Recommendations for intrauterine contraception: a randomized trial of the effects of patients' race/ethnicity and socioeconomic status
Recommendations for intrauterine contraception: a randomized trial of the effects of patients' race/ethnicity and socioeconomic status
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DOI：
10.1016/j.ajog.2010.05.009
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发表时间：
2010-10-01
影响因子：
9.8
通讯作者：
Steinauer, Jody
中科院分区：
文献类型：
--
作者：
Dehlendorf, Christine;Ruskin, Rachel;Steinauer, Jody
目的：已发现医疗保健提供者的建议因患者种族/民族和社会经济地位而异，可能导致健康差异。本研究探讨了这些因素对避孕recommendations for contraction.Study Design的影响：18个视频描绘了不同的社会人口特征的患者之一，显示给每个524医疗保健提供者。提供者表示，他们是否会建议左炔诺孕酮宫内避孕的患者显示在video.RESULTS：低社会经济地位的白人不太可能有宫内避孕的建议比高社会经济地位的白人（比值比[OR]，0.20; 95%置信区间[CI]，0.06-0.69），而社会经济地位没有显着影响拉丁美洲人和黑人。按种族/民族划分，社会经济地位低的拉丁裔和黑人比社会经济地位低的白人更有可能推荐宫内避孕（OR，3.4;和95%CI，1.1-10.2和OR，3.1; 95%CI，1.0-9.6），对于高社会经济地位的患者没有种族/民族的影响。提供者可能对宫内避孕有偏见，或根据患者的种族/民族和社会经济地位对其使用进行假设。
OBJECTIVE: Recommendations by health care providers have been found to vary by patient race/ethnicity and socioeconomic status and may contribute to health disparities. This study investigated the effect of these factors on recommendations for contraception.STUDY DESIGN: One of 18 videos depicting patients of varying socio-demographic characteristics was shown to each of 524 health care providers. Providers indicated whether they would recommend levonorgestrel intrauterine contraception to the patient shown in the video.RESULTS: Low socioeconomic status whites were less likely to have intrauterine contraception recommended than high socioeconomic status whites (odds ratio [OR], 0.20; 95% confidence interval [CI], 0.06-0.69); whereas, socioeconomic status had no significant effect among Latinas and blacks. By race/ethnicity, low socioeconomic status Latinas and blacks were more likely to have intrauterine contraception recommended than low socioeconomic status whites (OR, 3.4; and 95% CI, 1.1-10.2 and OR, 3.1; 95% CI, 1.0-9.6, respectively), with no effect of race/ethnicity for high socioeconomic status patients.CONCLUSION: Providers may have biases about intrauterine contraception or make assumptions about its use based on patient race/ethnicity and socioeconomic status.