Objective: This paper aims to determine the knowledge, perceptions and attitudes of 3rd year medical students towards violence against women. Methods: A descriptive cross sectional survey was conducted among 224 third year medical students of 3 medical schools in Metro Manila using the pre-tested and validated Knowledge, Attitudes & Perceptions Towards Violence Against Women (KAP- VAW) questionnaire for health professionals. Results: Only the more obvious physical signs of injury were associated with the more readily identifiable forms of abuse- physical and sexual- while subjective somatic complaints, mental and psychological signs and symptoms were less likely associated with VAW. Verbal and economic abuse were hardly known forms of abuse. The more commonly perceived reason for a woman to remain in an abusive relationship was due to her emotional dependence, while a variety of negative characteristics were enumerated to explain the abusive husbands behavior- egotism, sadism, insecurity and jealousy. Despite the fact that almost all the students (99.2 percent) expressed a positive attitude towards the abused woman, only 24.8 percent felt they were ready to actually handle such cases. Conclusion: Although medical students were aware of the impact of violence against women and seemed eager to learn more while in medical school, there was some hesitancy in actually managing such cases as they felt they didnt know enough, thus it is highly recommended that the medical curriculum include training modules on wife abuse.
Human ; Male ; Female ; VIOLENCE ; SPOUSE ABUSE ; PERCEPTION ; ATTITUDE ; STUDENTS, MEDICAL

Background: Even though innumerable quality of life (QOL) questionnaires have been developed in palliative care, there is no gold standard assessment tool for QOL and no single questionnaire that fits all purposes and individuals. An important challenge to QOL assessments in palliative care is the highly diverse patient population with different diagnoses, disease states/prognosis, and languages. In an outpatient palliative care clinic population, FACIT-Pal-14 proved to be a valid and reliable scale in palliative care patients. Objectives: We aimed to (i) determine the psychometric properties of the Tagalog version of the Functional Assessment of Chronic Illness Therapy – Palliative Care – 14 (FACIT-Pal-14) and (ii) measure the Quality of Life (QOL) of Filipino cancer patients. Methods: This was a cross-sectional study. License for the use of the Tagalog version 4 of the FACIT-Pal-14 was requested from FACIT.org. To know the psychometric properties of the scales, Cronbach’s alpha coefficient was used to assess reliability, and exploratory factor analysis, Pearson correlations, and independent samples T-test were used to determine validity. Results: The Tagalog FACIT-Pal-14 was administered to 500 Filipino cancer patients consulting at the outpatient department of a training and regional medical center. The participants were mostly female (65.5%), aged 64 years and younger (82.6%), and had breast cancer (53.2%), colorectal cancer (19.2%), and lung cancer (9.4%). The mean Tagalog FACIT-Pal-14 score was 47.35 out of 56 (SD=7.14). The Cronbach's alpha coefficient of the Tagalog version of FACIT-Pal-14 was 0.784. Significantly lower mean Tagalog FACIT-Pal-14 scores were found in patients with Karnofsky Performance Status (KPS) 70 and lower, and Eastern Cooperative Oncology Group Performance Status (ECOG-PS) 2 and above compared with patients with KPS 80 and higher and ECOG-PS 0-1. (t=3.439, p<.001). While the Tagalog FACIT-Pal-14 scores, KPS, and ECOG scores only revealed a very weak, positive correlation (r=0.095; p <0.05), this ability to distinguish between groups known to differ regarding performance status showed the construct validity of the Tagalog FACIT-Pal-14. Conclusions In an outpatient oncology clinic population, the FACIT-Pal 14 showed evidence of reliability and construct validity for evaluating palliative care-specific QOL in Filipino cancer patients. Using this measure, Filipino cancer patients have a good QOL. Therefore, it is recommended that the Tagalog FACIT-Pal-14 be used on subsequent patient follow-ups to assess how their QOL would change over time so that the palliative care services provided will be suited to their needs.
Quality of Life