Agreement between women's and providers' assessment of hormonal contraceptive risk factors
Agreement between women's and providers' assessment of hormonal contraceptive risk factors
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DOI：
10.1016/j.contraception.2005.12.001
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发表时间：
2006-05-01
期刊：
影响因子：
2.9
通讯作者：
Gardner, J
中科院分区：
文献类型：
--
作者：
Shotorbani, S;Miller, L;Gardner, J
目的：为了衡量妇女的自我管理的风险因素问卷和他们的供应商的评价，他们的医疗资格激素contraceptivesuse.Methods：这是一个匿名的横断面研究之间的协议。参与者是15 - 45岁的女性，她们完成了一份20项的自填问卷。这些妇女是从西雅图大都会地区的六个公共卫生计划生育诊所招募的。每个参与者的医疗保健提供者同时完成匹配的医疗评估问卷。使用供应商评估的“金标准”，我们比较了自我报告的病史，我们计算参与者-供应商协议点估计值和95%置信区间（CI）。结果：399参与者和供应商对，参与者-供应商协议获得392参与者对。大多数参与者（90.3%）年龄在15 - 30岁之间，77.7%使用激素避孕方法超过1年。总体一致性的估计比例为96%（95% CI，0.92 - 0.98）。女性更有可能报告严重头痛（12.4%对3.3%）。可能怀孕（7.3% vs. 3.5%）和吸烟（6.2%对2.1%），但报告每天吸烟超过15支的可能性较小（2.6% vs. 9.2%）和月经不规律（6.5%对9.9%）。总体而言，本研究中有很高比例的女性完成了我们的病史问卷，与其医疗保健提供者当天的医疗评估一致。对高血压等关键医疗合格标准的一致性远高于90%。对于存在分歧的标准，女性比其提供者更有可能确定禁忌症。(c)2006年爱思唯尔公司All rights reserved.
Objective: To measure agreement between women's self-administered risk factor questionnaire and their providers' evaluation of their medical eligibility for hormonal contraceptive use.Methods: This was an anonymous cross-sectional study. Participants were women 15-45 years old who completed a 20-item self-administered questionnaire. Women were recruited from six public health family planning clinics in the Seattle Metropolitan area. A matching medical evaluation questionnaire was completed concurrently by each participant's health care provider. Using provider evaluation as the "gold standard" against which we compared self-reported medical history, we calculated participant-provider agreement with point estimates and 95% confidence interval (CI).Results: Of 399 participant and provider pairs, participant-provider agreement was obtained for 392 participant pairs. The majority of the participants (90.3%) were 15-30 years old and 77.7% had used a hormonal contraceptive method for more than 1 year. The estimated proportion of the overall agreement was 96% (95% CI, 0.92-0.98). Women were more likely to report severe headaches (12.4% vs. 3.3%). possible pregnancy (7.3% vs. 3.5%) and smoking (6.2% vs. 2.1%) than providers, but less likely to report smoking more than 15 cigarettes per day (2.6% vs. 9.2%) and irregular menses (6.5% vs. 9.9%).Conclusion: Overall, a high proportion of the women in this study completed our medical history questionnaire in concordance with their health care providers' same-day medical evaluation. Agreement on critical medical eligibility criteria such as hypertension was well above 90%. For criteria on which there was disagreement, women were more likely to identify contraindications than were their providers. (c) 2006 Elsevier Inc. All rights reserved.