Journal article
Contraceptive Counseling by General Internal Medicine Faculty and Residents
Journal of women's health (Larchmont, N.Y. 2002), Vol.23(8), pp.707-713
08/01/2014
DOI: 10.1089/jwh.2013.4567
PMCID: PMC4129968
PMID: 24766414
Abstract
Background:
Almost half of US pregnancies are unintended, resulting in many abortions and unwanted or mistimed births. Contraceptive counseling is an effective tool to increase patients' use of contraception.
Methods:
Using an online 20-item questionnaire, we evaluated the frequency of contraceptive counseling provided to reproductive-age women during a prevention-focused visit by University of Colorado internal medicine resident and faculty providers. We also evaluated factors hypothesized to affect contraceptive counseling frequency.
Results:
Although more than 95% of the 146 medicine faculty and resident respondents agreed that contraceptive counseling is important, only one-quarter of providers reported providing contraceptive counseling “routinely” (defined as ≥80% of the time) to reproductive-age women during a prevention-focused visit. Providing contraceptive counseling routinely was strongly associated with taking an abbreviated sexual history “often”/“routinely” (odds ratio [OR]=11.6 [3.3 to 40.0]) and with high self-efficacy to provide contraceptive counseling (OR=6.5 [1.5 to 29.0]). However, fewer than two-thirds of providers reported taking an abbreviated sexual history “often”/“routinely.” More than 70% of providers reported inadequate knowledge of contraceptive methods as a contraceptive counseling barrier. However, providers' perceived inadequate knowledge was not associated with traditional educational exposures, such as lectures and women's health electives.
Conclusions:
In prevention-focused visits with reproductive-age women, a minority of internal medicine faculty and residents reported routine contraceptive counseling. Future efforts to increase contraceptive counseling among internists should include interventions that increase provider contraceptive counseling self-efficacy and ensure that providers obtain an abbreviated sexual history.
Details
- Title: Subtitle
- Contraceptive Counseling by General Internal Medicine Faculty and Residents
- Creators
- Rachael R. Dirksen - University of Iowa, Internal MedicineBenjamin Shulman - University of Colorado School of MedicineStephanie B. Teal - University of Colorado School of MedicineAmy G. Huebschmann - University of Colorado School of Medicine
- Resource Type
- Journal article
- Publication Details
- Journal of women's health (Larchmont, N.Y. 2002), Vol.23(8), pp.707-713
- DOI
- 10.1089/jwh.2013.4567
- PMID
- 24766414
- PMCID
- PMC4129968
- NLM abbreviation
- J Womens Health (Larchmt)
- ISSN
- 1540-9996
- eISSN
- 1931-843X
- Publisher
- Mary Ann Liebert, Inc
- Number of pages
- 7
- Comment
- Test development: Contraceptive Counseling Survey--Modified
- Language
- English
- Date published
- 08/01/2014
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984811420902771
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