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Long acting contraception provision by rural primary care physicians
Britt Lunde1, Paul Smith, Manpreet Grewal
11 Department of Obstetrics, Gynecology and Reproductive Science , The Icahn School of Medicine at Mount Sinai, New York, New York.
Journal of Women'S Health (2002)
|January 22, 2014
Summary
Many rural primary care physicians lack training to provide long-acting reversible contraception (LARC), such as intrauterine devices (IUDs) and contraceptive implants. Increased training can improve access for rural women.
Area of Science:
- Reproductive Health
- Primary Care Medicine
- Public Health
Background:
- Unplanned pregnancy is a significant public health issue in rural US areas.
- Primary care physicians are crucial healthcare providers for rural women.
- Effective contraception, including long-acting reversible contraception (LARC), can reduce unplanned pregnancies.
Purpose of the Study:
- To document the provision of contraception by rural primary care physicians.
- To focus on the use of intrauterine devices (IUDs) and contraceptive implants.
- To identify factors associated with the provision of LARC by rural physicians.
Main Methods:
- A survey of primary care physicians in rural Illinois and Wisconsin.
- Bivariate and multivariable logistic regression analyses were used.
- Investigated factors associated with the provision of LARC.
Main Results:
- A 37% response rate (862/2312 physicians).
- Only 9% of physicians placed implants and 35% placed IUDs.
- Lack of training (87% for implants, 41% for IUDs) and perceived low patient demand were key barriers.
Conclusions:
- Lack of training is a major barrier for rural primary care physicians providing LARC.
- Female physicians and those offering maternity care were more likely to provide LARC.
- Enhanced training during and after residency is needed to increase access to LARC for rural women.
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