Schreiber Courtney A, Harwood Bryna J, Switzer Galen E, Creinin Mitchell D, Reeves Matthew F, Ness Roberta B
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Contraception. 2006 Jun;73(6):618-22. doi: 10.1016/j.contraception.2006.01.014. Epub 2006 Apr 17.
Little is known about how physicians' attitudes and knowledge of contraception could impact the unintended pregnancy rate in the United States. The objective of this study was to analyze survey data from physicians in primary care training programs in Pittsburgh, PA.
A cross-sectional survey was administered to primary care medical residents in Allegheny County, PA. Descriptive statistics were used to illustrate training, attitudes and knowledge regarding contraceptive management. A multivariable analysis was performed to elucidate associations between training, attitudes and behavior.
Of 143 residents surveyed, 74 (52%) responded. The mean score on contraceptive knowledge assessment was 54%. Obstetrics/gynecology residents performed consistently better on the knowledge index (p<.01). Among nonobstetrics/gynecology residents, formal training in contraception, female gender, ability to insert an intrauterine device and not being a family practitioner were independently associated with improved knowledge (p<.05).
Most of the responding graduating residents view contraception as an important component of primary care. However, young physicians have a contraceptive knowledge base that is inconsistent across primary care specialties. Improvement in this area might improve the unintended pregnancy rate in the United States.
关于医生对避孕的态度和知识如何影响美国意外怀孕率，目前所知甚少。本研究的目的是分析宾夕法尼亚州匹兹堡市初级保健培训项目中医生的调查数据。
对宾夕法尼亚州阿勒格尼县的初级保健住院医师进行了横断面调查。描述性统计用于说明关于避孕管理的培训、态度和知识。进行多变量分析以阐明培训、态度和行为之间的关联。
在接受调查的143名住院医师中，74名（52%）做出了回应。避孕知识评估的平均得分是54%。妇产科住院医师在知识指数方面表现一直更好（p<0.01）。在非妇产科住院医师中，避孕方面的正规培训、女性性别、放置宫内节育器的能力以及不是家庭医生与知识水平的提高独立相关（p<0.05）。
大多数做出回应的即将毕业的住院医师将避孕视为初级保健的重要组成部分。然而，年轻医生的避孕知识基础在初级保健专业中并不一致。这一领域的改善可能会降低美国的意外怀孕率。
