142nd APHA Annual Meeting and Exposition

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303816
Physician acceptability of the Intrauterine Device as Emergency Contraception in Buenos Aires, Argentina

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 11:30 AM - 11:42 AM

Sruti Akella, M.D. Candidate , School of Medicine, Stony Brook University, Stony Brook, NY
Margaret Pichardo, M.P.H. , Program in Public Health, Department of Preventive Medicine, Stony Brook University, Stony Brook, NY
Lia Arribas, M.D. , Family Planning, Rivadavia Hospital, Buenos Aires (C1425ASQ), Argentina
Graciela Heredia, M.D. , Family Planning, Rivadavia Hospital, Buenos Aires (C1425ASQ), Argentina
Elina Coccio, M.D. , Family Planning, Rivadavia Hospital, Buenos Aires (C1425ASQ), Argentina
Tia Palermo, PhD , Graduate Program in Public Health, Stony Brook University Medical Center, Stony Brook, NY
Background:

The copper-bearing intrauterine device (IUD) is both safe and the most effective form of emergency contraception (EC), but women are often unaware of its use as EC. Few studies have examined the attitudes of health care providers, who are gatekeepers to this method, regarding acceptability of the IUD for EC. We estimate level of knowledge and acceptability of IUDs as EC among physicians in Buenos Aires, Argentina.

Methods:

Surveys were conducted with physicians in emergency medicine, obstetrics and gynecology departments at a public hospital. We performed bivariate analysis using chi-squared tests and t-tests to examine the relationship between provider characteristics and knowledge and acceptability of the IUD as EC.

Results:

Among respondents (N=42), 92.7% were trained in IUD insertions, but only 59.5% were aware that the IUD served as EC, and even fewer (33.3%) were highly knowledgeable of the IUD as EC. After being provided with information on WHO guidelines and efficacy, 78.6% of physicians responded it was probable they would recommend the IUD as EC. In bivariate analyses, physicians that performed fewer IUD insertions throughout their career (p<.10), attended church only occasionally (p<.05), and had enough experience to counsel patients regarding IUDs (p<.10) had more accepting attitudes towards the IUD as EC.

Conclusion:

Results suggest the need for more education of health care providers on the safety and efficacy of the IUD as EC. Additional benefits of this method include long-term protection against unwanted pregnancy, which can help bring down high rates of unintended pregnancy.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Public health or related public policy
Public health or related research

Learning Objectives:
Evaluate level of knowledge and acceptability of IUDs as EC among physicians Analyze the relationship between provider characteristics and knowledge and acceptability of the IUD as EC Identify barriers that prevent physicians from recommending IUDs as EC to patients

Keyword(s): Physicians, Contraception

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I graduated with an MPH degree, with a concentration in evaluative sciences (quantitative and qualitative research). This research was conducted under the supervision of my MPH professor, advisor and co-author, Dr. Tia Palermo. My academic studies and research work during the last 6 years has focused predominantly on Latin American populations in the US and in Latin America. My recent research work focuses on reproductive health and family planning.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.