<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-3466</journal-id>
<journal-title><![CDATA[Revista Cubana de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Salud Pública]]></abbrev-journal-title>
<issn>0864-3466</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-34662020000200005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Actitud de los estudiantes de medicina frente al marketing farmacéutico en Perú]]></article-title>
<article-title xml:lang="en"><![CDATA[Attitudes of medical students towards pharmaceutical marketing in Peru]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orellana Cuellar]]></surname>
<given-names><![CDATA[Laura Rocío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera Sandoval]]></surname>
<given-names><![CDATA[Roy Nick]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Portugal Benavides]]></surname>
<given-names><![CDATA[Walter Jose]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Mayor de San Marcos  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>46</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-34662020000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-34662020000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-34662020000200005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los estudiantes de medicina están expuestos con frecuencia al marketing farmacéutico. Esta interacción compromete la integridad personal y profesional del futuro médico.  Objetivo:  Determinar la actitud que asumen los estudiantes de medicina de la Universidad Nacional Mayor de San Marcos con respecto al marketing farmacéutico. Métodos: Se realizó un estudio analítico de corte transversal con estudiantes de medicina que cursaban las materias preclínicas y clínicas. Se aplicó el cuestionario de Sierles y otros, que consta de 37 ítems. Se estimaron frecuencias y porcentajes para las variables categóricas. Como medida de asociación se usó &#8220;razón de prevalencias&#8221; crudas y ajustadas, mediante regresión de Poisson, la variable dependiente fue el desarrollo de una actitud pro-marketing. Para el análisis de resultados se usó Excel 2013 y Stata 12.  Resultados:  Se registraron 407 encuestas. El promedio de edad fue 23 ± 3 años, predominó el sexo masculino. El 66,8 % de estudiantes tienen una actitud pro-marketing. Entre los factores asociados se encontró: haber recibido un regalo (RP: 3,57 [IC: 95 %, 1,93 - 6,6]) o revista (RP: 0,7 [IC: 95 %, 0,65 - 0,77]), haber llevado un curso previo de ciencias de la salud (RP: 1,38 [IC: 95 %, 1,20 - 1,6]) y el estar en cursos de clínicas (RP: 1,6 [IC: 95 %, 1,24-2,06]). Entre los estudiantes de clínicas llevar las prácticas en hospitales del seguro social también resulta ser un factor asociado (RP: 1,16 [IC: 95 %, 1,02-1,33]).  Conclusiones:  Se evidencia que los estudiantes de medicina van a desarrollar una actitud pro-marketing asociada a la exposición en sus años académicos a las estrategias de mercadeo de las industrias farmacéuticas, con énfasis en los que han realizados sus prácticas en las instituciones del Seguro Social de Salud peruano.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Medical students are frequently exposed to pharmaceutical marketing. This interaction compromises the personal and professional integrity of the future doctors.  Objective:  To determine the attitude towards pharmaceutical marketing assumed by the medical students at the National University of San Marcos.  Methods:  An analytical cross-sectional study was conducted to medical students studying pre-clinical and clinical subjects. Sierles questionnaire and others were applied consisting in 37 items. Frequencies and percentages for categorical variables were estimated. As a measure of association, it was used crude and adjusted "prevalence ratio" through Poisson regression, and the dependent variable was the development of a pro-marketing attitude. Excel 2013 and Stata 12 were used for the analysis of the results.  Results:  There were recorded 407 surveys. The average age was 23 ± 3 years, and males were predominant. The 66.8% of students have a pro-marketing attitude. Among the associated factors were found: having received a gift (RP: 3.57 [CI: 95%, 1.93 - 6.6]) or magazine (RP: 0.7 [CI: 95%, 0.65 - 0.77]); having taken a previous course on health sciences (RP: 1.38 [CI: 95%, 1.20 - 1.6]); and being enrolled in courses at clinics (RP: 1.6 [CI: 95% CI 1.24-2.06]). Among the students of clinics doing practices in social security hospitals also happens to be an associated factor (RP: 1.16 [CI 95%, 1.02-1.33]).  Conclusions:  There is evidence that medical students are going to develop a pro-marketing attitude associated with the exposure in their academic years to marketing strategies of the pharmaceutical industries, with emphasis on those who have done their practices in Peruvian Social Health Insurance´s institutions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[estudiantes de medicina]]></kwd>
<kwd lng="es"><![CDATA[marketing farmacéutico]]></kwd>
<kwd lng="es"><![CDATA[Perú]]></kwd>
<kwd lng="en"><![CDATA[medical students]]></kwd>
<kwd lng="en"><![CDATA[pharmaceutical marketing]]></kwd>
<kwd lng="en"><![CDATA[Peru]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lo]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Field]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<collab>Institute of Medicine (US) Committee on Conflict of Interest in Medical Research, Education, and Practice. Conflict of Interest in Medical Research, Education, and Practice</collab>
<source><![CDATA[The National Academies Collection: Reports funded by National Institutes of Health]]></source>
<year>2009</year>
<publisher-loc><![CDATA[Washington DC ]]></publisher-loc>
<publisher-name><![CDATA[National Academies Press (US)]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sierles]]></surname>
<given-names><![CDATA[FS]]></given-names>
</name>
<name>
<surname><![CDATA[Kessler]]></surname>
<given-names><![CDATA[KH]]></given-names>
</name>
<name>
<surname><![CDATA[Mintz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Beck]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Starr]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lynn]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Changes in Medical Students' Exposure to and Attitudes about Drug Company Interactions from 2003 to 2012: a Multi-institutional Follow-up Survey]]></article-title>
<source><![CDATA[Acad Med J Assoc Am Med Coll]]></source>
<year>2015</year>
<volume>90</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1137-46</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Giustetto]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Are Medical Students Influenced by the Promotion of the Pharmaceutical Industry?]]></article-title>
<source><![CDATA[Recenti Prog Med]]></source>
<year>2014</year>
<volume>105</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>445-7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Austad]]></surname>
<given-names><![CDATA[KE]]></given-names>
</name>
<name>
<surname><![CDATA[Avorn]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kesselheim]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medical Students' Exposure to and Attitudes about the Pharmaceutical Industry A Systematic Review]]></article-title>
<source><![CDATA[PLOS Med]]></source>
<year>2011</year>
<volume>8</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Ferrari]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gentille]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Davalos]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Huayanay]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Malaga]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Attitudes and Relationship between Physicians and the Pharmaceutical Industry in a Public General Hospital in Lima, Peru]]></article-title>
<source><![CDATA[PloS One]]></source>
<year>2014</year>
<volume>9</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hyman]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[Hochman]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Shaw]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Steinman]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Attitudes of Preclinical and Clinical Medical Students Toward Interactions with the Pharmaceutical Industry]]></article-title>
<source><![CDATA[Acad Med J Assoc Am Med Coll]]></source>
<year>2007</year>
<volume>82</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>94-9</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jahnke]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Kremer]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Schmidt]]></surname>
<given-names><![CDATA[CO]]></given-names>
</name>
<name>
<surname><![CDATA[Kochen]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Chenot]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[German Medical Students' Exposure and Attitudes toward Pharmaceutical Promotion: A Cross-Sectional Survey]]></article-title>
<source><![CDATA[GMS Z Für Med Ausbild]]></source>
<year>2014</year>
<volume>31</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soyk]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pfefferkorn]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[McBride]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rieselbach]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medical Student Exposure to and Attitudes about Pharmaceutical Companies]]></article-title>
<source><![CDATA[WMJ Off Publ State Med Soc Wis]]></source>
<year>2010</year>
<volume>109</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>142-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Calderón Larrañaga]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[José]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudiantes de medicina y marketing farmacéutico]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2014</year>
<volume>46</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>156-66</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kao]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Braddock]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Clay]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Elliott]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Epstein]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
<name>
<surname><![CDATA[Filstead]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of Educational Interventions and Medical School Policies on Medical Students' Attitudes toward Pharmaceutical Marketing Practices a Multi-Institutional Study]]></article-title>
<source><![CDATA[Acad Med J Assoc Am Med Coll]]></source>
<year>2011</year>
<volume>86</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1454-62</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Holloway]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uneasy Subjects Medical Students' Conflicts over the Pharmaceutical Industry]]></article-title>
<source><![CDATA[Soc Sci Med]]></source>
<year>2014</year>
<volume>114</volume>
<page-range>113-20</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ganzini]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Peters]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Misra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Macht]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Osborne]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medical Student Views on Interactions with Pharmaceutical Representatives]]></article-title>
<source><![CDATA[Acad Psychiatry J Am Assoc Dir Psychiatr Resid Train Assoc Acad Psychiatry]]></source>
<year>2012</year>
<volume>36</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>183-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
