title: Knowledge of termination of pregnancy (TOP) legislation and attitudes toward TOP clinical training among medical students attending two South African universities.
abstract: Provision of safe, voluntary, termination of pregnancy (TOP) in South Africa is challenged by an insufficient number of TOP-trained clinicians. Medical students' understanding of TOP legality and their attitudes toward TOP training are indicators for future service provision. We administered a 63-item questionnaire to explore these issues at the University of Cape Town and Walter Sisulu University. Ordinary least squares regression assessed predictors of TOP legislation knowledge and training attitudes.
  
  
  RESULTS
  Of 1308 students, 95% knew that TOP was legal in South Africa, but few (27%) understood the specific provisions of the legislation beyond 13 weeks' gestation. Sixty-three percent desired more information about TOP. In multivariate models, female, white and sexually experienced students and students more advanced in school had better legislation knowledge (all p < .01). Attending religious services regularly (p < .01) was associated with lack of support for TOP training, whereas being in a relationship (p < .01) was associated with support for TOP training.
authors.affiliation: Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599-7411, USA. stephanie_wheeler@unc.edu
authors.forename: Stephanie B
authors.initials: SB
authors.lastname: Wheeler
authors.forename: Leah
authors.initials: L
authors.lastname: Zullig
authors.forename: Robert
authors.initials: R
authors.lastname: Jungerwirth
authors.forename: Bryce B
authors.initials: BB
authors.lastname: Reeve
authors.forename: Geoffrey A
authors.initials: GA
authors.lastname: Buga
authors.forename: Chelsea
authors.initials: C
authors.lastname: Morroni
mesh_terms: D000028:Abortion, Induced / Q000331:legislation & jurisprudence* / Q000523:psychology; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D019359:Knowledge; D008297:Male; D012737:Sex Factors; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D013019:South Africa; D013337:Students, Medical / Q000523:psychology*