Contraception Delivery in Pediatric and Specialist Pediatric Practices - 18/04/17
, Elisabeth Quint, MD 1, Melissa Zochowski, MBA 1, Amy Caldwell, MD 2, Kavita Vinekar, MD 2, Vanessa K. Dalton, MD, MPH 1Abstract |
Study Objective |
To characterize pediatricians' knowledge, attitudes, and self-efficacy around contraception.
Design |
Cross-sectional survey.
Setting |
United States.
Participants |
National sample of pediatricians.
Interventions |
Assessment of behaviors of providing contraception.
Main Outcome Measures |
Reproductive health practice score.
Results |
Two hundred twenty-three usable surveys were received, from 163 contraceptive prescribers and 60 nonprescribers. The mean reproductive health practice score was 43.1 (SD, 8.2; total possible score, 84). Prescribers differed in their mean reproductive health score (46.0; SD, 7.0) from nonprescribers (34.0; SD, 4.5; P < .001). Prescribers vs nonprescribers differed in their attitude and efficacy in providing contraception. More prescribers believed it was their responsibility to ask about patients' need for birth control, were confident in their ability to prescribe contraception options, and provided contraception to minors despite parental disapproval. Neither group was confident in their ability to place intrauterine devices or believed that the literature supports intrauterine device placement in adolescents. Only efficacy was related to prescribing contraception in a multivariate regression analysis (odds ratio, 1.7; P < .001).
Conclusion |
In this study, we showed that most pediatricians are contraception prescribers but the overall reproductive health score was low for prescribers and nonprescribers. The odds of prescribing contraception increased with higher self-efficacy scores rather than knowledge alone. Many prescribers and nonprescribers would not prescribe birth control if parents disapproved and do not believe it is their responsibility to assess patients' need for birth control. In addition very few pediatricians have training in long-acting reversible contraception, despite being the recommended method for adolescents.
Le texte complet de cet article est disponible en PDF.Key Words : Contraception, Birth control, Adolescents, Pediatricians, Subspecialist pediatricians, Self-efficacy
Plan
| Dr Kaskowitz received funding support for this study through the Milton Goldrath Resident Research Support Award at the University of Michigan. |
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| Dr Dalton received consulting fees for Bayer for previously published unrelated research, and serves as a paid expert witness for Bayer in Mirena litigation. |
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| The remaining authors indicate no conflicts of interest. |
Vol 30 - N° 2
P. 184-187 - avril 2017 Retour au numéro
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