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| A network survey on knowledge, attitude, and practice toward combined oral contraceptives among obstetrician-gynecologists from 2021 to 2022 |
| 1.Shanghai Institute for Biomedical and Pharmaceutical Technologies, Key Lab. of National Health Commission for Family Planning and Contraceptives, Shanghai, 200237; 2.School of Public Health, Fudan University, Shanghai |
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Abstract To investigate the knowledge, attitudes, and practices (KAP)towards combined oral contraceptives (COCs)among obstetrician-gynecologist in China, and to provide the evidences for the application and extension of COCs in China. Methods: The study subjects were recruited via the national family planning practitioner network. The eligible obstetrician-gynecologists were invited to complete a self-administered questionnaire between June 2021 to April 2022. The information of the background and KAP about COCs of the respondents was collected. Category analysis, Cochran-Mantel-Haenszel test, latent class analysis, and two-level binomial logistic regression were used for data analysis. Results: A total of 1600 subjects were screened. Of them, 1450 (90.63%)were eligible and completed questionnaires. The median of COC knowledge scores of the subjects was 73.2(60.6-80.3)points. The scores of COC advantages and disadvantages, mechanisms, contraindications, and non-contraceptive indications of the subjects were 72.9(52.1-77.1)points, 80.0(80.0-100.0)points, 77.8 (66.7-88.9)points, and 88.9 (77.8-100.0)points, respectively. Regarding the attitude towards COCs of the subjects, “users lack of awareness of COCs” (85.2%)and “increasing risk of venous thrombosis” (75.5%)were the top two reasons for reluctant using COCs. “clients having contraceptive needs without contraindication” (89.9%), “clients having treatment needs without contraindication” (86.9%), and “clients choosing COCs due to ineligible for the use of intrauterine devices” (84.9%)were the top three reasons for using COCs. The results of two-level binomial logistic regression indicated that the good COC knowledge (OR=1.74, 95%CI 1.25-2.44)and the positive attitude towards COCs (OR=4.33, 95%CI 2.77-6.76)of the obstetrician-gynecologists had significantly associated with their clinical application of COCs. Conclusion: The insufficient knowledge and the negative attitude toward COCs of obstetrician-gynecologists in China are found in this survey, and which impact the obstetrician-gynecologists in their clinical practice behavior for providing COC services. It is recommended to strengthen the training of contraceptive knowledge of obstetrician-gynecologists, so as to provide high-quality family planning counseling and guidance services for their clients.
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