Provision of contraceptives by Brazilian general gynaecologists: a nationwide online survey.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-01 Epub Date: 2023-07-28 DOI:10.1080/13625187.2023.2233649

Mariana R M Canela, Luiz G O Brito, Agnaldo Lopes Silva-Filho, Luis Bahamondes, Cássia R T Juliato

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引用次数: 0

Abstract

Objective: To assess the provision of contraceptives by Brazilian obstetricians and gynaecologists (Obst/Gyns) during medical consultation and associated factors.

Methods: An anonymous online survey was conducted with Obst/Gyns regarding age, gender, training, method counselling about and provision of long-acting reversible contraception (LARC).

Results: Of 16,000 Obst/Gyns, 610 (3.8%) answered the survey. After multiple regression analysis, female Obst/Gyns (reference) (OR male was 0.53 [95%CI 0.28-0.98], p = 0.044) and Obst/Gyns aged between 20 and 39 were more likely to provide an IUD. For hormonal-IUDs, Obst/Gyns who had had theoretical training in hormonal-IUD insertion (reference no training) (OR = 2.13 [95%CI 1.14-3.99], p = 0.018), those who work in a private facility or public hospital, and those that allowed more time during consultations (reference) (OR short time = 0.33 [95%CI 0.17-0.63], p < 0.001) were more likely to provide them. Obst/Gyns who were hands-on trained were more likely to provide subdermal implant (OR = 2.04 [95%CI 1.45-2.87], p < 0.001).

Conclusions: There is a gap between theoretical and practical training received by this cohort of Obst/Gyns regarding LARCs, mainly contraceptive implants and hormonal-IUDs. The identification of barriers to offering contraceptives is essential to providing client-centred contraceptive care.

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巴西普通妇科医生提供避孕药具：一项全国性在线调查。

目的：评估巴西妇产科医生在医疗咨询期间提供避孕药具的情况及其相关因素。方法：与妇产科进行了一项关于年龄、性别、培训、方法咨询和长效可逆避孕（LARC）的匿名在线调查。结果：在16000名妇产科患者中，610人（3.8%）回答了调查。经多元回归分析，女性产科/妇科（参考）（OR男性为0.53[95%CI 0.28-0.98]，p = 0.044），年龄在20至39岁之间的妇产科医生更有可能提供宫内节育器。对于激素型宫内节育器，接受过激素型宫内避孕器插入理论训练（参考无训练）的妇产科医生（OR=2.13[95%CI 1.14-3.9]，p = 0.018），在私人机构或公立医院工作的人，以及在咨询期间允许更多时间的人（参考）（or短时间=0.33[95%CI 0.17-0.63]，p p 结论：这一组妇产科医生在LARC方面接受的理论和实践培训之间存在差距，主要是避孕植入物和激素宫内节育器。查明提供避孕药具的障碍对于提供以客户为中心的避孕护理至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.