一项评估年轻医生关于紧急避孕的知识和意识的研究。
A study to assess the knowledge and awareness among young doctors about emergency contraception.
作者信息
Panda Subrat, Das Rituparna, Das Ananya, Sharma Nalini, Sharma Anusuya
机构信息
Department of Obstetrics & Gynaecology, NEIGRIHMS, Meghalaya, India.
出版信息
J Family Med Prim Care. 2021 Jun;10(6):2304-2312. doi: 10.4103/jfmpc.jfmpc_2439_20. Epub 2021 Jul 2.
BACKGROUND
Emergency contraception (EC) is the contraception on demand which can prevent millions of unintended pregnancies. The knowledge and awareness of young doctors towards EC who may be the first contact physician of the society has not been well studied. This study aims to assess the knowledge and awareness of young doctors in a teaching institute in northeast India.
METHODOLOGY
This study was carried out among 200 young doctors and included 100 interns and 100 postgraduate trainees (PGT) and senior resident doctors (SRD) from January 2020 to March 2020 to compare their knowledge and awareness about EC. A predesigned self-administered 22 items questionnaire was used to collect data.
OBSERVATION
In our study, majority of the doctors in both groups were aware of levonorgestrel 1.5 mg tablet as EC (93% and 95%) and more interns than PG SRD were aware of its easy availability (86%, 35%, value < 0.0001), government supply (77%, 30%, value < 0.0001), and that copper intrauterine contraceptive device (IUCD) can be used as EC up to 120 h (89%, 60%, value < 0.0001). Most doctors were unaware of ulipristal acetate. Most PGT SRDs believe that EC promotes irresponsible behavior, sexually transmitted diseases, and promiscuity but most intern did not agree to it ( value < 0.0001 for each). More than 65% doctors in both groups were aware of the mechanism of action of EC. PGT SRD were more aware of the effectiveness of EC (62%, 80%, value 0.0078). More interns were aware that EC affects the next period (53%, 25%, value < 0.0001).
CONCLUSION
Interns were more aware about contraception than PGT and SRD, especially about government supply of EC, about IUCD, and behavioral aspect like promoting irresponsible behavior, sexually transmitted disease, and promiscuity.
背景
紧急避孕是一种按需避孕方法，可预防数百万意外怀孕。年轻医生作为社会的首诊医生，他们对紧急避孕的知识和认知尚未得到充分研究。本研究旨在评估印度东北部一所教学机构中年轻医生的知识和认知情况。
方法
本研究于2020年1月至2020年3月对200名年轻医生进行，包括100名实习生和100名研究生学员（PGT）以及高级住院医生（SRD），以比较他们对紧急避孕的知识和认知。使用预先设计的22项自填问卷收集数据。
观察结果
在我们的研究中，两组中的大多数医生都知道左炔诺孕酮1.5毫克片剂可作为紧急避孕药（93%和95%），知道其易于获取的实习生比PG SRD更多（86%、35%，P值<0.0001），知道政府供应情况的实习生也更多（77%、30%，P值<0.0001），并且知道铜宫内节育器（IUCD）可作为紧急避孕药使用长达120小时的实习生更多（89%、60%，P值<0.0001）。大多数医生不知道醋酸乌利司他。大多数PGT SRD认为紧急避孕会促进不负责任的行为、性传播疾病和滥交，但大多数实习生不同意这种观点（每项P值<0.0001）。两组中超过65%的医生知道紧急避孕的作用机制。PGT SRD更了解紧急避孕的有效性（62%、80%，P值0.0078）。更多实习生知道紧急避孕会影响下一个经期（53%、25%，P值<0.0001）。
结论
实习生比PGT和SRD对避孕的了解更多，特别是在紧急避孕的政府供应、IUCD以及促进不负责任行为、性传播疾病和滥交等行为方面。
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