US family physicians' intrauterine and implantable contraception provision: results from a national survey

Contraception
Mollie B NisenSusan E Rubin

Abstract

Establish a current cross-sectional national picture of intrauterine device (IUD) and implant provision by US family physicians and ascertain individual, clinical site and scope of practice level associations with provision. Secondary analysis of data from 2329 family physicians recertifying with the American Board of Family Medicine in 2014. Overall, 19.7% of respondents regularly inserted IUDs, and 11.3% regularly inserted and/or removed implants. Family physicians provided these services in a wide range of clinical settings. In bivariate analysis, almost all of the individual, clinical site and scope of practice characteristics we examined were associated with provision of both methods. In multivariate analysis, the scope of practice characteristics showed the strongest association with both IUD and implant provision. For IUDs, this included providing prenatal care with [adjusted odds ratio (aOR) 3.26, 95% confidence interval (95% CI)=1.93-5.49] or without (aOR=3.38, 95% CI=1.88-6.06) delivery, performance of endometrial biopsies (aOR=16.51, 95% CI=11.97-22.79) and implant insertion and removal (aOR=8.78, 95% CI=5.79-13.33). For implants, it was providing prenatal care and delivery (aOR=1.77, 95% CI=1.15-2.74), office skin p...Continue Reading

References

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Aug 19, 2014·Contraception·Joseph E PotterDaniel Grossman

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Citations

Jan 10, 2021·BMC Family Practice·Hervé Tchala Vignon ZomahounFrance Légaré
Aug 22, 2021·American Journal of Obstetrics and Gynecology·Candice ChenPatricia Pittman

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