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Permanent link (DOI): https://doi.org/10.7939/R3809R

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Reproductive Knowledge Specific to Inflammatory Bowel Disease Among Women with IBD and Physicians who Treat Women with IBD Open Access

Descriptions

Other title
Subject/Keyword
Reproductive knowledge
Patient knowledge
CCPKnow
Pregnancy
Preconception
Knowledge translation
Inflammatory bowel disease
Physician knowledge
Type of item
Thesis
Degree grantor
University of Alberta
Author or creator
Huang, Vivian Wai-Mei
Supervisor and department
Kroeker, Karen (Medicine)
Goodman, Karen (Medicine)
Hegadoren, Kathleen (Nursing)
Fedorak, Richard (Medicine)
Examining committee member and department
Madsen, Karen (Medicine)
Goodman, Karen (Medicine)
Kroeker, Karen (Medicine)
Hegadoren, Kathleen (Nursing)
Fedorak, Richard (Medicine)
Bernard, Edmund-Jean (Medicine)
Department
Department of Medicine
Specialization
Experimental Medicine
Date accepted
2014-07-10T09:49:59Z
Graduation date
2014-11
Degree
Master of Science
Degree level
Master's
Abstract
BACKGROUND: Inflammatory Bowel Disease (IBD) affects women in their reproductive years. Women with IBD often choose not to have children, and this voluntary childlessness may be due to their concerns regarding the adverse effects of their IBD and its treatment on fertility, pregnancy, and the newborn. Patients often obtain information from their physicians, yet physician IBD-specific reproductive knowledge has not been well studied. OBJECTIVES: The objectives of this study were to characterize the relationship between IBD-specific reproductive knowledge and childlessness among women with IBD, and to characterize the relationship between IBD-specific reproductive knowledge and practice patterns (relative to reproductive issues) among physicians who treat women with IBD. METHODS: This was a cross-sectional survey of women with IBD (18 to 45 years old) and of physicians who treat women with IBD. IBD-specific reproductive knowledge was measured on a 0-17 point scale by the Crohn’s and Colitis Pregnancy Knowledge (CCPKnow) survey with scores grouped as: poor (0 to 7), adequate (8 to 10), good (11 to 13), very good (14 to 17). Multivariable logistic regression was used to obtain adjusted odds ratios and 95% confidence intervals for estimating the effects of exposure variables on the outcomes of interest. RESULTS and CONCLUSIONS: There was an inverse relationship between IBD-specific reproductive knowledge; increases in the CCPKnow score corresponded to decreases in the odds of childlessness. Women with IBD had significant IBD-specific reproductive knowledge deficits, concerns, and beliefs/opinions. Women with IBD often changed their family plans once they were diagnosed with IBD. Discussion of family planning with a physician, specifically with a gastroenterologist, corresponded to lower odds of having poor CCPKnow scores relative to not discussing family planning with a physician. Although almost two-thirds of physicians had very good CCPKnow scores, physician knowledge of IBD-medication use during pregnancy and breastfeeding was highly variable, revealing knowledge deficits in many physicians who treat women with IBD. The Internet was an important source of information for both women with IBD and physicians. Thus, internet-based educational activities aimed at both patients and physicians may be effective targets for improving IBD-specific reproductive knowledge among women with IBD. Improving IBD-specific reproductive knowledge among women and physicians will help ensure that women with IBD can make informed choices about having children. 
Language
English
DOI
doi:10.7939/R3809R
Rights
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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