Determining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study

Abstract Background Global pandemics like Zika (ZIKV) factor into pregnancy planning and avoidance, yet little is known about how primary care providers (PCPs) incorporate public health guidance into contraceptive counseling. Study objectives include: 1) determining the impact of the ZIKV pandemic o...

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Autores principales:	Jennifer E. Kaiser, Eduardo Galindo, Jessica N. Sanders, Rebecca G. Simmons, Lori M. Gawron, Jennifer S. Herrick, Benjamin Brintz, David K. Turok
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Contraception Counseling Zika virus Primary care Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/c895842554a44328ab3d40816aa2baa9
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spelling	oai:doaj.org-article:c895842554a44328ab3d40816aa2baa92021-11-14T12:09:45ZDetermining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study10.1186/s12913-021-07170-01472-6963https://doaj.org/article/c895842554a44328ab3d40816aa2baa92021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07170-0https://doaj.org/toc/1472-6963Abstract Background Global pandemics like Zika (ZIKV) factor into pregnancy planning and avoidance, yet little is known about how primary care providers (PCPs) incorporate public health guidance into contraceptive counseling. Study objectives include: 1) determining the impact of the ZIKV pandemic on contraceptive counseling changes; and 2) assessing PCP knowledge and practice regarding contraception, ZIKV, and CDC ZIKV guidelines. Methods Study components included: (1) a retrospective review of electronic health records of non-pregnant, reproductive age women presenting for preventive health visits between 2014 and 2017 assessed using interrupted time series analyses (ITSA) to identify changes in documentation of ZIKV risk assessment and contraceptive counseling; and (2) a sequential, cross-sectional study with quantitative surveys and qualitative, semi-structured interviews of PCPs providing preventive care to non-pregnant patients at eight federally qualified health centers in Utah. We performed descriptive analyses on survey data and analyzed qualitative data for dominant themes using a modified Health Belief Model. Results We conducted 6634 chart reviews yielding 9840 visits. The ITSA did not reveal changes in ZIKV risk assessment or contraceptive counseling. Twenty-two out of 40 (55%) eligible providers participated in the provider component. Participants averaged 69 and 81% correct on contraceptive and ZIKV knowledge questions, respectively. Sixty-five percent reported counseling consistent with CDC ZIKV guidelines. Qualitative analysis found providers unlikely to prioritize ZIKV risk assessment in contraceptive counseling for non-pregnant patients. Conclusions PCPs who care for non-pregnant women are knowledgeable about contraception and ZIKV; however, there was no change in ZIKV risk assessment or contraceptive counseling. This stresses the importance of developing strategies to improve guideline uptake.Jennifer E. KaiserEduardo GalindoJessica N. SandersRebecca G. SimmonsLori M. GawronJennifer S. HerrickBenjamin BrintzDavid K. TurokBMCarticleContraceptionCounselingZika virusPrimary carePublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Contraception Counseling Zika virus Primary care Public aspects of medicine RA1-1270
spellingShingle	Contraception Counseling Zika virus Primary care Public aspects of medicine RA1-1270 Jennifer E. Kaiser Eduardo Galindo Jessica N. Sanders Rebecca G. Simmons Lori M. Gawron Jennifer S. Herrick Benjamin Brintz David K. Turok Determining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study
description	Abstract Background Global pandemics like Zika (ZIKV) factor into pregnancy planning and avoidance, yet little is known about how primary care providers (PCPs) incorporate public health guidance into contraceptive counseling. Study objectives include: 1) determining the impact of the ZIKV pandemic on contraceptive counseling changes; and 2) assessing PCP knowledge and practice regarding contraception, ZIKV, and CDC ZIKV guidelines. Methods Study components included: (1) a retrospective review of electronic health records of non-pregnant, reproductive age women presenting for preventive health visits between 2014 and 2017 assessed using interrupted time series analyses (ITSA) to identify changes in documentation of ZIKV risk assessment and contraceptive counseling; and (2) a sequential, cross-sectional study with quantitative surveys and qualitative, semi-structured interviews of PCPs providing preventive care to non-pregnant patients at eight federally qualified health centers in Utah. We performed descriptive analyses on survey data and analyzed qualitative data for dominant themes using a modified Health Belief Model. Results We conducted 6634 chart reviews yielding 9840 visits. The ITSA did not reveal changes in ZIKV risk assessment or contraceptive counseling. Twenty-two out of 40 (55%) eligible providers participated in the provider component. Participants averaged 69 and 81% correct on contraceptive and ZIKV knowledge questions, respectively. Sixty-five percent reported counseling consistent with CDC ZIKV guidelines. Qualitative analysis found providers unlikely to prioritize ZIKV risk assessment in contraceptive counseling for non-pregnant patients. Conclusions PCPs who care for non-pregnant women are knowledgeable about contraception and ZIKV; however, there was no change in ZIKV risk assessment or contraceptive counseling. This stresses the importance of developing strategies to improve guideline uptake.
format	article
author	Jennifer E. Kaiser Eduardo Galindo Jessica N. Sanders Rebecca G. Simmons Lori M. Gawron Jennifer S. Herrick Benjamin Brintz David K. Turok
author_facet	Jennifer E. Kaiser Eduardo Galindo Jessica N. Sanders Rebecca G. Simmons Lori M. Gawron Jennifer S. Herrick Benjamin Brintz David K. Turok
author_sort	Jennifer E. Kaiser
title	Determining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study
title_short	Determining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study
title_full	Determining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study
title_fullStr	Determining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study
title_full_unstemmed	Determining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study
title_sort	determining the impact of the zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the us: a mixed methods study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/c895842554a44328ab3d40816aa2baa9
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Determining the impact of the Zika pandemic on primary care providers’ contraceptive counseling of non-pregnant patients in the US: a mixed methods study

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