“…This may be due to increased access to EC over the counter, the growth of SANE programs, and the presence of SANEs in EDs, as well as shifts in the focus of the literatures on sexual assault and EC. Indeed, a brief examination of recent publications on sexual assault reveals a greater focus on risk factors, prevention, and the utilization and efficacy of SANEs who are often based in specific SANE or rape crisis centers outside of EDs (ACOG, 2009; 2015, 2017; Bird, Gilmore, George, & Lewis, 2016; Fok & Blumenthal, 2016; Mellins et al, 2017; Montanari Vergallo, Zaami, Di Luca, & Marinelli, 2017; Shen, Che, Showell, Chen, & Cheng, 2017; Vrees, 2017; Wright, Zounlome, & Whiston, 2018), whereas the EC literature has focused on general access and the mechanisms of action and efficacy of EC. Additionally, our scoping review included articles with diverse study designs, and the response rates ranged from poor to average.…”