为什么儿科医生不愿为青少年开处方紧急避孕药?
Renata Vieira Amorim1, Marco Antônio Barbieri2, Camila Bôtto-Menezes1,3
1Universidade do Estado do Amazonas, Manaus, AM, Brazil.
概括
儿科医生经常感到不舒服的处方紧急避孕 (EC),主要是由于缺乏经验. 增加培训和EC处方经验可以提高舒适度,减少未计划的青少年怀孕.
科学领域:
- 生殖健康 生殖健康
- 青少年医学 青少年医学
- 公共卫生政策 公共卫生政策
背景情况:
- 紧急避孕 (EC) 对于预防青少年意外怀孕至关重要.
- 儿科医生很少开处方EC,尽管它的安全性和有效性.
- 关于巴西医生对EC处方的不适存在有限的数据.
研究的目的:
- 确定与儿科医生在开处方时感到不舒服的因素.
- 为了解决关于巴西亚马逊州EC处方障碍的数据稀缺问题.
主要方法:
- 一项基于网络的横截面研究调查了亚马逊州的151名儿科医生.
- 收集的数据包括社会人口统计,知识,态度和对欧洲共同体的不适程度.
- 多变量后勤回归和人工智能方法 (决策树,随机森林) 分析了与不适相关的因素.
主要成果:
- 超过一半 (53.0%) 的受访儿科医生表示,他们对处方EC感到不舒服.
- 只有33.1%的人以前有处方EC的经验.
- 医生缺乏经验与不适显著相关 (OR 4.47);之前的处方经验是保护性的.
结论:
- 儿科医生的缺乏经验和误解导致了不经常的EC处方.
- 在公共卫生政策中实施培训计划至关重要.
- 改善培训可以减少未计划的青少年怀孕.
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