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Contraception Delivery in Pediatric and Specialist Pediatric Practices
Alexa Kaskowitz1, Elisabeth Quint1, Melissa Zochowski1
1Department of Obstetrics and Gynecology, University of Michigan, L4000 Women's Hospital, Ann Arbor, Michigan.
Journal of Pediatric and Adolescent Gynecology
|December 3, 2015
Summary
Pediatricians
Area of Science:
- Medical Education
- Adolescent Health
- Reproductive Health
Background:
- Pediatricians play a crucial role in adolescent reproductive healthcare.
- Understanding their perspectives on contraception is vital for improving access and outcomes.
- Current knowledge, attitudes, and self-efficacy regarding contraception among pediatricians require characterization.
Purpose of the Study:
- To assess pediatricians' knowledge, attitudes, and self-efficacy concerning contraception provision.
- To identify factors associated with prescribing contraception to adolescent patients.
Main Methods:
- A cross-sectional survey was conducted with a national sample of pediatricians in the United States.
- Participants completed assessments on reproductive health practices, attitudes, and self-efficacy.
- Data were analyzed comparing contraceptive prescribers and nonprescribers.
Main Results:
- Most surveyed pediatricians were contraceptive prescribers, yet overall reproductive health scores were low.
- Higher self-efficacy, not just knowledge, was significantly associated with prescribing contraception (OR, 1.7; P < .001).
- Many pediatricians expressed reluctance to prescribe contraception against parental disapproval and lacked confidence in long-acting reversible contraception (LARC) methods.
Conclusions:
- Pediatrician self-efficacy is a stronger predictor of contraception prescribing than knowledge alone.
- Gaps in training and confidence regarding LARC need to be addressed to align with adolescent recommendations.
- Further education and support are needed to enhance pediatricians' comprehensive approach to adolescent contraception.
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