Connaissances, attitudes et pratiques des étudiants en médecine en matière de sexualité

Sexuality is a central aspect of being human throughout life. People with sexual problems commonly turn to their doctor, because he is regarded as competent and well informed. The purpose of our study was to assess the knowledge, attitudes and practice of medical students concerning sexual matters and to identify the main determinants of the lack of basic knowledge on this subject. We conducted a descriptive and analytical study of students in the Faculty of Medicine of Sfax (Tunisia). The questionnaire, completed individually and anonymously by each student, collected sociodemographic data, knowledge about sexuality as well as sources, student's attitude towards sexuality and sexual practices. The overall average score of sexology related questions was 11,05/20. Factors correlated with a medium high score of sexology related questions were: male sex (p=0.003), married status (p=0.012), high socioeconomic status (p=0.02), books as a source of the information (p=0.041) and sexual practices (p<0.001). Sexual practices were significantly more frequent among male students (p<0.001). There are gaps in knowledge about sexuality among medical students, at least in some of its aspects. A complete and uniform educational program about human sexuality, especially in its physiological aspects, can significantly improve the ability of future physicians to provide optimal patient care.