Prescribing of long-acting reversible contraception by general practice registrars across different rural regions of Australia: A cross-sectional analysis of the Registrar Clinical Encounters in Training Study data.


Journal

The Australian journal of rural health
ISSN: 1440-1584
Titre abrégé: Aust J Rural Health
Pays: Australia
ID NLM: 9305903

Informations de publication

Date de publication:
Jun 2021
Historique:
revised: 18 12 2020
received: 24 08 2020
accepted: 22 12 2020
pubmed: 21 6 2021
medline: 13 10 2021
entrez: 20 6 2021
Statut: ppublish

Résumé

To describe the pattern of prescribing long-acting reversible contraception by Australian general practitioner registrars across different classifications of rurality/urbanicity. A study nested within the Registrar Clinical Encounters in Training ongoing cohort study of Australian general practitioner registrars' in-consultation experience. A cross-sectional analysis of Registrar Clinical Encounters in Training data collected 2010-2017. Type of contraception prescribed by general practitioner registrars to women aged 12-55 for contraception-related indications was documented. Chi-square statistical analysis was performed to assess association of specific long-acting reversible contraception methods with rurality/urbanicity. General practitioner registrars enrolled in the Australian General Practice Training program in regional training providers/organisations participating in Registrar Clinical Encounters in Training. Long-acting reversible contraception was defined as etonogestrel implant, copper intrauterine device, levonorgestrel intrauterine device and medroxyprogesterone injection. In all 1737 registrars recorded 4073 registrar rounds of data from 2010 to 2017 (response rate 96%). Type of long-acting reversible contraception prescribed differed significantly across Australian Statistical Geography Standards classification of rurality (Pearson's χ Long-acting reversible contraception methods prescribed differ across different classifications of rurality. Women living in more rural/remote regions might have access difficulties for the levonorgestrel intrauterine device.

Identifiants

pubmed: 34148268
doi: 10.1111/ajr.12720
doi:

Types de publication

Journal Article

Langues

eng

Pagination

473-476

Subventions

Organisme : Department of Health, Australian Government

Informations de copyright

© 2021 National Rural Health Alliance Ltd.

Références

Winner B, Peipert J, Zhao Q, et al. Effectiveness of long-acting reversible contraception. N Engl J Med. 2012;336(21):1998-2007. https://doi.org/10.1056/NEJMoa1110855
Richters J, Fitzadam S, Yeung A, et al. Contraceptive practices among women: the second Australian study of health and relationships. Contraception. 2016;94:548-555. https://doi.org/10.1016/j.contraception.2016.06.016
National Collaborating Centre for Women's and Children's Health (UK). Long-acting Reversible Contraception: The Effective and Appropriate Use Of Long-acting Reversible Contraception 2005. London, UK: RCOG Press; 2019.
Mazza D, Harrison C, Taft A, et al. Current contraceptive management in Australian general practice: an analysis of BEACH data. Med J Aust. 2012;197(2):110-114. https://doi.org/10.5694/mja11.11599
Lucke JC, Herbert DL. Higher uptake of long-acting reversible and permanent methods of contraception by Australian women living in rural and remote areas. Aust N Z J Public Health. 2014;38(2):112-116. https://doi.org/10.1111/1753-6405.12208
Schoo A, Lawn S, Carson D. Towards equity and sustainability of rural and remote health services access: supporting social capital and integrated organisational and professional development. BMC Health Serv Res. 2016;16:111. https://doi.org/10.1186/s12913-016-1359-9
Turner R, Tapley A, Sweeney S, et al. Prevalence and associations of prescribing of long-acting reversible contraception by general practitioner registrars: a secondary analysis of ReCEnT data. BMJ Sex Reprod Health. 2020;46(3):218-225. https://doi.org/10.1136/bmjsrh-2019-200309
Rowe H, Holton S, Kirkman M, et al. Prevalence and distribution of unintended pregnancy: the Understanding Fertility Management in Australia National Survey. Aust N Z J Public Health. 2016;40(2):104-109. https://doi.org/10.1111/1753-6405.12461
Morgan S, Magin PJ, Henderson KM, et al. Study protocol: the Registrar Clinical Encounters in Training (ReCEnT) study. BMC Fam Prac. 2012;13(50): https://doi.org/10.1186/1471-2296-13-50

Auteurs

Rachel Turner (R)

School of Medicine & Public Health, University of Newcastle, Callaghan, NSW, Australia.
GP Synergy NSW and ACT Research and Evaluation Unit, Mayfield West, NSW, Australia.

Amanda Tapley (A)

School of Medicine & Public Health, University of Newcastle, Callaghan, NSW, Australia.
GP Synergy NSW and ACT Research and Evaluation Unit, Mayfield West, NSW, Australia.

Sally Sweeney (S)

School of Medicine & Public Health, University of Newcastle, Callaghan, NSW, Australia.
Elermore Vale General Practice, Newcastle, NSW, Australia.

Andrew Davey (A)

School of Medicine & Public Health, University of Newcastle, Callaghan, NSW, Australia.
GP Synergy NSW and ACT Research and Evaluation Unit, Mayfield West, NSW, Australia.

Mieke van Driel (M)

Primary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.

Simon Morgan (S)

GP Synergy NSW and ACT Research and Evaluation Unit, Mayfield West, NSW, Australia.
Elermore Vale General Practice, Newcastle, NSW, Australia.

Neil Spike (N)

Eastern Victoria General Practice Training, Melbourne, Vic., Australia.
Department of General Practice, The University of Melbourne, Melbourne, Vic, Australia.

Kristen FitzGerald (K)

General Practice Training Tasmania, Hobart, TAS, Australia.

Parker Magin (P)

School of Medicine & Public Health, University of Newcastle, Callaghan, NSW, Australia.
GP Synergy NSW and ACT Research and Evaluation Unit, Mayfield West, NSW, Australia.

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