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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Exploring emergency contraception knowledge, prescription practices, and barriers to prescription for adolescents in the emergency department.
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Exploring emergency contraception knowledge, prescription practices, and barriers to prescription for adolescents in the emergency department.

机译：在急诊科中探索紧急避孕知识，处方做法以及青少年处方的障碍。

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OBJECTIVE: The objective of this study was to assess the proportion of emergency medicine physicians who had prescribed emergency contraception pills to adolescents, to identify potential barriers to emergency contraception pill prescription for adolescents, and to assess physician knowledge of emergency contraception pills. PARTICIPANTS AND METHODS: A cross-sectional, anonymous, Internet-based survey of members of the American Academy of Pediatrics Section of Emergency Medicine was conducted. Providers were included in analysis if they were attending physicians caring for children (<22 years of age) in the emergency department setting >30% of the time. Survey questions included demographics, emergency contraception pill prescription rates for adolescents, attitudes toward emergency contraception pills for adolescents, and emergency contraception pill knowledge questions. RESULTS: A total of 1005 Section of Emergency Medicine members were contacted; 424 (42%) responded, and 133 did not meet inclusion criteria. Of the 291 eligible respondents, 282 had complete surveys. Eighty-five percent of the respondents stated that they had prescribed emergency contraception pills to adolescents, 71% within the previous year. Of those, 81% prescribed emergency contraception pills <5 times. The 5 most frequently cited barriers were concern for lack of follow-up (72%), time constraints (40%), lack of clinical resources (33%), discouraging regular contraceptive use (29%), and concern about birth defects (27%). Thirty-nine percent of respondents identified >/=5 barriers to emergency contraception pill prescriptions for adolescents. Forty-three percent incorrectly answered >50% of the questions. Physicians were more likely to report prescribing emergency contraception pills if they had answered >3 of the knowledge-based questions correctly and were less likely to report prescribing if they identified >5 barriers. CONCLUSIONS: Although a large proportion of emergency department physicians reported prescribing emergency contraception pills to adolescents, the pills were prescribed infrequently. Factors associated with nonprescription were decreased knowledge of emergency contraception pills and identifying >5 barriers. Identification of these potential barriers and education regarding emergency contraception pills may ultimately improve adolescent access to emergency contraception pills in the emergency department.
机译：目的：本研究的目的是评估向青少年开具紧急避孕药的急诊医学医师的比例，确定青少年制定紧急避孕药的潜在障碍，以及评估医师对紧急避孕药的了解。参与者与方法：对美国儿科急诊科儿科的成员进行了一项基于互联网的横断面匿名调查。如果提供者是在急诊室就诊的医生（年龄小于22岁），其服务时间超过30％，则将其纳入分析。调查问题包括人口统计资料，青少年使用紧急避孕药的处方率，青少年使用紧急避孕药的态度以及紧急避孕药的知识问题。结果：总共联系了1005科的急诊科成员。 424位（42％）回应，其中133位不符合纳入标准。在291位合格的受访者中，有282位完成了调查。百分之八十五的受访者表示，他们已向青少年开具了紧急避孕药，而去年这一比例为71％。在这些人中，有81％开出了5次以下的紧急避孕药。最常被提及的5个障碍是缺乏随访（72％），时间紧迫（40％），缺乏临床资源（33％），不鼓励经常使用避孕药（29％）以及对出生缺陷的担忧（ 27％）。 39％的受访者确定了青少年紧急避孕药处方的> / = 5障碍。有百分之四十三的人错误地回答了> 50％的问题。如果医生正确回答了> 3个基于知识的问题，则医生更有可能报告开紧急避孕药的处方，如果他们确定了> 5个障碍，则医生就不太可能报告开处方。结论：尽管有很大比例的急诊科医师报告了给青少年开紧急避孕药的处方，但很少处方这些药。与非处方药相关的因素包括对紧急避孕药的了解减少以及发现> 5种障碍。确定这些潜在障碍并进行有关紧急避孕药的教育可能最终改善青少年在急诊室中获取紧急避孕药的机会。

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