Abstract
Objective: This study was undertaken to assess the acceptability of levonorgestrel emergency contraception (EC). Study design: We examined attitudes and use patterns among 1950 women in a randomized trial evaluating access to EC through advance provision, pharmacies, or clinics. Results: Most women considered EC to be safe (92%) and effective (98%). Compared with women with clinic access, women with direct pharmacy access were no more likely to use EC within 24 hours (odds ratio [OR] = 1.65, 95% CI = 0.82-3.30) or to report it very convenient (OR = 1.41, 95% CI = 0.77-2.56). However, women with advance provisions were more likely to use EC promptly (OR = 2.43, 95% CI = 1.24-4.80) and report high convenience (OR = 4.25, 95% CI = 2.32-7.76). Advance provision increased use by all women, whereas pharmacy access increased use only among condom users. Inconvenience and fear of side effects were common reasons for nonuse. Conclusion: Women viewed EC favorably. Advance provision improved promptness and convenience of use overall, while pharmacy access benefited specific populations.
| Original language | English (US) |
|---|---|
| Journal | American Journal of Obstetrics and Gynecology |
| Volume | 196 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2007 |
| Externally published | Yes |
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Keywords
- acceptability
- emergency contraception
- nonuse
- pharmacy access
- use
ASJC Scopus subject areas
- Medicine(all)
- Obstetrics and Gynecology
Cite this
Beyond access : Acceptability, use and nonuse of emergency contraception among young women. / Rocca, Corinne H.; Schwarz, Eleanor; Stewart, Felicia H.; Darney, Philip D.; Raine, Tina R.; Harper, Cynthia C.
In: American Journal of Obstetrics and Gynecology, Vol. 196, No. 1, 01.01.2007.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Beyond access
T2 - Acceptability, use and nonuse of emergency contraception among young women
AU - Rocca, Corinne H.
AU - Schwarz, Eleanor
AU - Stewart, Felicia H.
AU - Darney, Philip D.
AU - Raine, Tina R.
AU - Harper, Cynthia C.
PY - 2007/1/1
Y1 - 2007/1/1
N2 - Objective: This study was undertaken to assess the acceptability of levonorgestrel emergency contraception (EC). Study design: We examined attitudes and use patterns among 1950 women in a randomized trial evaluating access to EC through advance provision, pharmacies, or clinics. Results: Most women considered EC to be safe (92%) and effective (98%). Compared with women with clinic access, women with direct pharmacy access were no more likely to use EC within 24 hours (odds ratio [OR] = 1.65, 95% CI = 0.82-3.30) or to report it very convenient (OR = 1.41, 95% CI = 0.77-2.56). However, women with advance provisions were more likely to use EC promptly (OR = 2.43, 95% CI = 1.24-4.80) and report high convenience (OR = 4.25, 95% CI = 2.32-7.76). Advance provision increased use by all women, whereas pharmacy access increased use only among condom users. Inconvenience and fear of side effects were common reasons for nonuse. Conclusion: Women viewed EC favorably. Advance provision improved promptness and convenience of use overall, while pharmacy access benefited specific populations.
AB - Objective: This study was undertaken to assess the acceptability of levonorgestrel emergency contraception (EC). Study design: We examined attitudes and use patterns among 1950 women in a randomized trial evaluating access to EC through advance provision, pharmacies, or clinics. Results: Most women considered EC to be safe (92%) and effective (98%). Compared with women with clinic access, women with direct pharmacy access were no more likely to use EC within 24 hours (odds ratio [OR] = 1.65, 95% CI = 0.82-3.30) or to report it very convenient (OR = 1.41, 95% CI = 0.77-2.56). However, women with advance provisions were more likely to use EC promptly (OR = 2.43, 95% CI = 1.24-4.80) and report high convenience (OR = 4.25, 95% CI = 2.32-7.76). Advance provision increased use by all women, whereas pharmacy access increased use only among condom users. Inconvenience and fear of side effects were common reasons for nonuse. Conclusion: Women viewed EC favorably. Advance provision improved promptness and convenience of use overall, while pharmacy access benefited specific populations.
KW - acceptability
KW - emergency contraception
KW - nonuse
KW - pharmacy access
KW - use
UR - http://www.scopus.com/inward/record.url?scp=33846192814&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33846192814&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2006.08.024
DO - 10.1016/j.ajog.2006.08.024
M3 - Article
C2 - 17240221
AN - SCOPUS:33846192814
VL - 196
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 1
ER -