Knowledge and attitudes of Latin American obstetricians and gynecologists regarding intrauterine contraceptives.
Knowledge and attitudes of Latin American obstetricians and gynecologists regarding intrauterine contraceptives.
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拉丁美洲妇产科医生对宫内避孕药的知识和态度。
DOI：
10.2147/ijwh.s84173
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Lynen R
中科院分区：
文献类型：
--
作者：
Bahamondes L;Makuch MY;Monteiro I;Marin V;Lynen R
宫内节育器(IUCs)包括铜宫内节育器和左炔诺孕酮宫内缓释系统(LNG-IUS)，是一种高效的可逆避孕方法。然而，在许多情况下，包括一些拉丁美洲国家，使用率很低，这主要是由于神话、恐惧和消极态度的影响，不仅是使用者和潜在使用者的影响，也是不同卫生保健专业人员干部的影响。这项研究的目的是评估一组拉丁美洲产科医生和妇科医生对宫内节育器的知识和态度。2014年在智利组织的一次科学会议期间进行了一项调查，以介绍和讨论关于避孕的最新信息。来自拉丁美洲12个国家的产科医生和妇科医生参加了会议，他们报告说，他们在公共和私营部门都提供日常避孕服务。同意参加调查的参与者回答了一份关于对IUC的知识、使用和态度问题的多项选择问卷。参加会议的210名妇产科医生中，回答每个问题的人数从168人(80.0%)到205人(97.6%)不等。近50%的人认识到口服避孕药、贴片和阴道环的组合失败率为8%-10%。此外，10%的参与者不认识长效可逆避孕方法的高避孕效果。此外，近80%的受访者回答说，他们没有向未成年孕妇提供IUC，近10%的受访者没有向青少年提供IUC，尽管近90%的受访者报告说，未成年孕妇是LNG-IUS的候选对象。从参与调查的拉丁美洲产科医生和妇科医生的回答中发现了知识和态度方面的一些不足和矛盾之处。卫生保健专业人员对宫内节育器的了解和态度对于提供适当的咨询和扩大宫内节育器的使用非常重要。
Intrauterine contraceptives (IUCs), including the copper intrauterine device and the levonorgestrel-releasing intrauterine system (LNG-IUS), are among the reversible contraceptive methods with high effectiveness. However, use is low in many settings, including some Latin American countries, mainly due to the influences of myths, fears, and negative attitudes, not only of users and potential users, but also of different cadres of health care professionals. The purpose of this study was to assess the knowledge and attitudes of a group of Latin American obstetricians and gynecologists regarding IUCs. A survey was conducted during a scientific meeting organized in Chile in 2014 to present and discuss updated information about contraception. Obstetricians and gynecologists from 12 Latin American countries, who reported that they provide daily contraception services in both the public and private sectors, participated in the meeting. Participants who agreed to take part in the survey responded to a multiple-choice questionnaire on issues regarding knowledge, use, and attitudes about IUCs. Of the 210 obstetricians and gynecologists participating in the meeting, the respondents to each question varied from 168 (80.0%) to 205 (97.6%). Almost 50% recognized that the failure rate of combined oral contraceptives, patches, and vaginal rings is 8%–10%. Furthermore, 10% of the participants did not recognize the high contraceptive effectiveness of long-acting reversible contraceptive methods. Additionally, almost 80% of the respondents answered that they did not offer IUCs to nulligravidas and almost 10% did not offer IUCs to adolescents, albeit almost 90% of the respondents reported that nulligravidas are candidates for an LNG-IUS. Some deficiencies and contradictions in terms of knowledge and attitudes were identified from the answers of the Latin American obstetricians and gynecologists who participated in the survey. The knowledge and attitudes of health care professionals about IUCs are important in order to provide adequate counseling and to expand the use of IUCs.