Table 2. Factors Associated With Physicians Routinely Recommending the 20-μg/day Levonorgestrel Intrauterine System (LNG-IUS) to 4 Patient Types: Multivariable Logistic Regression Models
Patient Types*
Nulliparous WomenAdolescents (age <20)Women With a History of STIs or PIDWomen With a History of Ectopic Pregnancy
Physician demographics and practice characteristics
    Family physician1.59 (0.68–3.57)1.45 (0.66–2.78)1.72 (0.77–3.85)0.53 (0.24–1.16)
    Academic practice setting1.32 (0.51–3.46)0.99 (0.43–2.30)0.97 (0.40–2.33)0.75 (0.31–1.85)
    Greater than 10 years since residency0.44 (0.21–0.93)§0.73 (0.37–1.45)0.76 (0.37–1.53)0.93 (0.45–1.91)
    Female sex2.14 (0.97–4.74)0.92 (0.43–1.96)0.90 (0.40–2.01)1.24 (0.56–2.79)
    Trains residents/fellows1.95 (0.88–4.30)3.56 (1.58–8.04)§3.71 (1.64–8.43)§3.05 (1.32–7.01)§
    More than 10 LNG-IUS inserted per year1.50 (0.67–1.53)1.50 (0.70–3.20)2.28 (1.04–5.01)§1.11 (0.51–2.42)
Knowledge about LNG-IUS
    Perfect score on 2 item general knowledge2.39 (1.09–5.25)§1.62 (0.73–3.60)1.57 (0.69–3.56)1.15 (0.51–2.61)
    Complications score (continuous out of 5)1.02 (0.68–1.53)1.11 (0.76–1.63)0.96 (0.64–1.43)1.84 (1.18–2.88)§
Perceived factors that negatively influence recommending LNG-IUS, answered yes
    Cost0.76 (0.33–1.74)0.44 (0.19–1.02)1.39 (0.60–3.21)0.92 (0.39–2.16)
    Irregular bleeding0.40 (0.18–0.88)§1.42 (0.66–3.04)0.56 (0.25–1.24)1.30 (0.59–2.87)
    Cramping/pain1.04 (0.33–3.29)0.56 (0.18–1.69)0.33 (0.09–1.20)0.30 (0.08–1.11)
    Risk of infertility/STIs/PID0.19 (0.08–0.45)§0.85 (0.36–2.00)0.30 (0.11–0.77)§0.38 (0.15–0.98)§
  • Data are adjusted odds ratios (95% confidence intervals).

  • * Logistic regression models adjust for all variables in the table (n = 186 for all models).

  • Reference is obstetrician-gynecologist.

  • Reference is nonacademic practice settings.

  • § P < .05.

  • The complications score is calculated from number of correct answers on 5 questions regarding infertility, PID, STI, and ectopic pregnancy risks of LNG-IUS use.

  • PID, pelvic inflammatory disease; STI, sexually transmitted infection.