Available at: https://www.medschools.ac.uk/media/2949/education-for-sustainable-healthcare_a-curriculum-for-the-uk_20220506.pdf Accessed August 22, 2023.
  • International Atomic Energy Agency. IAEA-TECDOC-1209 Risk management: A tool for improving nuclear power plant performance. Available at: https://www-pub.iaea.org/MTCD/publications/pdf/te_1209_prn.pdf Accessed September 5, 2023.
  • Zhang R, Wang C. Risk perception of COVID-19 and its related factors among centralized medical isolation groups in China. Front Psychol 2023;14:1131076. doi:10.3389/fpsyg.2023.1131076.

Ankara’da Bir Tıp Fakültesinde Eğitim Gören Tıp Öğrencilerinde Çevresel Risk Algısının Değerlendirilmesi

Yıl 2025, Cilt: 34 Sayı: 2, 84 - 92, 23.05.2025

Öz

Amaç: Bu tanımlayıcı çalışma, tıp öğrencilerinin çevresel risklere ilişkin risk algılarını çevrimiçi bir anket aracılığıyla değerlendirmeyi amaçlamıştır.
Yöntem: Çalışmaya Ankara'daki bir Tıp Fakültesinin Dönem V ve VI öğrencileri dahil edilmiştir. Katılımcılar e-posta yoluyla çalışmaya katılmaya davet edilmiş ve veriler çevrimiçi bir anket aracılığıyla toplanmıştır. Anket sosyodemografik özellikler, kariyer tercihleri, çevre sağlığı ile ilgili faaliyetler, 20 çevre sorununa ilişkin risk algıları, çevre sorunlarına ilişkin görüşler ve eğitimi içermektedir.
Bulgular: Algılanan ilk beş risk konusu iklim değişikliği (%85,2), su kirliliği (%78,4), fosil yakıtlar (%74,7), hava kirliliği (%74,7) ve gıdalardaki kimyasal kirliliktir (%66,7). Cinsiyet, algılanan sağlık, sağlıklı davranışlar, bir çevre STK’sına üyelik ve çevresel faaliyetlere katılım, çevresel risk algısı puanları ile ilişkili faktörlerdir. Öğrencilerin yarısından fazlası tıp eğitimlerinde iklim değişikliğinin etkileri ile ilgili konuları yetersiz bulmuştur. Çok değişkenli analizde cinsiyet ve bir çevre STK’sına üyelik önemli faktörler olarak bulunmuştur.
Sonuç: Çevreyi merkeze alan müfredat ve müfredat dışı faaliyetlerin geliştirilmesi, hekimlerin iklim değişikliğinin azaltılmasına ve sürdürülebilir sağlık uygulamalarının teşvik edilmesine katkılarını artırabilir.

Etik Beyan

Ankete erişmeden önce tüm katılımcılardan elektronik ortamda bilgilendirilmiş ve onamları alınmıştır. Çalışmanın yürütülebilmesi için ilgili Tıp Fakültesi Dekanlığı'ndan izin alınmış ve araştırmanın yapılabilirliği ile ilgili uygunluk için onay Fakültenin Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu'ndan (2109/24-34) alınmıştır.

Kaynakça

  • WHO Public health and environment. 2016.Available at: https://www.who.int/data/gho/data/themes/public-health-and-environment Accessed September 13, 2023.
  • Solomon GM. Principles of Environmental Health. In: LaDou J, Harrison R (Eds). Current Diagnosis & Treatment Occupational & Environmental Medicine, 6th Edition. USA: McGraw Hill; 2021. p. 755-763.
  • World Medical Assosciation. WMA Statement on The Role of Physicians in Environmental Issues. Available at: https://www.wma.net/policies-post/wma-statement-on-the-role-of-physicians-in-environmental-issues Accessed August 2, 2023.
  • WHO. Ambient (outdoor) air pollutionAvailable at: https://www.who.int/news-room/fact-sheets/detail/ambient-(outdoor)-air-quality-and-health Accessed August 24, 2023.
  • Gupta D, Shantharam L, MacDonald BK. Sustainable healthcare in medical education: Survey of the student perspectives at a UK medical school. BMC Med Educ 2022;22:689. https://doi.org/10.1186/s12909-022-03737-5
  • American Psychological Association. APA Dictionary of Psychology. American Psychological Association. Available at: https://dictionary.apa.org/awareness. Accessed September 4, 2023.
  • World Economic Forum. Here’s how healthcare can reduce its carbon footprint. Available at: https://www.weforum.org/agenda/2022/10/cop27-how-healthcare-can-reduce-carbon-footprint/ Accessed July 24, 2023.
  • Health Care Without Harm. Health Care’s Climate Footprint How the Health Sector Contributes to The Global Climate Crisis and Opportunities For Action. Available at: https://noharm-uscanada.org/ClimateFootprintReport Accessed September 4, 2023.
  • Shaw E, Walpolea S, McLean M et al. AMEE Consensus Statement: Planetary health and education for sustainable healthcare. Med Teach 2021;43(3):272-86. doi:10.1080/0142159X.2020.1860207.
  • Zeng J, Jiang M, Yuan M. Environmental risk perception, risk culture, and pro-environmental behavior. Int J Environ Res Public Health 2020;17(5):1750. doi: 10.3390/ijerph17051750
  • WHO. Climate change and health. Available at: https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health Accessed September 7, 2023.
  • Greenwald L, Blanchard O, Hayden C, Sheeld P. Climate and health education: A critical review at one medical school. Front Public Health 2023;10:1092359. doi: 10.3389/fpubh.2022.1092359.
  • Romanello M, Di Napoli C, Drummond P et al. The 2022 report of the Lancet Countdown on health and climate change: Health at the mercy of fossil fuels. Lancet 2022;400(10363):1619-54. doi: 10.1016/S0140-6736(22)01540-9. 
  • Slater M, Bartlett S. 10 things a doctor can do to combat climate change. BMJ 2022;379:o2650. doi: 10.1136/bmj.o2650.
  • Dobson J, Cook S, Frumkin H, Haines A, Abbasi K. Accelerating climate action: The role of health professionals. BMJ 2021;375: n2425 doi:https://doi.org/10.1136/bmj.n2425.
  • WHO The Global Health Observatory. Ambient Air pollution. Available at: https://www.who.int/data/gho/data/themes/topics/indicator-groups/indicator-group-details/GHO/ambient-air-pollution Accessed September 7, 2023.
  • Fernandes L, Mesquita AM. Developing knowledge and clinical competency in a respiratory systembased practice of finalyear medical students through a novel structured bedside teaching module. J Educ Health Promot 2018;7:82. doi: 10.4103/jehp.jehp_75_16. 
  • McDonnell J, Correia de Sousa J, Baxter N et al. Building capacity to improve respiratory care: The education strategy of the International Primary Care Respiratory Group 2014-2020. NPJ Prim Care Respir Med 2014;25:24:14072. doi: 10.1038/npjpcrm.2014.72.
  • Huber GL, Miller RD. Training of Undergraduate Medical School Students in Pulmonary diseases: A regional analysis of New England Medical Schools. Chest 1976;70(2):267-73. doi: 10.1378/chest.70.2.267.
  • Yapici G, Ögenler O, Kurt AÖ et al. Assessment of environmental attitudes and risk perceptions among University Students in Mersin, Turkey. J Environ Public Health 2017;5650926. doi: 10.1155/2017/5650926.
  • Alsoghair M, Almazyad M, Alburaykan T et al. Medical students and COVID-19: Knowledge, preventive behaviors, and risk perception. Int J Environ Res Public Health 2021;18(2):842. doi: 10.3390/ijerph18020842.
  • Dangui Z, William BT. COVID-19 epidemic and Chinese medical students: Perception, emotions, attitudes, and conformity during domicile quarantine. J Infect Dev Ctries 2022;16(1):41-8.doi: 10.3855/jidc.14328.
  • Qin S, Zhou M, Ding Y. Risk Perception measurement and influencing factors of COVID-19 in Medical College students. Front Public Health 2021;9:774572. doi: 10.3389/fpubh.2021.774572. 
  • Altuwaijri NR, Almatroudi MA, Alodhaibi IA et al. COVID-19 and Saudi medical students: A cross-sectional study on knowledge, preventive behaviors, and risk perception. J Family Med Prim Care 2022;11(9):5087-92. doi: 10.4103/jfmpc.jfmpc_1791_21. 
  • Ferrer R, Klein WM. Risk perceptions and health behavior. Curr Opin Psychol 2015;5:85-9. doi: 10.1016/j.copsyc.2015.03.012.
  • Burrows L. Deaths from fossil fuel emissions higher than previously thought. Fossil fuel air pollution responsible for more than 8 million people worldwide in 2018. Harvard University John A. Paulson School of Engineering. Available at: https://seas.harvard.edu/news/2021/02/deaths-fossil-fuel-emissions-higher-previously-thought Accessed September 2, 2023.
  • Medical Schools Council. Education For Sustainable Healthcare. A curriculum for the UK. Available at: https://www.medschools.ac.uk/media/2949/education-for-sustainable-healthcare_a-curriculum-for-the-uk_20220506.pdf Accessed August 22, 2023.
  • International Atomic Energy Agency. IAEA-TECDOC-1209 Risk management: A tool for improving nuclear power plant performance. Available at: https://www-pub.iaea.org/MTCD/publications/pdf/te_1209_prn.pdf Accessed September 5, 2023.
  • Zhang R, Wang C. Risk perception of COVID-19 and its related factors among centralized medical isolation groups in China. Front Psychol 2023;14:1131076. doi:10.3389/fpsyg.2023.1131076.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Çevre Sağlığı
Bölüm Araştırma Makalesi
Yazarlar

Ayşenur Beyazıt Üçgün 0000-0002-9068-7330

Özge Yavuz Sarı 0000-0002-9762-6354

Cavit Işık Yavuz 0000-0001-9279-1740

Yayımlanma Tarihi 23 Mayıs 2025
Gönderilme Tarihi 3 Eylül 2024
Kabul Tarihi 23 Mayıs 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 34 Sayı: 2

Kaynak Göster

Vancouver Beyazıt Üçgün A, Yavuz Sarı Ö, Yavuz CI. Ankara’da Bir Tıp Fakültesinde Eğitim Gören Tıp Öğrencilerinde Çevresel Risk Algısının Değerlendirilmesi. STED. 2025;34(2):84-92.