Swanson K J, Gossett D R, Fournier M
Department of Obstetrics, Northwestern University Feinberg School of Medicine.
J Pediatr Adolesc Gynecol. 2013 Dec;26(6):340-5. doi: 10.1016/j.jpag.2013.06.012. Epub 2013 Sep 26.
Teen pregnancy and sexually transmitted infection (STI) rates continue to be significant public health problems in the United States. While general pediatricians are in a unique position to improve these issues by addressing contraception with their adolescent patients, there are no data describing their current prescribing patterns. This study sought to elucidate the beliefs and prescribing patterns of general pediatricians and pediatrics residents and to distinguish whether these were affected by practice setting, level of training, or gender.
DESIGN, SETTING, PARTICIPANTS: General pediatricians and pediatrics residents affiliated with Lurie Children's Hospital in Chicago, IL, were asked to complete a survey regarding adolescent contraception.
Questions were related to obtaining information about contraception, contraceptive counseling, knowledge of contraceptive methods, prescribing patterns of contraceptives, and concerns about individual contraceptive methods.
120 physicians of an eligible 411 physicians participated in this study (29%). 79% of participants had prescribed at least 1 contraceptive method. The most commonly prescribed method was oral contraceptive pills at 72%. We noted few differences in prescribing patterns based on above criteria. Numerous misconceptions existed among participants, including a high rate of concern about infertility with IUD use (29% among physicians who prescribed at least 1 method of contraception).
General pediatricians can improve their rates of prescribing contraception to adolescents, and could utilize more of the approved methods. One way to do so may be to implement educational interventions among general pediatricians.
青少年怀孕和性传播感染（STI）率在美国仍然是重大的公共卫生问题。虽然普通儿科医生在通过与青少年患者讨论避孕问题来改善这些问题方面具有独特地位，但尚无数据描述他们目前的处方模式。本研究旨在阐明普通儿科医生和儿科住院医师的观念及处方模式，并区分这些是否受到执业环境、培训水平或性别的影响。
设计、地点、参与者：伊利诺伊州芝加哥市卢里儿童医院的普通儿科医生和儿科住院医师被要求完成一项关于青少年避孕的调查。
问题涉及获取避孕信息、避孕咨询、避孕方法知识、避孕药具的处方模式以及对个别避孕方法的担忧。
在411名符合条件的医生中，有120名医生参与了本研究（29%）。79%的参与者至少开具过1种避孕方法。最常开具的方法是口服避孕药，占72%。基于上述标准，我们注意到处方模式几乎没有差异。参与者中存在许多误解，包括对宫内节育器使用导致不孕的高度担忧（在至少开具过1种避孕方法的医生中占29%）。
普通儿科医生可以提高给青少年开具避孕药具的比例，并可以更多地使用已获批的方法。这样做的一种方法可能是对普通儿科医生实施教育干预。
