A survey regarding acceptability of oral emergency contraception according to the posited mechanism of action

Willetts, S.J.; MacDougall, Matthew; Cameron, Sharon

doi:10.1016/j.contraception.2017.03.012

Cited by 14 publications

(7 citation statements)

References 16 publications

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“…It seems to us that for the sake of public health, such convictions as well the differences in the proportions of attitudes towards three kinds of EC demonstrated by Willetts et al [1] should be comprehended.…”

Section: Intercalation Of Philosophy To the Medical Practicementioning

confidence: 92%

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Metaphysical Reasons for Choice between Three Kinds of Emergency Contraception

Brodziak¹

2017

JOJCS

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Section: Intercalation Of Philosophy To the Medical Practicementioning

confidence: 92%

“…Willetts et al [1] presented recently in the paper "A survey regarding acceptability of oral emergency contraception according to the posited mechanism of action", interesting, rarely analyzed considerations on the different attitudes of women towards EC pills inhibiting ovulation, or preventing implantation or disrupting implantation [1].…”

Section: Introductionmentioning

confidence: 99%

Metaphysical Reasons for Choice between Three Kinds of Emergency Contraception

Brodziak¹

2017

JOJCS

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“…On abortion, our findings suggest this association as a barrier to EHC use may need to be given greater weight in the British context and considered outside of a faith-based lens. We build on other work that highlights how (i) 'abortion' is not a universal concept and means different things to different people [4] (ii) the acceptability of EHC's different mechanisms of action varies [27]. Therefore, whilst clinical/legislative classification means EHC is not an abortifacient and users do not experience a 'termination of pregnancy,' our participant's narratives around EHC indicated that a 'termination of possibility,' was problematic for some women and could be a barrier.…”

Section: Findings and Interpretationmentioning

confidence: 99%

Qualitative findings about stigma as a barrier to contraception use: the case of Emergency Hormonal Contraception in Britain and implications for future contraceptive interventions

Eastham

Milligan

Limmer

2020

The European Journal of Contraception & Reproductive Health

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Background: Emergency Hormonal Contraception (EHC) has been underused in Britain and internationally since its introduction. 'Stigmatisation' has been identified as one of the barriers to EHC. However, few, if any publications have focussed on the significance of this factor in the British context, the social meanings for women of seeking EHC and the implications for future contraceptive provision and innovation. Method: In-depth qualitative material from 27 women across two British studies was analysed. The first, in which 11 young women were interviewed in-depth regarding EHC specifically, was supplemented by material from a multi-stage narrative study of 15 women concerning their life history experiences of using contraception more broadly. Results: Stigmatisation of EHC use is a key barrier and derives from associations with irresponsible behaviour. This irresponsibility exists on a continuum with some behaviours and some women more ir/responsible than others. In addition, despite not being an abortifacient, EHC may be closely aligned with abortion meaning users can be perceived as 'bad women' in a similar way to abortion seekers. This stigma can deter participants seeking EHC when they may need it. Conclusion: Stigma is a powerful barrier to EHC use due to the social significance of responsibility and expectations pertaining to the behaviour of 'good women.' Understandings about stigmatisation in the case of EHC should be translated to other aspects of contraceptive service delivery and future innovations, to ensure effective provision of methods and safeguard their uptake.

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“…There are few data on whether EC users are concerned with how EC works. A survey of 500 women in the UK showed that most were hypothetically prepared to use an EC pill that might prevent or even disrupt implantation . Clearly a method that worked by disrupting implantation may raise legal issues in many settings, but would be permissible in countries where ‘menstrual induction’ (i.e.…”

Section: Mechanisms Of Action Of Ecmentioning

confidence: 99%

“…A survey of 500 women in the UK showed that most were hypothetically prepared to use an EC pill that might prevent or even disrupt implantation. 47 Clearly a method that worked by disrupting implantation may raise legal issues in many settings, but would be permissible in countries where 'menstrual induction' (i.e. evacuation of the uterus in women with delayed menses without laboratory confirmation of pregnancy) is permitted, such as China.…”

Section: Are Mechanisms Of Action Important To Users?mentioning

confidence: 99%