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尼日利亚一家三级医疗机构中实习医生对紧急避孕的知识掌握与使用情况。

Knowledge and use of emergency contraception by medical doctors on internship in a tertiary healthcare facility in Nigeria.

作者信息

Morhason-Bello I O, Adedokun B O, Mumuni T O, Bello F A, Abdus-Salam R A, Lawal O O, Okunlola M A, Ojengbede O A

机构信息

Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, University of Ibadan/University College Hospital, Ibadan, Oyo State, Nigeria.

出版信息

Niger J Clin Pract. 2014 Jul-Aug;17(4):431-5. doi: 10.4103/1119-3077.134028.

DOI:10.4103/1119-3077.134028
PMID:24909465
Abstract

CONTEXT

Emergency contraception (EC) is widely used to prevent unwanted pregnancy and it is largely adopted in many countries as over the counter drug to improve access.

AIMS

To determine and compare the correct knowledge, attitude and current use of EC among newly graduated medical doctors (MDs).

SETTINGS AND DESIGN

A cross-sectional study conducted among 255 newly graduated MDs at the University College Hospital, Ibadan, Nigeria.

MATERIALS AND METHODS

A pretested self-administered questionnaire was used to obtain data from consenting participants.

STATISTICAL ANALYSIS USED

Descriptive, bivariate, and multivariable analyses were performed, and statistical significance was set at 0.05. Statistical Package for Social Science version 15.0 (Chicago, IL, USA) software was used.

RESULTS

The mean age of the respondents was 27.2 years (standard deviation = 2.1). The commonest indication for emergency contraceptive use mentioned was rape-96.5%. About 70% support EC in Nigeria, while about a quarter (26.9%) routinely counsel women about ECP use. About 21% of respondents currently use EC. Logistic regression analysis revealed significant results for gender [odds ratio (OR) =3.64; 95% confidence interval (CI) OR = 1.31-10.01), religion (OR = 0.26; 95% CI OR = 0.11-0.630) and marital status (OR = 0.19; 95% CI = 0.07-0.56).

CONCLUSION

The correct knowledge and professional disposition toward EC as a form of contraception is low. We recommend that in-service training should focus more on EC to improve the quality of their knowledge and attitude towards it.

摘要

背景

紧急避孕(EC)被广泛用于预防意外怀孕,在许多国家它大多作为非处方药使用,以提高可及性。

目的

确定并比较新毕业医生(MD)对紧急避孕的正确知识、态度及当前使用情况。

设置与设计

在尼日利亚伊巴丹大学学院医院对255名新毕业医生进行的一项横断面研究。

材料与方法

使用经过预测试的自填式问卷从同意参与的参与者那里获取数据。

所用统计分析方法

进行描述性、双变量和多变量分析,统计学显著性设定为0.05。使用社会科学统计软件包第15.0版(美国伊利诺伊州芝加哥)软件。

结果

受访者的平均年龄为27.2岁(标准差 = 2.1)。提及的紧急避孕最常见适应证是强奸——96.5%。在尼日利亚约70%的人支持紧急避孕,而约四分之一(26.9%)的人会定期就紧急避孕药的使用向女性提供咨询。约21%的受访者目前使用紧急避孕。逻辑回归分析显示性别[比值比(OR)= 3.64;95%置信区间(CI)OR = 1.31 - 10.01]、宗教信仰(OR = 0.26;95% CI OR = 0.11 - 0.630)和婚姻状况(OR = 0.19;95% CI = 0.07 - 0.56)有显著结果。

结论

作为一种避孕方式,对紧急避孕的正确知识和专业态度较低。我们建议在职培训应更多地聚焦于紧急避孕,以提高他们对其的知识水平和态度。

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Knowledge and use of emergency contraception by medical doctors on internship in a tertiary healthcare facility in Nigeria.尼日利亚一家三级医疗机构中实习医生对紧急避孕的知识掌握与使用情况。
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