The association between Colombian medical students healthy personal habits and a positive attitude toward preventive counseling: cross-sectional analysesReport as inadecuate

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BMC Public Health

, 9:218

First Online: 03 July 2009Received: 27 November 2008Accepted: 03 July 2009DOI: 10.1186-1471-2458-9-218

Cite this article as: Duperly, J., Lobelo, F., Segura, C. et al. BMC Public Health 2009 9: 218. doi:10.1186-1471-2458-9-218


BackgroundPhysician-delivered preventive counseling is important for the prevention and management of chronic diseases. Data from the U.S. indicates that medical students with healthy personal habits have a better attitude towards preventive counseling. However, this association and its correlates have not been addressed in rapidly urbanized settings where chronic disease prevention strategies constitute a top public health priority. This study examines the association between personal health practices and attitudes toward preventive counseling among first and fifth-year students from 8 medical schools in Bogotá, Colombia.

MethodsDuring 2006, a total of 661 first- and fifth-year medical students completed a culturally adapted Spanish version of the -Healthy Doctor = Healthy Patient- survey response rate = 78%. Logistic regression analyses were used to assess the association between overall personal practices on physical activity, nutrition, weight control, smoking, alcohol use main exposure variable and student attitudes toward preventive counseling on these issues main outcome variable, stratified by year of training and adjusting by gender and medical training-related factors basic knowledge, perceived adequacy of training and perception of the school-s promotion on each healthy habit.

ResultsThe median age and percentage of females for the first- and fifth-year students were 21 years and 59.5% and 25 years and 65%, respectively. After controlling for gender and medical training-related factors, consumption of ≥ 5 daily servings of fruits and-or vegetables, not being a smoker or binge drinker were associated with a positive attitude toward counseling on nutrition OR = 4.71; CI = 1.6–14.1; p = 0.006 smoking OR = 2.62; CI = 1.1–5.9; p = 0.022, and alcohol consumption OR = 2.61; CI = 1.3–5.4; p = 0.009, respectively.

ConclusionAs for U.S. physician and medical students, a positive association was found between the personal health habits of Colombian medical students and their corresponding attitudes toward preventive counseling, independent of gender and medial training-related factors. Our findings, the first relating to this association in medical students in developing regions, also suggest that within the medical school context, interventions focused on promoting healthy student lifestyles can potentially improve future physician-s attitudes toward preventive counseling.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-9-218 contains supplementary material, which is available to authorized users.

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Author: John Duperly - Felipe Lobelo - Carolina Segura - Francisco Sarmiento - Deisy Herrera - Olga L Sarmiento - Erica Frank


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