Predictors of abortion provision among practicing obstetrician-gynecologists: A national survey

Objective The objective of the study was to identify the factors that predict whether physicians include pregnancy termination in their practices. Study Design We surveyed all 5055 obstetrician-gynecologists who became board certified between 1998 and 2001 about personal characteristics, career plan...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2008, Vol.198 (1), p.39.e1-39.e6
Main Authors: Steinauer, Jody, MD, MAS, Landy, Uta, PhD, Filippone, Heidi, MD, Laube, Douglas, MD, MEd, Darney, Philip D., MD, MSc, Jackson, Rebecca A., MD
Format: Article
Language:English
Subjects:
abortion provision
abortion training
Abortion, Induced - education
Abortion, Induced - trends
Adult
Attitude of Health Personnel
Biological and medical sciences
Confidence Intervals
Diseases of mother, fetus and pregnancy
Education, Medical, Graduate
Female
Gynecology - education
Gynecology - trends
Gynecology. Andrology. Obstetrics
Health Care Surveys
Humans
Internship and Residency
Male
medical education
Medical sciences
Middle Aged
Obstetrics - education
Obstetrics - trends
Obstetrics and Gynecology
Odds Ratio
Practice Management, Medical
Practice Patterns, Physicians
Predictive Value of Tests
Pregnancy
Pregnancy. Fetus. Placenta
Probability
Surveys and Questionnaires
United States
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Summary:Objective The objective of the study was to identify the factors that predict whether physicians include pregnancy termination in their practices. Study Design We surveyed all 5055 obstetrician-gynecologists who became board certified between 1998 and 2001 about personal characteristics, career plans, intention to provide abortions before residency, residency training, and current abortion practice. Results Of 2149 respondents (43%), 22% had provided elective abortion in the past year. In multivariate analysis controlling for preresidency intentions, personal beliefs, and other variables, the following were independently associated with current abortion provision: completing a residency program with abortion training (odds ratio [OR], 1.6; confidence interval [CI], 1.1-2.3; P = .007) and performing a greater number of abortions during residency (>25 abortions: OR, 2.8; CI, 1.9-4.1; P < .001). Factors negatively associated with working in a practice (OR, 0.4; CI, 0.2-0.6; P < .001) or hospital (OR, 0.4; CI, 0.3-0.6; P < .001) that prohibits abortion. Conclusion Regardless of intention to provide abortion before residency, abortion training availability was positively correlated with providing abortion in future practice.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2007.06.002