Serving Rural Australia With Reproductive Health Expertise

Mirza, Tanjina; Kovàcs, Gabór; Kinfu, Yohannes

doi:10.1046/j.1440-1584.2001.00366.x

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…It has previously been recognised that rural-located women are more likely to use LARC compared with city-living women both in Australia and the USA 23 24. A number of explanations have been postulated for this difference including access and travel distances, differing patient needs and differing GP skill sets 23 25. Our finding that LARC prescribing is associated with women managed in practices in lower SEIFA index areas reflects previous findings that LARC is used more frequently by women who do not have a university qualification, and those working in manual, trade or service occupations 23.…”

Section: Discussionsupporting

confidence: 77%

Prevalence and associations of prescribing of long-acting reversible contraception by general practitioner registrars: a secondary analysis of ReCEnT data

Turner¹,

Tapley²,

Sweeney³

et al. 2020

BMJ Sex Reprod Health

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ObjectiveLong-acting reversible contraception (LARC) is the most effective form of contraception but use in Australia is low. Uptake of LARC prescribing by early-career general practitioners (GPs) has important implications for community reproductive health. We aimed to investigate the prevalence and associations of Australian GP registrars’ LARC prescribing.MethodsA cross-sectional analysis of the Registrar Clinical Encounters in Training (ReCEnT) cohort study 2010–2017. GP registrars collected data on 60 consecutive consultations on three occasions during their training. The outcome factor was prescription of LARC (compared with non-LARC). A secondary analysis was performed with problems involving prescription of LARC (compared with other problems). Associations with patient, practice, registrar and consultation independent variables were assessed by univariate and multivariable logistic regression.Results1737 registrars recorded 5382 problems/diagnoses involving women aged 12–55 years in which contraception was prescribed. 1356 (25%) involved LARC. Significant multivariable associations of prescribing LARC included patient age (OR 2.85, 95% CI 3.17 to 3.74, for age 36–45 years compared with age 12–18 years), practice rurality - inner-regional (OR 1.47, 95% CI 1.22 to 1.79) and outer-regional/remote/very remote (OR 1.47 95% CI 1.15 to 1.87) compared with major cities, practices in areas of lower socioeconomic status (SES) (OR 0.93, 95% CI 0.91 to 0.96 for SES by decile), generating learning goals (OR 1.37, 95% CI 1.04 to 1.79), in-consultation assistance-seeking (OR 1.58, 95% CI 1.24 to 2.01), and the registrar having reproductive health-related postgraduate qualifications (OR 1.33, 95% CI 1.01 to 1.76).ConclusionsThe prevalence of LARC prescribing by Australian GP registrars is higher than has been previously estimated in established GPs. Postgraduate qualifications in reproductive health are associated with prescribing LARC. Prescribing practice differs according to rurality and relative socioeconomic disadvantage.

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Section: Discussionsupporting

confidence: 77%

Prevalence and associations of prescribing of long-acting reversible contraception by general practitioner registrars: a secondary analysis of ReCEnT data

Turner¹,

Tapley²,

Sweeney³

et al. 2020

BMJ Sex Reprod Health

View full text Add to dashboard Cite

show abstract

“…It is difficult to interpret these findings because of the subjective nature of the measure used. Further examination of more objective measures of access to health services (such as distance between the woman's home and the nearest service) in protecting against STI among Australian women may be warranted particularly in relation to planning services for rural areas (Mirza, Kovacs, & Kinfu, 2001;Mirza, Kovacs, & McDonald, 1998). This study showed that despite adjusting for a range of factors, including area of residence, perceived quality of access to Women's Health or Family Planning Centres was protective for later STI diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Sexually Transmitted Infection in Australian Women: Evidence from the Australian Longitudinal Study on Women’s Health

et al. 2012

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This longitudinal study examined characteristics of women diagnosed with sexually transmitted infections (STI) for the first time in their later 20s and early 30s. Participants were 6,840 women (born 1973-1978) from the Australian Longitudinal Study on Women's Health. Women aged 18-23 years were surveyed in 1996 (S1), 2000 (S2), 2003 (S3), and 2006 (S4). There were 269 women reporting an STI for the first time at S3 or S4. Using two multivariable logistic regression analyses (examining 18 predictor variables), these 269 women were compared (1) with 306 women who reported an STI at S2 and (2) with 5,214 women who never reported an STI across the four surveys. Women who reported an STI for the first time at S3 or S4 were less likely to have been pregnant or had a recent Pap smear compared to women reporting an STI at S2. Women reporting a first STI at S3 or S4 were less likely to have been pregnant or had a recent Pap smear compared to women reporting an STI at S2. Women were more likely to report an STI for the first time at S3 or S4 compared to women not reporting an STI at any survey if they were younger, unpartnered, had a higher number of sexual partners, had never been pregnant, were recently divorced or separated, and reported poorer access to Women's Health or Family Planning Centres at S2. These findings demonstrate the value of longitudinal studies of sexual health over the life course beyond adolescence.

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“…In regards to family planning services in Australia, retrospective data analyses of the seven state/territory family planning organisations (excluding South Australia) found that between July 1998 and June 1999, 29.1% of the 146,157 clients were from rural areas (Mirza, Kovacs, & Kinfu, 2001 repercussions. These include less chance of further education, having a career, and finding subsequent employment, which may in turn result in greater chance of long term socioeconomic disadvantage.…”

Section: Family Planning In Rural Communitiesmentioning

confidence: 99%

‘Country women are resilient but. …’: Family planning access in rural Victoria

Kruss

Gridley

2014

Australian J Rural Health

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Most women use family planning services during their reproductive lifetime, but many lack ready access to such services, particularly in a rural area. The aim of this study was to document and thus develop an understanding of the facilitators and barriers to accessing three types of family planning services (emergency contraception, termination of pregnancy, and options counselling) within a particular rural area of Victoria, Australia, and how these might affect women's psychosocial health and their ability to make timely decisions about continuation of a pregnancy. A feminist framework was adopted throughout the study, and qualitative methods were employed in the design. Eleven professionals whose current employment was connected to family planning service provision participated in semistructured interviews that focussed on their perceptions and experiences of women's access to family planning services in the Grampians Region of Victoria. Findings from a thematic analysis confirmed that rural women face many barriers identified in past Australian and international research, including lack of local services, distance from metropolitan services, anonymity and confidentiality issues, and judgemental service providers. Further issues raised included the legal status of pregnancy termination, rural culture, gender relations, and family planning myths and misinformation. Women confronting these barriers were seen to experience negative psychosocial effects which can compromise timely decision-making.This study highlights the complexity of women's reproductive "choices", and includes recommendations for the design of plausible interventions and reproductive health promotion strategies to address the barriers identified and facilitate women's access to family planning services as a human right.

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Serving Rural Australia With Reproductive Health Expertise

Cited by 3 publications

References 7 publications

Prevalence and associations of prescribing of long-acting reversible contraception by general practitioner registrars: a secondary analysis of ReCEnT data

Prevalence and associations of prescribing of long-acting reversible contraception by general practitioner registrars: a secondary analysis of ReCEnT data

Predictors of Sexually Transmitted Infection in Australian Women: Evidence from the Australian Longitudinal Study on Women’s Health

‘Country women are resilient but. …’: Family planning access in rural Victoria

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