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Titolo:
Barriers to screening sexually active adolescent women for chlamydia: A survey of primary care physicians
Autore:
Cook, RL; Wiesenfeld, HC; Ashton, MR; Krohn, MA; Zamborsky, T; Scholle, SH;
Indirizzi:
Univ Pittsburgh, Sch Med, Ctr Res Hlth Care, Pittsburgh, PA USA Univ Pittsburgh Pittsburgh PA USA Ctr Res Hlth Care, Pittsburgh, PA USA Univ Pittsburgh, Sch Med, Dept Med, Pittsburgh, PA USA Univ Pittsburgh Pittsburgh PA USA Sch Med, Dept Med, Pittsburgh, PA USA Univ Pittsburgh, Sch Med, Dept Obstet Gynecol & Reprod Sci, Pittsburgh, PAUSA Univ Pittsburgh Pittsburgh PA USA ynecol & Reprod Sci, Pittsburgh, PAUSA Univ Pittsburgh, Sch Med, Dept Psychiat, Pittsburgh, PA USA Univ Pittsburgh Pittsburgh PA USA Med, Dept Psychiat, Pittsburgh, PA USA
Titolo Testata:
JOURNAL OF ADOLESCENT HEALTH
fascicolo: 3, volume: 28, anno: 2001,
pagine: 204 - 210
SICI:
1054-139X(200103)28:3<204:BTSSAA>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSMITTED DISEASES; TRACHOMATIS INFECTION; COST-EFFECTIVENESS; PREVALENCE; PERFORMANCE; PREVENTION; FEMALES; GENDER; IMPACT;
Keywords:
chlamydia infections; screening; women's health services; physicians' practice patterns; attitude of health personnel;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Cook, RL UPMC Montefiore, Ctr Res Hlth Care, E820,200 Lothrop St, Pittsburgh, PA 15213 USA UPMC Montefiore E820,200 Lothrop St Pittsburgh PA USA 15213 3 USA
Citazione:
R.L. Cook et al., "Barriers to screening sexually active adolescent women for chlamydia: A survey of primary care physicians", J ADOLES H, 28(3), 2001, pp. 204-210

Abstract

Purpose: To determine the proportion of primary care physicians who screensexually active teenage women for chlamydia and to determine demographic factors, practice characteristics, and attitudes associated with chlamydia screening. Methods: We obtained a random sample of 1600 Pennsylvania physicians from the American Medical Association masterfile, stratified to include at least40% women and equal numbers of family physicians, internists, obstetricians/gynecologists, and pediatricians. In January 1998, physicians received mailed questionnaires; nonrespondents received two follow-up mailings. Physician characteristics associated with chlamydia screening were determined using bivariate and logistic regression analyses. Results: Only one-third of physicians responded that they would screen asymptomatic, sexually active teenage women for chlamydia during a routine gynecologic examination. In multivariate analysis, physicians were significantly (p < .05) more likely to screen if they were female (43% vs. 24%), worked in a clinic versus solo practice (60% vs. 18%), worked in a metropolitan location (46% vs. 26%), or had a patient population <greater than or equal to>20% African-American (54% vs. 25%). Attitudes associated with screening included the belief that most 18-year-old women in their practice were sexually active (36% vs. 12%), feeling responsible for providing information about the prevention of sexually transmitted diseases to their patients (42% vs. 21%), or knowing that screening for chlamydia prevents pelvic inflammatory disease (37% vs. 13%). Physicians were less likely to screen if they believed that the prevalence of chlamydia was low (10% vs. 41%). Conclusions: A majority of physicians do not adhere to recommended chlamydia screening practices for teenage women. Interventions to improve chlamydia screening might target physicians who are male, in private practice, or who practice in rural areas, and should focus on increasing awareness of theprevalence of chlamydia and benefits of screening. (C) Society for Adolescent Medicine 2001.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 20:32:21