Chelsea and Westminster Hospital, Chelsea and Westminster NHS Trust, London, UK.
University of Texas Southwestern Medical Center, Peter O'Donnell Jr. School of Public Health, Dallas, TX, USA.
Patient Educ Couns. 2025 Jan;130:108486. doi: 10.1016/j.pec.2024.108486. Epub 2024 Oct 28.
We aimed to describe contraceptive methods used by clinicians who counsel adolescents to create an aggregate perspective which could be shared with patients. We also explored which method clinicians would recommend to a hypothetical daughter to identify associations between clinicians who had used long-acting reversible contraception (LARC) and potential recommendations.
An online survey was sent to pediatric and adolescent gynecology academic societies and fellowship/division directors to share with their clinicians. Frequency and percentage of self-reported personal/partner contraceptive method ever use was calculated. Bivariate tests evaluated the relationship between personal LARC use and contraception recommendations.
Across 669 clinicians, 46 % reported personal/partner LARC use, and 77 % recommended LARC to a hypothetical daughter. LARC users were more likely to recommend LARC for a hypothetical daughter (89 % LARC users recommend it versus 66 % non-LARC users, p < 0.01).
Results can support shared decision-making counseling discussions. When families ask, "what do you use" or "what would you start for your daughter," clinicians might consider sharing this aggregate perspective.
In this study, clinicians who personally use LARC were more likely to recommend LARC for a hypothetical daughter. Clinicians can share this aggregate perspective to reduce personal bias during contraceptive counselling.
我们旨在描述为青少年提供咨询的临床医生所使用的避孕方法，以创建一种可以与患者共享的综合观点。我们还探讨了临床医生会向假设的女儿推荐哪种方法，以确定使用长效可逆避孕（LARC）的临床医生与潜在建议之间的关联。
我们向儿科和青少年妇科学术协会以及研究员/部门主任发送了在线调查，以便与他们的临床医生分享。计算了自我报告的个人/伴侣以往避孕方法使用的频率和百分比。使用双变量检验评估了个人 LARC 使用与避孕建议之间的关系。
在 669 名临床医生中，有 46%报告个人/伴侣使用 LARC，有 77%向假设的女儿推荐 LARC。使用 LARC 的临床医生更有可能向假设的女儿推荐 LARC（89%的 LARC 用户推荐它，而 66%的非 LARC 用户推荐它，p<0.01）。
研究结果可以支持共同决策咨询讨论。当患者家庭询问“你使用什么方法”或“你会为你的女儿开始使用什么方法”时，临床医生可能会考虑分享这种综合观点。
在这项研究中，个人使用 LARC 的临床医生更有可能向假设的女儿推荐 LARC。临床医生可以分享这种综合观点，以减少避孕咨询过程中的个人偏见。
