Department of Psychiatry, Columbia University Medical Center, New York, USA.
Int J Gynaecol Obstet. 2011 Sep;114(3):281-5. doi: 10.1016/j.ijgo.2011.03.013. Epub 2011 Jun 16.
To examine obstetrician-gynecologists' beliefs about safe-sex and abstinence counseling.
Between October 2008 and January 2009, a survey was mailed to a national randomized sample of 1800 practicing US obstetrician-gynecologists. Study variables were agreement with 2 statements. (1) "If physicians counsel patients about safe-sex practices, the patients will be less likely to engage in risky sexual behaviors". (2) "If physicians counsel patients about abstinence, the patients will be much less likely to engage in sexual activity". Covariates included demographic, clinical, and religious characteristics of the physician.
The response rate was 66% (1154/1760 eligible physicians). Most respondents somewhat (62%) or strongly (25%) agreed that counseling patients about safe-sex practices makes patients less likely to engage in risky sexual behaviors. Fewer agreed strongly (3%) or somewhat (28%) that counseling patients about abstinence makes patients less likely to engage in sexual activity. The belief that safe-sex counseling reduces risky behaviors was less common among males (odds ratio [OR] 0.6) and more common among immigrants (OR 2.0). Religious physicians were more likely to believe that abstinence counseling reduces sexual activity (OR 2.2-5.3).
Most obstetrician-gynecologists believed that counseling about safe sex is effective, and a significant minority endorsed abstinence counseling.
考察妇产科医生对安全性行为和禁欲咨询的信念。
2008 年 10 月至 2009 年 1 月，对 1800 名美国执业妇产科医生进行了全国随机抽样调查，并邮寄了调查问卷。研究变量为对 2 个陈述的同意程度。（1）“如果医生对患者进行安全性行为咨询，患者不太可能进行危险的性行为。”（2）“如果医生对患者进行禁欲咨询，患者不太可能进行性行为。”协变量包括医生的人口统计学、临床和宗教特征。
回复率为 66%（1154/1760 名合格医生）。大多数受访者或多或少（62%）或强烈（25%）同意，对患者进行安全性行为咨询会使患者不太可能进行危险的性行为。强烈（3%）或或多或少（28%）同意咨询患者关于禁欲会使患者不太可能进行性行为的人较少。认为安全性行为咨询可减少危险行为的观点在男性中较为少见（比值比[OR]0.6），而在移民中较为常见（OR 2.0）。宗教医生更有可能认为禁欲咨询可减少性行为（OR 2.2-5.3）。
大多数妇产科医生认为安全性行为咨询是有效的，少数人支持禁欲咨询。
