The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception · 2026
Knowledge, perceptions and counselling practices regarding vasectomy among Portuguese physicians: a cross-sectional study.
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Campos Marta, Leal Mariana, da Silva Margarida Neves, Xavier Marta, Santos Ana Paula, Ferraz Luís, Nunes Inês
Аннотация
PURPOSE: To assess knowledge, perceptions and counselling practices regarding vasectomy among Portuguese physicians from Obstetrics and Gynaecology (OB/GYN) and General and Family Medicine (GFM) specialties.
MATERIALS AND METHODS: A national cross-sectional observational study was conducted using online structured questionnaires. Information on sociodemographic and professional characteristics, physicians' knowledge, perceptions, and counselling practices regarding vasectomy was collected. Statistical analyses included Chi-square, Mann-Whitney U, Fisher, t-student, and Kruskal-Wallis tests, with significance set at p < 0.05.
RESULTS: A total of 290 physicians were included - 136 OB/GYN (46.9%) and 154 GFM (53.1%). Self-perceived knowledge was mostly rated as acceptable (62.4%) or good (23.4%), without statistically significant differences between groups. A knowledge score was created based on 16 knowledge questions. OB/GYN physicians presented higher knowledge scores than GFM physicians (13.40 ± 1.96 vs. 12.65 ± 2.41; p = 0.008).
CONCLUSIONS: Portuguese physicians demonstrated a high proportion of correct responses and positive attitudes towards vasectomy. Nevertheless, OB/GYN presented higher knowledge scores. Persistent gaps in medical knowledge and structural barriers within female-centred contraceptive counselling may still limit the routine inclusion of vasectomy.
MATERIALS AND METHODS: A national cross-sectional observational study was conducted using online structured questionnaires. Information on sociodemographic and professional characteristics, physicians' knowledge, perceptions, and counselling practices regarding vasectomy was collected. Statistical analyses included Chi-square, Mann-Whitney U, Fisher, t-student, and Kruskal-Wallis tests, with significance set at p < 0.05.
RESULTS: A total of 290 physicians were included - 136 OB/GYN (46.9%) and 154 GFM (53.1%). Self-perceived knowledge was mostly rated as acceptable (62.4%) or good (23.4%), without statistically significant differences between groups. A knowledge score was created based on 16 knowledge questions. OB/GYN physicians presented higher knowledge scores than GFM physicians (13.40 ± 1.96 vs. 12.65 ± 2.41; p = 0.008).
CONCLUSIONS: Portuguese physicians demonstrated a high proportion of correct responses and positive attitudes towards vasectomy. Nevertheless, OB/GYN presented higher knowledge scores. Persistent gaps in medical knowledge and structural barriers within female-centred contraceptive counselling may still limit the routine inclusion of vasectomy.