6th International Hippocrates Congress on Medical and Health Sciences, İstanbul, Turkey, 30 April - 01 May 2021, pp.55-56
Many factors combine together to affect the health of individuals and communities. Doctors need to be aware of health and underlie determinant of health. The purpose of this study was to assess the medical students‟ perception of main determinants of health. The study population consisted of 166 first year (89 % of total number) and 47 sixth year students (31% total number) in Çanakkale Onsekiz Mart University, School of Medicine at 2019-2020. Students completed an open-ended selfadministered questionnaire. The data is evaluated by the content analysis. Health determinant model by Dahlgren and Whitehead (1991), were used for categorization. Additionally, t-test comparing the percentages obtained from two groups with different sample sizes (N1≠N2) used to compare of two students‟ group. (Akhun, 2019) Mentioned model provides five of factors that influence the individual‟s health. First year students identified Individual Characteristics Factor (F1) (47.6 %) Individual Lifestyle Factor (F2) (39.8 %) Social-Community Network Factor (F3) (34.3 %), Living and Working Condition Factor (F4) (35.5 %) and General Factor (F5) (78,9 %) as main determinant of health. The factors addressed by sixth year students were; F1 (51.1 %), F2 (53,2 %), F3 (25.5 %), F4 (40.4 %) and F5 (51.1 %). Statistical analyses indicated that proportion of responses under the factors did not vary according to two groups except F5. It is expected that students gain knowledge about health determinant through programs embedded in curricula (such as community-based learning). The study revealed that students explain the main determinants of health by limited number of factors. This situation reveals need for further improvement in curriculum that focuses on gaining greater insight into multicomponent determinants of health. Covid 19 pandemic also underlines that factors that influence the individual‟s health on national and global scale are high priority issue in the undergraduate medical education of future doctors.