Determinants of intrauterine contraception provision among US family physicians: A national survey of knowledge, attitudes and practice

Susan E. Rubin, Jason Fletcher, Tara B. Stein, Penina Segall-Gutierrez, Marji Gold

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Background: Poor contraception adherence contributes to unintended pregnancy. Intrauterine contraception (IUC) is user-independent thus adherence is not an issue, yet few US women use IUC. We compared family physicians (FPs) who do and do not insert IUC in order to ascertain determinants of inserting IUC. Study design: We surveyed 3500 US FPs. The primary outcome variable was whether a physician inserts IUC in their current clinical practice. We also sought to describe their clinical practice with IUC insertions. Results: FPs who insert IUC had better knowledge about IUC (adjusted OR 1.85, 95% CI 1.32-2.60), more comfort discussing IUC (adjusted OR 2.35, 95% CI 1.30-4.27), and were more likely to believe their patients are receptive to discussing IUC (adjusted OR 2.96, 95% CI 2.03-4.32). The more IUC inserted during residency, the more likely to insert currently (adjusted OR 1.44, 95% CI 1.12-1.84). Only 24% of respondents inserted IUC in the prior 12 months. Conclusions: US FPs have training and knowledge gaps, as well as attitudes, that result in missed opportunities to discuss and provide IUC for all eligible patients.

Original languageEnglish (US)
Pages (from-to)472-478
Number of pages7
JournalContraception
Volume83
Issue number5
DOIs
StatePublished - May 2011

Fingerprint

Health Knowledge, Attitudes, Practice
Family Physicians
Contraception
Surveys and Questionnaires
Internship and Residency

Keywords

  • Clinician knowledge
  • Family physician
  • Insertion
  • Intrauterine contraception
  • Intrauterine device
  • Survey

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Determinants of intrauterine contraception provision among US family physicians : A national survey of knowledge, attitudes and practice. / Rubin, Susan E.; Fletcher, Jason; Stein, Tara B.; Segall-Gutierrez, Penina; Gold, Marji.

In: Contraception, Vol. 83, No. 5, 05.2011, p. 472-478.

Research output: Contribution to journalArticle

@article{cdea9e35541c40ef9134a5a2ab0cf854,
title = "Determinants of intrauterine contraception provision among US family physicians: A national survey of knowledge, attitudes and practice",
abstract = "Background: Poor contraception adherence contributes to unintended pregnancy. Intrauterine contraception (IUC) is user-independent thus adherence is not an issue, yet few US women use IUC. We compared family physicians (FPs) who do and do not insert IUC in order to ascertain determinants of inserting IUC. Study design: We surveyed 3500 US FPs. The primary outcome variable was whether a physician inserts IUC in their current clinical practice. We also sought to describe their clinical practice with IUC insertions. Results: FPs who insert IUC had better knowledge about IUC (adjusted OR 1.85, 95{\%} CI 1.32-2.60), more comfort discussing IUC (adjusted OR 2.35, 95{\%} CI 1.30-4.27), and were more likely to believe their patients are receptive to discussing IUC (adjusted OR 2.96, 95{\%} CI 2.03-4.32). The more IUC inserted during residency, the more likely to insert currently (adjusted OR 1.44, 95{\%} CI 1.12-1.84). Only 24{\%} of respondents inserted IUC in the prior 12 months. Conclusions: US FPs have training and knowledge gaps, as well as attitudes, that result in missed opportunities to discuss and provide IUC for all eligible patients.",
keywords = "Clinician knowledge, Family physician, Insertion, Intrauterine contraception, Intrauterine device, Survey",
author = "Rubin, {Susan E.} and Jason Fletcher and Stein, {Tara B.} and Penina Segall-Gutierrez and Marji Gold",
year = "2011",
month = "5",
doi = "10.1016/j.contraception.2010.10.003",
language = "English (US)",
volume = "83",
pages = "472--478",
journal = "Contraception",
issn = "0010-7824",
publisher = "Elsevier USA",
number = "5",

}

TY - JOUR

T1 - Determinants of intrauterine contraception provision among US family physicians

T2 - A national survey of knowledge, attitudes and practice

AU - Rubin, Susan E.

AU - Fletcher, Jason

AU - Stein, Tara B.

AU - Segall-Gutierrez, Penina

AU - Gold, Marji

PY - 2011/5

Y1 - 2011/5

N2 - Background: Poor contraception adherence contributes to unintended pregnancy. Intrauterine contraception (IUC) is user-independent thus adherence is not an issue, yet few US women use IUC. We compared family physicians (FPs) who do and do not insert IUC in order to ascertain determinants of inserting IUC. Study design: We surveyed 3500 US FPs. The primary outcome variable was whether a physician inserts IUC in their current clinical practice. We also sought to describe their clinical practice with IUC insertions. Results: FPs who insert IUC had better knowledge about IUC (adjusted OR 1.85, 95% CI 1.32-2.60), more comfort discussing IUC (adjusted OR 2.35, 95% CI 1.30-4.27), and were more likely to believe their patients are receptive to discussing IUC (adjusted OR 2.96, 95% CI 2.03-4.32). The more IUC inserted during residency, the more likely to insert currently (adjusted OR 1.44, 95% CI 1.12-1.84). Only 24% of respondents inserted IUC in the prior 12 months. Conclusions: US FPs have training and knowledge gaps, as well as attitudes, that result in missed opportunities to discuss and provide IUC for all eligible patients.

AB - Background: Poor contraception adherence contributes to unintended pregnancy. Intrauterine contraception (IUC) is user-independent thus adherence is not an issue, yet few US women use IUC. We compared family physicians (FPs) who do and do not insert IUC in order to ascertain determinants of inserting IUC. Study design: We surveyed 3500 US FPs. The primary outcome variable was whether a physician inserts IUC in their current clinical practice. We also sought to describe their clinical practice with IUC insertions. Results: FPs who insert IUC had better knowledge about IUC (adjusted OR 1.85, 95% CI 1.32-2.60), more comfort discussing IUC (adjusted OR 2.35, 95% CI 1.30-4.27), and were more likely to believe their patients are receptive to discussing IUC (adjusted OR 2.96, 95% CI 2.03-4.32). The more IUC inserted during residency, the more likely to insert currently (adjusted OR 1.44, 95% CI 1.12-1.84). Only 24% of respondents inserted IUC in the prior 12 months. Conclusions: US FPs have training and knowledge gaps, as well as attitudes, that result in missed opportunities to discuss and provide IUC for all eligible patients.

KW - Clinician knowledge

KW - Family physician

KW - Insertion

KW - Intrauterine contraception

KW - Intrauterine device

KW - Survey

UR - http://www.scopus.com/inward/record.url?scp=79954416944&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79954416944&partnerID=8YFLogxK

U2 - 10.1016/j.contraception.2010.10.003

DO - 10.1016/j.contraception.2010.10.003

M3 - Article

C2 - 21477692

AN - SCOPUS:79954416944

VL - 83

SP - 472

EP - 478

JO - Contraception

JF - Contraception

SN - 0010-7824

IS - 5

ER -