探索青少年避孕咨询：假设女儿的情景

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2024-10-28 DOI:10.1016/j.pec.2024.108486

Carmen Traseira Pedraz , Catherine Wong , Nirupama DeSilva , Megan Gribbons , Katelyn K. Jetelina , Jasmin A. Tiro , Jenny KR Francis

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引用次数: 0

摘要

目的：我们旨在描述为青少年提供咨询的临床医生所使用的避孕方法，从而建立一个可与患者分享的综合视角。我们还探讨了临床医生会向假设的女儿推荐哪种避孕方法，以确定使用过长效可逆避孕药（LARC）的临床医生与潜在建议之间的关联：向儿科和青春期妇科学术团体和研究员/科室主任发送了一份在线调查，以便与他们的临床医生分享。计算了自我报告的个人/伴侣曾经使用的避孕方法的频率和百分比。双变量检验评估了个人 LARC 使用情况与避孕建议之间的关系：在 669 名临床医生中，46% 的人报告了个人/伴侣使用 LARC 的情况，77% 的人向假设的女儿推荐 LARC。LARC 使用者更有可能向假设的女儿推荐 LARC（89% 的 LARC 使用者推荐 LARC，而 66% 的非 LARC 使用者推荐 LARC，p 结论：结果可为共同决策咨询提供支持：结果可为共同决策咨询讨论提供支持。当家庭询问 "您使用什么 "或 "您会为您的女儿开始使用什么 "时，临床医生可以考虑分享这一综合观点：在这项研究中，亲自使用 LARC 的临床医生更有可能为假设的女儿推荐 LARC。临床医生可以分享这种综合观点，以减少避孕咨询过程中的个人偏见。

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Exploring adolescent contraceptive counseling: A hypothetical daughter scenario

Objectives

We aimed to describe contraceptive methods used by clinicians who counsel adolescents to create an aggregate perspective which could be shared with patients. We also explored which method clinicians would recommend to a hypothetical daughter to identify associations between clinicians who had used long-acting reversible contraception (LARC) and potential recommendations.

Methods

An online survey was sent to pediatric and adolescent gynecology academic societies and fellowship/division directors to share with their clinicians. Frequency and percentage of self-reported personal/partner contraceptive method ever use was calculated. Bivariate tests evaluated the relationship between personal LARC use and contraception recommendations.

Results

Across 669 clinicians, 46 % reported personal/partner LARC use, and 77 % recommended LARC to a hypothetical daughter. LARC users were more likely to recommend LARC for a hypothetical daughter (89 % LARC users recommend it versus 66 % non-LARC users, p < 0.01).

Conclusion

Results can support shared decision-making counseling discussions. When families ask, “what do you use” or “what would you start for your daughter,” clinicians might consider sharing this aggregate perspective.

Practice implications

In this study, clinicians who personally use LARC were more likely to recommend LARC for a hypothetical daughter. Clinicians can share this aggregate perspective to reduce personal bias during contraceptive counselling.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.