Emergency Contraception Use and Counseling after Changes in United States Prescription Status

Kavanaugh, Megan L.; Williams, Sanithia L.; Schwarz, Eleanor Bimla

doi:10.1097/ogx.0b013e31823d8c58

Cited by 6 publications

(13 citation statements)

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“…Of notable concern is the consistent finding in this and other studies, that healthcare providers were not the primary source of information for ECP and other sexual and reproductive health issues (Certain et al., ; Corbett et al., ; Hickey & White, ; Kavanaugh et al., ; Moore & Smith, ). Provider beliefs as well as knowledge can influence patient care practices; in a study by Lee, Ahonen, Apling, and Bork (), nurse practitioner knowledge of ECP was limited and therefore adequate information was not provided to patients.…”

Section: Discussionsupporting

confidence: 67%

“…In 2013, age restrictions were reduced to 16, and ECP was moved from behind the pharmacy counter to directly “on the shelf” (Guttmacher Institute, ). Despite the increased availability, barriers to access and use still exist, including cost, confidentiality, and incomplete and inaccurate information among potential users (Corbett et al., ; Hickey, ; Hickey & White, ; Johnson, Nshom, Nye, & Cohall, 2010; Kavanaugh, Williams, & Schwarz, ). Various researchers have noted that women do not obtain information on sexual and reproductive health, including ECP, from healthcare providers (Corbett et al., ; Hickey, ; Hickey & White, ; Kavanaugh et al., ; Moore & Smith, ).…”

Section: Introductionmentioning

confidence: 99%

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Emergency contraceptive pill users’ risk perceptions for sexually transmitted infections and future unintended pregnancy

Hickey

Shedlin

2017

Journal of the American Association of Nurse Practitioners

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Background and purpose The availability of emergency contraception pills (ECP) over the counter (OTC) has the potential to reduce the incidence of unintended pregnancy; however, the increased risk for sexually transmitted infection (STI) acquisition, related to unprotected intercourse, has not been adequately addressed. The purpose of this study is to gain insight into risk perceptions for STIs and subsequent unintended pregnancy in women who have purchased ECP OTC. Methods Twenty‐one women, aged 18–24, attending a private university in an urban setting, who purchased and used ECP OTC participated in 1‐h, individual interviews. Conclusions Narrative, descriptive findings indicated that these women did not consider themselves at risk for STI or unintended pregnancy, despite having used ECP OTC. Pregnancy prevention was paramount for these women, which overshadowed concerns regarding STIs. Implications for practice Women at risk for unintended consequences of sexual activity are not fully cognizant of those potential outcomes and do not take measures to prevent their occurrence. The availability of ECP OTC offers protection against unintended pregnancy; however, opportunities for health promotion and prevention counseling may be lost.

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Section: Discussionsupporting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Emergency contraceptive pill users’ risk perceptions for sexually transmitted infections and future unintended pregnancy

Hickey

Shedlin

2017

Journal of the American Association of Nurse Practitioners

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“…We are thus skeptical that the lack of a pattern in Tables and is driven by lack of variation in sales of the pill. Furthermore Kavanaugh, Williams, and Schwartz () argue that pharmacy access of EC is responsible for doubling the number of women who have ever used EC from 4 percent in 2002 to nearly 10 percent in 2008.…”

Section: Resultsmentioning

confidence: 99%

What Happens the Morning After? The Costs and Benefits of Expanding Access to Emergency Contraception

Gross¹,

Lafortune²,

Low³

2013

J Policy Anal Manage

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Emergency contraception (EC) can prevent pregnancy after sex, but only if taken within 72 hours of intercourse. Over the past 15 years, access to EC has been expanded at both the state and federal level. This paper studies the impact of those policies. We find that expanded access to EC has had no statistically significant effect on birth or abortion rates. Expansions of access, however, have changed the venue in which the drug is obtained, shifting its provision from hospital emergency departments to pharmacies. We find evidence that this shift may have led to a decrease in reports of sexual assault April 2012Abstract Emergency contraception (ec) can prevent pregnancy after sex, but only if taken within 72 hours of intercourse. Over the past 15 years, access to ec has been expanded at both the state and federal level. This paper studies the impact of those policies. We find that expanded access to ec has had no statistically significant effect on birth or abortion rates. Expansions of access, however, have changed the venue in which the drug is obtained, shifting its provision from hospital emergency departments to pharmacies. We find evidence that this shift may have led to a decrease in reports of sexual assault.JEL classification: J13, I18

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“…When women seek clinical guidance on reducing the risk of unintended pregnancy, clinicians usually do not include a discussion of EC in birth control counseling. 30 Surveys of family medicine and emergency department doctors, pediatricians, and internists found that these practitioners are unfamiliar with UPA EC and often do not know the copper IUD can be used as EC. 31 Barriers to Emergency Contraception Access: Point of Care Access to time-sensitive treatments should be straightforward.…”

Section: Barrier To Emergency Contraception Access: Limited Knowledgementioning

confidence: 99%

Emergency Contraception: Two Steps Forward, One Step Back

Davis

Praditpan

2016

Semin Reprod Med

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Emergency contraceptives can prevent pregnancy, when used after unprotected sex around the time of ovulation. In the past 15 years, access to emergency contraception (EC) in the United States has increased and more women use it. Emerging data may tailor EC prescribing based on patient weight and starting other contraception. There are several EC options-oral levonorgestrel and oral ulipristal acetate and the copper intrauterine device. Ideally, women should have EC access at low or no cost. Yet, several barriers-limited patient and provider knowledge about EC, cost, EC stocking practices, and state and federal laws exempting providers from supplying EC-make it difficult to integrate this time-sensitive treatment into women's reproductive health care.

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Emergency Contraception Use and Counseling after Changes in United States Prescription Status

Cited by 6 publications

References 0 publications

Emergency contraceptive pill users’ risk perceptions for sexually transmitted infections and future unintended pregnancy

Emergency contraceptive pill users’ risk perceptions for sexually transmitted infections and future unintended pregnancy

What Happens the Morning After? The Costs and Benefits of Expanding Access to Emergency Contraception

Emergency Contraception: Two Steps Forward, One Step Back

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