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Contraceptive counseling among pediatric primary care providers in Western Pennsylvania: A survey-based study
OBJECTIVES: Data suggest that adolescents in the United States receive inadequate contraceptive counseling. This study sought to determine factors affecting pediatricians’ discussion of contraception with adolescent patients, with a specific focus on long-acting reversible contraception—implantable...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5593125/ https://www.ncbi.nlm.nih.gov/pubmed/28959447 http://dx.doi.org/10.1177/2050312117730244 |
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author | Papas, Beth Ann Shaikh, Nader Watson, Katherine Sucato, Gina S |
author_facet | Papas, Beth Ann Shaikh, Nader Watson, Katherine Sucato, Gina S |
author_sort | Papas, Beth Ann |
collection | PubMed |
description | OBJECTIVES: Data suggest that adolescents in the United States receive inadequate contraceptive counseling. This study sought to determine factors affecting pediatricians’ discussion of contraception with adolescent patients, with a specific focus on long-acting reversible contraception—implantable contraception and intrauterine devices. METHODS: A cross-sectional survey was sent via email to a convenience sample of pediatric residents and pediatric primary care providers in Western Pennsylvania. Self-reported contraceptive counseling and prescribing practices in response to clinical vignettes were assessed. RESULTS: Of potential participants (287), 88 (31%) responded. Younger providers and providers who had received contraceptive training were significantly more likely to discuss long-acting reversible contraception methods. Discussion of contraceptive methods also varied by both the age and the sexual history of the patient. CONCLUSION: Variation in contraceptive counseling potentially results in missed opportunities to counsel about and provide the most effective contraceptive methods. More uniform, universal provider training might alleviate some of these inconsistencies. |
format | Online Article Text |
id | pubmed-5593125 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-55931252017-09-28 Contraceptive counseling among pediatric primary care providers in Western Pennsylvania: A survey-based study Papas, Beth Ann Shaikh, Nader Watson, Katherine Sucato, Gina S SAGE Open Med Original Article OBJECTIVES: Data suggest that adolescents in the United States receive inadequate contraceptive counseling. This study sought to determine factors affecting pediatricians’ discussion of contraception with adolescent patients, with a specific focus on long-acting reversible contraception—implantable contraception and intrauterine devices. METHODS: A cross-sectional survey was sent via email to a convenience sample of pediatric residents and pediatric primary care providers in Western Pennsylvania. Self-reported contraceptive counseling and prescribing practices in response to clinical vignettes were assessed. RESULTS: Of potential participants (287), 88 (31%) responded. Younger providers and providers who had received contraceptive training were significantly more likely to discuss long-acting reversible contraception methods. Discussion of contraceptive methods also varied by both the age and the sexual history of the patient. CONCLUSION: Variation in contraceptive counseling potentially results in missed opportunities to counsel about and provide the most effective contraceptive methods. More uniform, universal provider training might alleviate some of these inconsistencies. SAGE Publications 2017-09-06 /pmc/articles/PMC5593125/ /pubmed/28959447 http://dx.doi.org/10.1177/2050312117730244 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Article Papas, Beth Ann Shaikh, Nader Watson, Katherine Sucato, Gina S Contraceptive counseling among pediatric primary care providers in Western Pennsylvania: A survey-based study |
title | Contraceptive counseling among pediatric primary care providers in Western
Pennsylvania: A survey-based study |
title_full | Contraceptive counseling among pediatric primary care providers in Western
Pennsylvania: A survey-based study |
title_fullStr | Contraceptive counseling among pediatric primary care providers in Western
Pennsylvania: A survey-based study |
title_full_unstemmed | Contraceptive counseling among pediatric primary care providers in Western
Pennsylvania: A survey-based study |
title_short | Contraceptive counseling among pediatric primary care providers in Western
Pennsylvania: A survey-based study |
title_sort | contraceptive counseling among pediatric primary care providers in western
pennsylvania: a survey-based study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5593125/ https://www.ncbi.nlm.nih.gov/pubmed/28959447 http://dx.doi.org/10.1177/2050312117730244 |
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