Leelakanok Nattawut, Kangwanrattanakul Krittaphas, Petchsomrit Arpa, Sapapsap Bannawich, Siritientong Tippawan, Methaneethorn Janthima
Division of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Burapha University, 169 Long-Hard Bangsaen Rd, Mueang, Chonburi, 20131, Thailand.
Division of Social and Administrative Pharmacy, Faculty of Pharmaceutical Sciences, Burapha University, 169 Long-Hard Bangsaen Rd., Mueang, Chonburi, 20131, Thailand.
J Pharm Policy Pract. 2023 Aug 1;16(1):97. doi: 10.1186/s40545-023-00601-9.
Pharmacists' knowledge and attitude toward Emergency Oral Contraception (EOC) can affect users' access to EOCs, especially where EOCs are provided by pharmacists without the need for prescriptions. We conducted a Knowledge, Attitudes, and Practice (KAP) survey on Thai pharmacists to better understand KAP related to EOCs and the correlation among KAP components.
An in-depth interview, GoogleTrend search, and Pantip.com search were conducted. The findings, together with data from a previously published systematic review and meta-analysis, were used to develop KAP survey questions which were distributed online. Spearman's rank correlation coefficient and linear mixed model were used to investigate the correlation and association among KAP components.
The in-depth interview with pharmacists showed that sex and unwanted pregnancy are very sensitive topics in Thailand. Sex and EOC education should be provided by parents and healthcare professionals at a young age. This agreed with opinions from Thai internet users that sex literacy was generally low and sex education was not provided adequately. From the total of 421 survey responses, Thai pharmacists had average knowledge, poor attitude, and average practice related to EOCs (median score = 51.02%, 21.81%, and 60.0%, respectively). The correlations between KAP in pharmacists were weak (ρ = 0.107-0.525, p < 0.02). Pharmacists who rated themselves as having higher scores in knowledge and attitude also rated themselves higher in the practice score. However, the total scores describing the knowledge of or attitude toward EOCs were not associated with EOC practice scores.
In Thai pharmacists, self-rating KAP scores overestimated total KAP scores. The correlation among KAP components was weak. EOC knowledge and attitudes should be promoted, although this may not improve EOC practice in Thai pharmacists.
药剂师对紧急口服避孕药（EOC）的知识和态度会影响使用者获取EOC的情况，尤其是在药剂师无需处方即可提供EOC的地方。我们对泰国药剂师进行了一项知识、态度和实践（KAP）调查，以更好地了解与EOC相关的KAP以及KAP各组成部分之间的相关性。
进行了深入访谈、谷歌趋势搜索和Pantip.com搜索。研究结果与之前发表的系统评价和荟萃分析的数据一起用于制定在线分发的KAP调查问卷。使用Spearman等级相关系数和线性混合模型来研究KAP各组成部分之间的相关性和关联性。
对药剂师的深入访谈表明，在泰国，性和意外怀孕是非常敏感的话题。父母和医疗保健专业人员应在年轻时提供性和EOC教育。这与泰国互联网用户的观点一致，即性知识普遍较低，性教育提供不足。在总共421份调查回复中，泰国药剂师对EOC的知识水平一般、态度较差、实践水平一般（中位数得分分别为51.02%、21.81%和60.0%）。药剂师的KAP之间的相关性较弱（ρ = 0.107 - 0.525，p < 0.02）。在知识和态度方面给自己评分较高的药剂师在实践得分方面也给自己较高的评分。然而，描述对EOC的知识或态度的总分与EOC实践得分无关。
在泰国药剂师中，自我评定的KAP分数高估了KAP总分。KAP各组成部分之间的相关性较弱。应促进EOC知识和态度的提升，尽管这可能不会改善泰国药剂师的EOC实践情况。
