Impact of pharmacist prescribing through direct pharmacy access policies on access to hormonal contraception

Beal, Jenny L.; Bentley, John P.; Snyder, Margie E.; Zillich, Alan J.; Rafie, Sally; Plake, Kimberly S.

doi:10.1016/j.japh.2021.08.010

Cited by 4 publications

(1 citation statement)

References 25 publications

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“…[47][48][49] Research has shown that privacy is an often cited concerns for accessing contraceptives, especially among adolescents. [50][51][52] Our results suggest that outreach to those young people hesitant to seek contraception may be an important complement to clinicbased care. Youth outreach should emphasize confidentiality and include links to mental health services.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Distress and Delayed Contraception Among Older Adolescents and Young Adults

Harper,

Yarger,

Mangurian

et al. 2024

Journal of Women's Health

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Background: Symptoms of mental distress increased sharply during the COVID-19 pandemic, especially among older adolescents and young adults. Mental health distress may make it more challenging for young people to seek other needed health care, including contraception. This study explored the association of symptoms of depression, anxiety and stress with delays in getting a contraceptive method or prescription. Materials and Methods:We used data from a supplementary study (May 15, 2020 -March 20, 2023 to a cluster randomized trial in 29 sites in Texas and California. The diverse study sample was community college students assigned female at birth ages 18-29 years (N=1,665 with 7,023 observations over time). We measured the association of depression (CES-D) or anxiety and stress (DASS-21) symptoms with delayed contraceptive care-seeking with mixed effects multivariable regression with random effects for individual and site. We controlled for age and sociodemographic factors important for access to care.Results: Over one-third of participants (35%) reported they delayed getting a contraceptive method they needed. Multivariable regression results showed increased odds of delayed contraceptive care among participants with symptoms of depression (adjusted odds ratio [aOR] 1.58, 95% confidence interval [CI] 1.27-1.96). Likewise, delays were associated with anxiety and stress symptoms (aOR 1.46, 95% CI 1.17-1.82). Adolescents were more likely to delay seeking contraception than young adults (aOR 1.32, 95% CI 1.07-1.63). Conclusions:Results showed a strong association between mental distress and delayed contraception. Interventions are needed to increase contraceptive access for young people delaying care, along with supportive mental healthcare services, including for adolescents who face elevated odds of delay.

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