与医生在避孕建议中的偏见相关的特征
Natalie DiCenzo1, Kristyn Brandi2, Kylie Getz3
1Department of Obstetrics and Gynecology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
概括
医生偏见影响了妇产科医生 (OBGYN) 的避孕建议,根据患者的种族和社会经济地位 (SES) 发现了差异. 建议也因医生的特点而异,这表明需要偏见教育.
科学领域:
- 生殖健康 生殖健康
- 医学伦理 医学伦理
- 健康差异 在健康上的差异
背景情况:
- 避孕建议对于生殖健康结果至关重要.
- 了解影响这些建议的因素对于公平的护理至关重要.
- 以前的研究还没有完全阐明医生和患者特征对避孕选择的影响.
研究的目的:
- 调查妇产科医生 (OBGYN) 的避孕建议与患者社会人口统计因素之间的关联.
- 检查推医生特征如何影响避孕选择.
- 在避孕咨询中识别潜在的偏见.
主要方法:
- 一项在线探索性调查分发给与美国居住计划相关联的OBGYNs.
- 医生评估了不同种族和社会经济地位 (SES) 的生育年龄妇女的情景.
- 使用了统计分析,包括千二测试,费舍尔精确测试和后勤回归.
主要成果:
- 根据患者的种族和SES的感知,避孕建议有很大的差异.
- 非白人医生不太可能推管,但更有可能推长效可逆避孕和避孕套.
- 与主治医生相比,实习医生建议使用更少的自我治疗方法,避孕套和输卵管绑定.
结论:
- 医生偏见似乎导致避孕建议的差异.
- 患者的种族和SES,以及医生的种族和培训水平,影响避孕咨询.
- 建议加强对OBGYNs的避孕胁迫和以患者为中心的决策教育.
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