Chuang C H, Waldman L J, Freund K M, Ash A S
Section of General Internal Medicine, Boston University Medical Center, 720 Harrison Avenue, Suite 1108, Boston, MA 02118, USA.
Contraception. 2004 Jan;69(1):43-5. doi: 10.1016/j.contraception.2003.09.003.
Primary care physicians of all specialties should be familiar with prescribing emergency contraception (EC). We conducted a mail survey of 282 randomly sampled physicians in general internal medicine (31%), family medicine (34%) and obstetrics-gynecology (35%). Experience with prescribing EC significantly differed by specialty (63% of general internists, 76% of family physicians, and 94% of obstetrician-gynecologists, p < 0.0001). Controlling for year of graduation, gender, religion and practice location, family physicians [adjusted odds ratio (OR): 2.5, 95% confidence interval (CI): 1.2-5.2] and obstetrician-gynecologists (adjusted OR: 11.2, 95% CI: 4.0-31.3) were still significantly more likely to have ever prescribed EC than general internists. Efforts to increase awareness and knowledge of EC should be aimed at general internists since they provide primary care for many reproductive age women.
所有专科的初级保健医生都应熟悉紧急避孕(EC)的处方。我们对282名随机抽样的医生进行了邮件调查,这些医生分别来自普通内科(31%)、家庭医学(34%)和妇产科(35%)。不同专科医生开具紧急避孕处方的经验存在显著差异(63%的普通内科医生、76%的家庭医生和94%的妇产科医生,p<0.0001)。在控制毕业年份、性别、宗教和执业地点后,家庭医生[调整后的优势比(OR):2.5,95%置信区间(CI):1.2 - 5.2]和妇产科医生(调整后的OR:11.2,95%CI:4.0 - 31.3)仍然比普通内科医生更有可能开具过紧急避孕处方。提高紧急避孕意识和知识的努力应针对普通内科医生,因为他们为许多育龄妇女提供初级保健服务。