Impact of emergency contraception status on unintended pregnancy: observational data from a women’s health practice
Objective: This study aimed to determine if non-prescription emergency contraception (EC) availability impacted self-reported unintended pregnancy rates and to assess women’s knowledge and awareness of EC prior to and after non-prescription availability.Methods: A survey regarding contraception use...
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Centro de Investigaciones y Publicaciones Farmaceuticas
2010-09-01
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doaj-170853eded3b44f9addb2325139106632020-11-25T03:40:12ZengCentro de Investigaciones y Publicaciones FarmaceuticasPharmacy Practice1885-642X1886-36552010-09-0183173178Impact of emergency contraception status on unintended pregnancy: observational data from a women’s health practicePayakachat NRagland DHouston CObjective: This study aimed to determine if non-prescription emergency contraception (EC) availability impacted self-reported unintended pregnancy rates and to assess women’s knowledge and awareness of EC prior to and after non-prescription availability.Methods: A survey regarding contraception use and knowledge was verbally administered to a cross-sectional, convenience sample of 272 pregnant women receiving prenatal care at a large urban community women’s clinic between August 2003 and October 2008. Statistical analyses determined the differences between two groups (before [BA] and after, [AA] non-prescription EC availability in the U.S. drug market) in terms of self-reported unintended pregnancy rates, knowledge and awareness of EC.Results: The AA group reported higher incidence of unintended pregnancy when compared to the BA group (90.7% vs. 72.7%, P = 0.0172). The majority of both groups reported that they were not using any contraception at the time of conception (BA-84.4%; AA-83.3%). There was no significant difference in the participants’ awareness of EC between the two groups (BA-46.8% vs. AA-43.0%) nor was there a significant difference between the two groups in the self-reported willingness to use EC in the future (BA-53.1% vs. AA-63.4%). However, among participants who were unaware of EC, 61% reported they would consider using it in the future after receiving brief EC counseling from a pharmacist or student pharmacist. Neither age nor pregnancy intention was associated with self-reported EC awareness but there was an association with income (P = 0.0410) and education (P = 0.0021).Conclusion: The change from prescription-only to non-prescription status of EC in the U.S. drug market did not impact the unintended pregnancy rate in this patient population. Lack of knowledge and awareness is still a major barrier to widespread EC use.http://www.pharmacypractice.org/vol08/03/173-178.htmContraceptionPostcoitalBehind-the-Counter DrugsHealth KnowledgeAttitudesPracticeUnited States |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Payakachat N Ragland D Houston C |
spellingShingle |
Payakachat N Ragland D Houston C Impact of emergency contraception status on unintended pregnancy: observational data from a women’s health practice Pharmacy Practice Contraception Postcoital Behind-the-Counter Drugs Health Knowledge Attitudes Practice United States |
author_facet |
Payakachat N Ragland D Houston C |
author_sort |
Payakachat N |
title |
Impact of emergency contraception status on unintended pregnancy: observational data from a women’s health practice |
title_short |
Impact of emergency contraception status on unintended pregnancy: observational data from a women’s health practice |
title_full |
Impact of emergency contraception status on unintended pregnancy: observational data from a women’s health practice |
title_fullStr |
Impact of emergency contraception status on unintended pregnancy: observational data from a women’s health practice |
title_full_unstemmed |
Impact of emergency contraception status on unintended pregnancy: observational data from a women’s health practice |
title_sort |
impact of emergency contraception status on unintended pregnancy: observational data from a women’s health practice |
publisher |
Centro de Investigaciones y Publicaciones Farmaceuticas |
series |
Pharmacy Practice |
issn |
1885-642X 1886-3655 |
publishDate |
2010-09-01 |
description |
Objective: This study aimed to determine if non-prescription emergency contraception (EC) availability impacted self-reported unintended pregnancy rates and to assess women’s knowledge and awareness of EC prior to and after non-prescription availability.Methods: A survey regarding contraception use and knowledge was verbally administered to a cross-sectional, convenience sample of 272 pregnant women receiving prenatal care at a large urban community women’s clinic between August 2003 and October 2008. Statistical analyses determined the differences between two groups (before [BA] and after, [AA] non-prescription EC availability in the U.S. drug market) in terms of self-reported unintended pregnancy rates, knowledge and awareness of EC.Results: The AA group reported higher incidence of unintended pregnancy when compared to the BA group (90.7% vs. 72.7%, P = 0.0172). The majority of both groups reported that they were not using any contraception at the time of conception (BA-84.4%; AA-83.3%). There was no significant difference in the participants’ awareness of EC between the two groups (BA-46.8% vs. AA-43.0%) nor was there a significant difference between the two groups in the self-reported willingness to use EC in the future (BA-53.1% vs. AA-63.4%). However, among participants who were unaware of EC, 61% reported they would consider using it in the future after receiving brief EC counseling from a pharmacist or student pharmacist. Neither age nor pregnancy intention was associated with self-reported EC awareness but there was an association with income (P = 0.0410) and education (P = 0.0021).Conclusion: The change from prescription-only to non-prescription status of EC in the U.S. drug market did not impact the unintended pregnancy rate in this patient population. Lack of knowledge and awareness is still a major barrier to widespread EC use. |
topic |
Contraception Postcoital Behind-the-Counter Drugs Health Knowledge Attitudes Practice United States |
url |
http://www.pharmacypractice.org/vol08/03/173-178.htm |
work_keys_str_mv |
AT payakachatn impactofemergencycontraceptionstatusonunintendedpregnancyobservationaldatafromawomenshealthpractice AT raglandd impactofemergencycontraceptionstatusonunintendedpregnancyobservationaldatafromawomenshealthpractice AT houstonc impactofemergencycontraceptionstatusonunintendedpregnancyobservationaldatafromawomenshealthpractice |
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