Using the theory of reasoned action to explain physician intention to prescribe emergency contraception.
Using the theory of reasoned action to explain physician intention to prescribe emergency contraception.
复制标题
使用合理行动理论来解释医生开紧急避孕药的意图。
DOI：
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复制
发表时间：
2006
影响因子：
5.8
通讯作者：
Matthew Hall
中科院分区：
文献类型：
--
作者：
M. Sable;Lisa R. Schwartz;P. Kelly;E. Lisbon;Matthew Hall
上下文
尽管研究检查了提供者关于紧急避孕的知识、态度和处方行为，但还没有人使用基于理论的方法来理解这些因素的相互作用。
方法
2004年，对一所南方大学和三所中西部大学的96名教职医生进行了横断面调查，以评估与开出紧急避孕药具的意向有关的因素。理性行动理论指导了研究假设和调查设计。采用相关分析和回归分析对数据进行检验。
结果
只有42%的受访者强烈打算为青少年开紧急避孕药具，但65%-77%的人打算为所有其他特定群体(要求这种方法的妇女、有方法问题的妇女、经历过强奸或乱伦的妇女和有过无保护措施的性行为的妇女)这样做。与理性行动理论一致，开紧急避孕药具的高意向与对这样做的积极态度以及特定同事或专业团体支持开药方的看法有关；然而，同事或专业团体总体上对支持的看法并不能预测意图。同样与这一理论一致的是，医生对紧急避孕的知识及其人口统计学特征并不显著。
结论
鼓励医生提供紧急避孕措施的干预措施应该考虑到他们对这种方法的态度以及这些态度的组成部分。
CONTEXT
Although research has examined providers' knowledge, attitudes and prescribing behaviors with regard to emergency contraception, none has used a theory-based approach to understanding the interplay of these factors.
METHODS
A cross-sectional survey of 96 faculty physicians from one Southern and three Midwestern universities was conducted in 2004 to assess factors associated with intention to prescribe emergency contraception. The theory of reasoned action guided the study hypotheses and survey design. Correlation and regression analyses were used to examine the data.
RESULTS
Only 42% of respondents strongly intended to prescribe emergency contraception for teenagers, but 65-77% intended to do so for all other specified groups (women who ask for the method, who have had a method problem, who have experienced rape or incest, and who have had unprotected sex). Consistent with the theory of reasoned action, high intention to prescribe emergency contraception was associated with positive attitudes toward doing so and with the perception that specific colleagues or professional groups support prescribing it; however, the perception of support by colleagues or professional groups in general did not predict intention. Also consistent with the theory, physicians' knowledge about emergency contraception and their demographic characteristics were not significant.
CONCLUSIONS
Interventions to encourage physicians to provide emergency contraception should take into account their attitudes toward the method and the components of those attitudes.