Sable Marjorie R, Schwartz Lisa R, Kelly Patricia J, Lisbon Eleanor, Hall Matthew A
School of Social Work, University of Missouri-Columbia, USA.
Perspect Sex Reprod Health. 2006 Mar;38(1):20-7. doi: 10.1363/psrh.38.020.06.
Although research has examined providers' knowledge, attitudes and prescribing behaviors with regard to emergency contraception, none has used a theory-based approach to understanding the interplay of these factors.
A cross-sectional survey of 96 faculty physicians from one Southern and three Midwestern universities was conducted in 2004 to assess factors associated with intention to prescribe emergency contraception. The theory of reasoned action guided the study hypotheses and survey design. Correlation and regression analyses were used to examine the data.
Only 42% of respondents strongly intended to prescribe emergency contraception for teenagers, but 65-77% intended to do so for all other specified groups (women who ask for the method, who have had a method problem, who have experienced rape or incest, and who have had unprotected sex). Consistent with the theory of reasoned action, high intention to prescribe emergency contraception was associated with positive attitudes toward doing so and with the perception that specific colleagues or professional groups support prescribing it; however, the perception of support by colleagues or professional groups in general did not predict intention. Also consistent with the theory, physicians' knowledge about emergency contraception and their demographic characteristics were not significant.
Interventions to encourage physicians to provide emergency contraception should take into account their attitudes toward the method and the components of those attitudes.
尽管已有研究探讨了医疗服务提供者在紧急避孕方面的知识、态度和处方行为，但尚无研究采用基于理论的方法来理解这些因素之间的相互作用。
2004年对来自一所南方大学和三所中西部大学的96名内科医生进行了横断面调查，以评估与开具紧急避孕处方意愿相关的因素。合理行动理论指导了研究假设和调查设计。采用相关分析和回归分析对数据进行检验。
只有42%的受访者强烈打算为青少年开具紧急避孕处方，但65% - 77%的受访者打算为所有其他特定群体（要求使用该方法的女性、有方法问题的女性、遭受强奸或乱伦的女性以及未采取保护措施性行为的女性）开具。与合理行动理论一致，开具紧急避孕处方的高意愿与对此持积极态度以及认为特定同事或专业团体支持开具处方有关；然而，同事或专业团体总体上的支持看法并不能预测意愿。同样与该理论一致的是，医生对紧急避孕的知识及其人口统计学特征并不显著。
鼓励医生提供紧急避孕的干预措施应考虑他们对该方法的态度以及这些态度的构成要素。
