妇产科医生对避孕和自然计划生育的看法：一项全国性调查。
Obstetrician-gynecologists' views on contraception and natural family planning: a national survey.
机构信息
Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
出版信息
Am J Obstet Gynecol. 2011 Feb;204(2):124.e1-7. doi: 10.1016/j.ajog.2010.08.051. Epub 2010 Nov 11.
OBJECTIVE
The objective of the study was to characterize beliefs about contraception among obstetrician-gynecologists.
STUDY DESIGN
National mailed survey of 1800 US obstetrician-gynecologists. Criterion variables were whether physicians have a moral or ethical objection to, and whether they would offer, 6 common contraceptive methods. Covariates included physician demographic and religious characteristics.
RESULTS
One thousand one hundred fifty-four of 1760 eligible obstetrician-gynecologists responded (66%). Some obstetrician-gynecologists object to intrauterine devices (4.4% object, 3.6% would not offer), progesterone implants and/or injections (1.7% object, 2.1% would not offer), tubal ligations (1.5% object, 1.5% would not offer), oral contraceptive pills (1.3% object, 1.1% would not offer), condoms (1.3% object, 1.8% would not offer), and the diaphragm or cervical cap with spermicide (1.3% object, 3.3% would not offer). Religious physicians were more likely to object (odds ratio, 7.4) and to refuse to provide a contraceptive (odds ratio, 1.9).
CONCLUSION
Controversies about contraception are ongoing but among obstetrician-gynecologists, objections and refusals to provide contraceptives are infrequent.
目的
本研究旨在描述妇产科医生对避孕措施的信念特征。
研究设计
对 1800 名美国妇产科医生进行全国邮寄调查。判断变量为医生对 6 种常见避孕方法是否存在道德或伦理上的反对意见，以及他们是否会提供这些方法。协变量包括医生的人口统计学和宗教特征。
结果
在 1760 名符合条件的妇产科医生中，有 1154 名（66%）做出了回应。一些妇产科医生对宫内节育器（4.4%反对，3.6%不提供）、孕激素植入物和/或注射剂（1.7%反对，2.1%不提供）、输卵管结扎术（1.5%反对，1.5%不提供）、口服避孕药（1.3%反对，1.1%不提供）、避孕套（1.3%反对，1.8%不提供）以及含杀精剂的子宫帽或宫颈帽（1.3%反对，3.3%不提供）持反对意见。宗教医生更有可能持反对意见（优势比，7.4），也更有可能拒绝提供避孕措施（优势比，1.9）。
结论
关于避孕的争议仍在继续，但在妇产科医生中，对避孕措施的反对和拒绝提供避孕措施的情况并不常见。
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