Online Program

Physician survey assessing pelvic inflammatory disease knowledge and attitudes to identify diagnosing and reporting barriers

Monday, November 2, 2015

Misty Pacheco, DrPH, MHA, Department of Kinesiology and Exercise Science, University of Hawaii at Hilo, Hilo, HI
Alan R. Katz, MD, MPH, Office of Public Health Studies, University of Hawaii, Honolulu, HI
Donald Hayes, MD MPH, Family Health Services Division, Hawaii Department of Health, Honolulu, HI
Jay Maddock, PhD, Department of Public Health Sciences, University of Hawai'i Manoa, Honolulu, HI
Background:  Pelvic inflammatory disease (PID) is a notifiable disease in Hawaii with legal implications for noncompliance.   Two previous analyses comparing PID diagnoses in Hawaii’s hospitals and Hawaii Department of Health (HDOH) surveillance data, confirmed underreporting in Hawaii. 

Methods: All licensed primary care physicians in Hawaii were mailed a one-page, 20-question survey addressing PID diagnosis and reporting attitudes and practices.  Hierarchical logistic regression was used to determine if physician characteristics, PID knowledge, or attitudes related to the diagnosis or reporting of PID, increased the odds of diagnosing and reporting PID.  

Results:  Among survey respondents (486 of 1062; response rate = 45.8%), 104 (21.4%) had diagnosed and 58 (11.9%) had reported a PID case in the past 12 months. About half of physicians agreed that PID reporting was time consuming. In hierarchical regression, those 15-20 years since residency were less likely to report PID than those <15 years since residency, and increased PID diagnosing and reporting knowledge increased the odds of PID reporting by 1.63 times. However, increased PID diagnosing and reporting knowledge and a favorable attitude towards PID diagnosing and reporting did not increase the odds of PID diagnosing. 

Conclusion:  Our findings suggest the need for targeted post-residency continued education of physicians as well as the need to simplify the reporting process. Increased PID-related communication between local health departments and physicians is essential, and physicians should be provided technical assistance with reporting.

Learning Areas:

Public health or related laws, regulations, standards, or guidelines

Learning Objectives:
Assess Pelvic Inflammatory Disease knowledge and attitudes among primary care physicians in Hawaii. Identify potential Pelvic Inflammatory Disease diagnosing and reporting barriers.

Keyword(s): Reporting, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked for the Hawaii Department of Health, Family Planning Program, and was the State Family Planning Program's representative on the Infertility Prevention Project. I have also collaborated with the State's STD Branch to address disease reporting.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.