Analiza uticaja socio-demografskih karakteristika i stavova na praksu ginekologa i farmaceuta u vezi sa metodama planiranja porodice u Srbiji
Analysis of the impact of sociodemographic characteristics and attitudes on practice of gynaecologists and pharmacists regarding family planning methods in Serbia
Author
Milosavljević, Jelena M.Mentor
Krajnović, Dušanka
Committee members
Mitrović-Jovanović, AnaTasić, Ljiljana

Bogavac-Stanojević, Nataša

Rašević, Mirjana
Metadata
Show full item recordAbstract
Uvod i ciljevi. Stopa abortusa u Srbiji je duplo veća od stope fertiliteta i među
najvišim je u Evropi. Glavni faktor koji tome doprinosi je mala upotreba moderne
kontracepcije. Ciljevi disertacije su bili da se istraže stavovi i praksa ginekologa u vezi sa
metodama planiranja porodice, kao i da se ispita uticaj socio-demografskih karakteristika i
stavova na primenu ovih metoda. Takođe, da se istraže znanje, stavovi i praksa farmaceuta
u vezi sa hitnom kontracepcijom i da se ispita veza između socio-demografskih
karakteristika, znanja i stavova sa praksom.
Metode istraživanja. Sprovedene su dve studije preseka sa ginekolozima i
farmaceutima javnih apoteka. Podaci su analizirani chi-kvadrat testom, univarijantnom i
multiplom logističkom regresijom.
Rezultati i diskusija. Polovina ispitanih ginekologa je izjavila da ima moralne/etičke
zamerke na metode kontracepcije, kao i da ih ne bi ponudili pacijentkinji. Ginekolozi sa
zamerkama na kontracepciju imali su manje šanse da imaju zamerke n...a abortus (OR:
0,422). Ovakav stav je najizraženiji u Južnoj i Istočnoj Srbiji. Značajno veći broj
farmaceuta nego ginekologa (12% vs. 2%, p<0,001) ne bi izdao hitnu kontracepciju ni pod
kakvim uslovima. Takođe, veliki broj farmaceuta je izjavio da bi odbili izdavanje ovih
proizvoda generalno (15%), kao i u specifičnim situacijama: za buduću upotrebu (72%),
kada je prošlo >72 sata od odnosa (78%), kada nije došla krajnja korisnica (70%), kao i
zbog godina korisnice (75%). Polovina ispitanika imala je nedovoljno znanje o hitnoj
kontracepciji i upravo ta grupa je imala veće šanse da odbije njeno izdavanje generalno
(OR: 1,862) i u određenim situacijama (nije krajnja korisnica (OR: 1,412) ili >72 sata od
odnosa (OR: 1,445)). Farmaceuti sa više godina radnog iskustva imali veće šanse da odbiju
izdavanje korisnici mlađoj od 16 godina (OR: 1,023).
Zaključak. Naše istraživanje proizvelo je značajne rezultate koji se mogu primeniti
za buduća istraživanja i unapređenje zdravstvene politike i prakse.
Introduction and aims. Abortion rate in Serbia is duble fertility rate and amog the
highest in Europe. A major factor contributing to this is the low prevalence of use of
modern contraception. The aims of dissertation were to investigate attitudes and practice of
gynaecologists related to family planning methods, and to examine the influence of sociodemogrphic
characteristics and attitudes on use of these methods. Also, to investigate
knowledge, attitudes and practice of pharmacists regarding emergency contraception and to
examine the influence of socio-demogrphic characteristics, knowledge and attitudes on
their practice.
Methods. Two cross-sectional studies, with ginaecologists and community
pharmacists, were conducted. Data were analysed by chi-square test, univariate and
multiple logistic regression.
Results and discussion. Half of the surveyed gynaecologists had moral/ethical
objections to certain contraceptive methods, and would not offer them to patients. Those
who objected to c...ontraceptives were less likely to object to abortions (OR: 0,422). This
attitude was more prevalent in Southern and Eastern Serbia. Significantly more pharmacists
than gynaecologists (12% vs. 2%, p<0.001) would not provide emergency contraception to
anybody under any circumstance. Also, pharmacists in large number denied these products
provision overall (15%) and in particular circumstances; when it was for future use (72%),
>72 h after intercourse (78%), for non-intended user (70%) and because of patient age
(75%). Half of the surveyed pharmacists had poor knowledge of emergency contraception
and that group was more likely to decline the provision overall (OR: 1.862) and in
particular circumstances (non-intended user (OR: 1.412) or >72 h after intercourse (OR:
1.445)). Pharmacists with more work experience were more likely to deny emergency
contraception requests to user younger than 16 (OR: 1.023).Conclusion. Our study produced important results that can be used to inform future
research and to improve health policy and practice.