Contraception
Volume 81, Issue 4 , Pages 292-298, April 2010

Health care providers' knowledge about contraceptive evidence: a barrier to quality family planning care?

  • Christine Dehlendorf

      Affiliations

    • Department of Family and Community Medicine, UCSF, CA 94143, USA
    • Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Health, UCSF, CA 94143, USA
  • ,
  • Kira Levy

      Affiliations

    • Department of Family and Community Medicine, UCSF, CA 94143, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 415 206 8757; fax: +1 415 206 4527.
  • ,
  • Rachel Ruskin

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Health, UCSF, CA 94143, USA
  • ,
  • Jody Steinauer

      Affiliations

    • Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Health, UCSF, CA 94143, USA

Received 5 August 2009; received in revised form 2 November 2009; accepted 10 November 2009. published online 11 December 2009.

Abstract 

Background

The underuse of effective contraceptive methods by women at risk for unintended pregnancy is a major factor contributing to the high rate of unintended pregnancy in the United States. As health care providers are important contributors to women's contraceptive use, this study was conducted to assess provider knowledge about contraception.

Study Design

Bivariate and multivariate analyses were performed using data collected from a convenience sample of health care providers (physicians, nurse practitioners and physician assistants) at meetings of the professional societies of family medicine and obstetrics and gynecology.

Results

Younger providers were more knowledgeable, as were obstetrician/gynecologists, female providers and providers who provide intrauterine contraception in their practice.

Conclusions

The lack of consistent and accurate knowledge about contraception among providers has the potential to dramatically affect providers' ability to provide quality contraceptive care for their patients, which could have an impact on their ability to prevent unintended pregnancies.

Keywords: Contraception, Provider knowledge, Contraceptive counseling, Unintended pregnancy

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PII: S0010-7824(09)00490-9

doi:10.1016/j.contraception.2009.11.006

Contraception
Volume 81, Issue 4 , Pages 292-298, April 2010