在青少年避孕咨询中探索初级保健医生偏见
Bianca A Allison1, Brooke W Bullington2, Sneha A Makhijani1
1Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Contraception
|September 15, 2024
概括
青少年避孕咨询中的临床偏见很明显,年龄较小和少数民族与较低的长效可逆避孕 (LARC) 建议有关. 这些偏见可能会阻碍以患者为中心的青少年护理.
科学领域:
- 生殖健康 生殖健康
- 青少年医学 青少年医学
- 临床心理学 临床心理学
背景情况:
- 以前的研究表明,临床医生在成人避孕咨询中存在偏见.
- 对于青少年避孕辅导方面的偏见的了解较少.
- 长效可逆避孕 (LARC) 是青少年避孕的关键选择.
研究的目的:
- 描述青少年服务临床医生之间的长效可逆避孕 (LARC) 咨询和处方实践.
- 确定青少年避孕建议中的潜在偏见.
主要方法:
- 交叉截面离散选择实验混合方法设计.
- 调查分发给美国各地的青少年服务临床医生的方便样本.
- 人口统计和信仰的标签和项目被用来评估咨询和处方实践.
主要成果:
- 在296名临床医生中,80%是儿科;不同的人口统计数据被代表.
- 只有17%的诊所安装了宫内避孕装置 (IUD),许多诊所每年只安装几种.
- 较年轻的患者年龄,西班牙裔种族和怀孕史与LARC推几率有关,这表明潜在的偏见.
结论:
- 临床医生对避孕药的推受到坚持,有效性和患者年龄等因素的影响.
- 与患者年龄,种族和怀孕史有关的偏见可能会阻碍以患者为中心的青少年护理.
- 研究结果强调需要改善教育和实践改变,以加强青少年生殖健康咨询.
相关概念视频
Ethical Dilemmas I
860
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
860
Bias in Epidemiological Studies
175
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
175
Bias
3.9K
Bias refers to any tendency that prevents a question from being considered unprejudiced. In research, bias occurs when one outcome or answer is selected or encouraged over others in sampling or testing. Bias can occur during any research phase, including study design, data collection, analysis, and publication.
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
3.9K
Confirmation Biases
5.5K
The confirmation bias is the tendency to focus on information that confirms our existing beliefs and ignore information that is inconsistent with our expectations. For example, if you think that your professor is not very nice, you notice all of the instances of rude behavior exhibited by the professor while ignoring the countless pleasant interactions he is involved in on a daily basis. Have you ever fallen prey to the confirmation bias, either as the source or target of such bias?
5.5K
Birth Control Methods
214
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
214
Blinding
2.4K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.4K


