Najdi Jad, Armache Alexandre, Chawareb Elia Abou, Heidar Nassib Abou, Zein Marwan, Fadel Anthony, Nehme Jimmy, Bachir Bassel
Department of Surgery, Division of Urology, American University of Beirut Medical Center, Riad El-Solh, Beirut, 1107 2020, Lebanon.
Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Contracept Reprod Med. 2025 Jan 24;10(1):6. doi: 10.1186/s40834-025-00336-9.
Surgical sterilization, including vasectomy in males and tubal ligation in females, is a highly effective but underutilized contraception method. Adoption rates vary globally mostly due to misconceptions by both the general public and practicing physicians. Our survey aims to explore physicians' knowledge, attitudes and beliefs about surgical sterilization techniques in Lebanon.
A web-based survey was sent to residents and attending physicians of different specialties in Lebanon between April 2022 and April 2023. The survey included 21 multiple-choice questions divided in four parts (demographics, knowledge, attitudes and beliefs) and required around 8 min to complete. Data was analyzed using IBM SPSS Statistics. A descriptive analysis was performed using the chi-square test for categorical variables and ANOVA for continuous variables.
One hundred eighty-three physicians specialized in Urology, OB/GYN, Family medicine and Internal medicine filled the survey. The majority were resident physicians (79%), male (57%), single (72%) and did not receive training in family planning (73%). Knowledge assessment showed an average score of 5/7. After setting this as a passing score, 60.7% of participants passed the assessment with higher likelihood of passing among attending physicians (84.6%), OB/GYN physicians (94.4%), married participants (80.8%), and physicians who received training in family planning (91.8%). Lower likelihood of passing was among Family Medicine (60%), and Internal Medicine (72.5%) physicians. Recommendations varied among specialties. Most physicians perceived the general public preferring tubal ligation as a sterilization method (98%).
Lebanese primary care physicians have a lower level of knowledge of surgical sterilization procedures compared to specialists. This, coupled with low levels of family planning training and negative perception of patient beliefs may impact attitudes and recommendations. Ongoing education and family planning training is needed to increase awareness among physicians, especially primary care physicians, to allow them to provide more adequate counseling to patients.
手术绝育，包括男性输精管结扎术和女性输卵管结扎术，是一种高效但未得到充分利用的避孕方法。全球采用率各不相同，主要是由于公众和执业医生存在误解。我们的调查旨在探究黎巴嫩医生对手术绝育技术的知识、态度和看法。
2022年4月至2023年4月期间，向黎巴嫩不同专业的住院医师和主治医生发送了一项基于网络的调查。该调查包括21个多项选择题，分为四个部分（人口统计学、知识、态度和看法），大约需要8分钟完成。使用IBM SPSS Statistics软件对数据进行分析。对分类变量使用卡方检验，对连续变量使用方差分析进行描述性分析。
183名专门从事泌尿外科、妇产科、家庭医学和内科的医生填写了调查问卷。大多数是住院医师（79%），男性（57%），单身（72%），未接受过计划生育培训（73%）。知识评估显示平均得分为5/7。将此设定为及格分数后，60.7%的参与者通过了评估，主治医生（84.6%）、妇产科医生（94.4%）、已婚参与者（80.8%）以及接受过计划生育培训的医生（91.8%）通过评估的可能性更高。家庭医学医生（60%）和内科医生（72.5%）通过评估的可能性较低。不同专业的建议各不相同。大多数医生认为普通公众更喜欢输卵管结扎术作为绝育方法（98%）。
与专科医生相比，黎巴嫩初级保健医生对手术绝育程序的了解程度较低。这一点，再加上计划生育培训水平较低以及对患者看法的负面认知，可能会影响态度和建议。需要持续开展教育和计划生育培训，以提高医生尤其是初级保健医生的认识，使他们能够为患者提供更充分的咨询。
