- Title
- Associations of anticipated prescribing of long-acting reversible contraception by general practice registrars: a cross-sectional study
- Creator
- Turner, Rachel; Tapley, Amanda; Holliday, Elizabeth; Ball, Jean; Sweeney, Sally; Magin, Parker
- Relation
- Australian Journal of General Practice Vol. 50, Issue 12, p. 929-935
- Publisher Link
- http://dx.doi.org/10.31128/AJGP-09-20-5657
- Publisher
- Royal Australian College of General Practitioners
- Resource Type
- journal article
- Date
- 2021
- Description
- Background and objectives: Long-acting reversible contraception (LARC) is highly effective, but uptake in Australia is low. The aim of this study was to establish general practice registrars' LARC training/insertion experience, as well as frequency of and factors associated with choosing LARC in response to clinical vignettes. Method: This was a cross-sectional questionnaire-based study of general practice registrars in NSW or ACT. The questionnaire elicited a contraceptive management response to three clinical vignettes. The outcome factor in each of three multivariate logistic regression analyses was: 'LARC chosen' or 'LARC not chosen'. Results: Of 223 registrars, 18.5% had received intrauterine device (IUD) insertion training, and 9.4% had inserted IUD in general practice. For contraceptive implants, these figures were 64.3% for training and 50.3% for insertion. Significant multivariate associations (all odds ratios >2.5) of choosing LARC in at least one vignette included Australian medical graduate, female gender and confidence in knowledge regarding IUD/implant. Discussion: Modest proportions of general practice registrars have training in, and in-practice experience of, LARC insertion. The most notable association with choice of LARC was confidence in knowledge regarding LARC.
- Subject
- general practice; anticipated prescribing; long-acting reversible contraception; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1446731
- Identifier
- uon:42954
- Identifier
- ISSN:2208-794X
- Language
- eng
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