Does readily available emergency contraception increase women's awareness and use?

Novikova, Natalia; Weisberg, Edith; Fraser, Ian S.

doi:10.1080/13625180802379964

Cited by 19 publications

(16 citation statements)

References 29 publications

(26 reference statements)

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“…This is higher than the 24.5% reported among Egyptian women aged 18-49 years [14]. The higher prevalence of ECP use in this study as compared to others studies [18, 19, 31] could be due to the fact that a large proportion of the women said ECPs were available (92.0%) and affordable (87.7%). Further confirming our findings, our univariate and multivariate logistic regression analysis indicated that participants who said ECPs were available and affordable were more likely to use them as compared to those who said it was not.…”

Section: Discussioncontrasting

confidence: 75%

Awareness, use and associated factors of emergency contraceptive pills among women of reproductive age (15-49 years) in Tamale, Ghana

et al. 2014

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BackgroundEmergency contraceptive pills (ECPs) are one of the means by which women can use after intercourse to prevent pregnancy. ECPs can be used to reduce the prevalence of unwanted pregnancies and unsafe abortions. This study investigated awareness and use of ECPs among reproductive age (15-49 years) women in Tamale, Ghana. Factors associated with the use of ECPs were also investigated.MethodsThis cross sectional study was conducted among 200 women of reproductive age (15-49 years) in Tamale, Ghana. Data on socio-demographic variables, awareness and usage of ECPs were assessed by means of a previously validated questionnaire. Univariate and multivariate logistic regression analyses were performed to identify factors associated with the use of ECPs.ResultsAwareness level of ECPs were found to be 69.0% (n = 138); 42.8% (n = 59) got the awareness from a health worker, 31.8% (n = 44) from the radio/TV and 25.4% (n = 35) from family members/friends. Eighty-five percent (n = 117) knew the correct time-frame for an effective use of ECP to prevent pregnancy. Forty percent (39.9%, n = 55) of the participants who had awareness have ever used ECPs. Factors that were found to be associated with the use of ECPs were; participants who said ECPs were affordable (AOR = 6.1, 95% CI = 2.51 – 10.40, p = 0.001), available (AOR 2.1, 95% CI = 0.61 – 6.01, p = 0.001), cultural (AOR = 3.5, 95% CI = 1.01 – 10.15, p = 0.011) and religious unacceptable (AOR = 4.0, 95% CI = 1.02 – 10.0, p = 0.005).ConclusionA relatively high level of awareness and usage of ECPs was found. Factors that were associated with the use of ECPs were availability and affordability. Cultural and religious unacceptability did not hinder the use of ECPs. Health authorities should continue to make ECPs available to women of reproductive age.

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Section: Discussioncontrasting

confidence: 75%

Awareness, use and associated factors of emergency contraceptive pills among women of reproductive age (15-49 years) in Tamale, Ghana

et al. 2014

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“…Although Australian women have a high level of awareness of the ECP, their knowledge about how and when to use it and where to obtain it is inadequate, thus increasing their risk of becoming pregnant 9 . These findings confirm international findings, which reveal that increased awareness of the ECP neither affects its actual use 10 nor reduces rates of unplanned pregnancy 11 . There is a gap between women's broader awareness of emergency contraception and contraception in general versus their specific knowledge and subsequent utilisation of emergency contraception.…”

Section: Knowledge Of Emergency Contraception and The Ecpsupporting

confidence: 69%

Unplanned pregnancy and emergency contraception in Australia: unsolved dilemmas

Mazza

Harrison

Taft

et al. 2014

Australian and New Zealand Journal of Public Health

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“…37 Improved availability and access to levonorgestrel were found to lead to increased patient awareness of emergency contraception, but this did not translate into increased use. 38 Given the results of these studies from three different countries, [35][36][37][38] an OTC designation for oral contraceptives may improve women's access to and, in some cases, use of oral contraceptives while also raising their awareness of other options for contraception.…”

Section: Policy Issue Considerationsmentioning

confidence: 99%

Changing Oral Contraceptives from Prescription to Over‐the‐Counter Status: An Opinion Statement of the Women's Health Practice and Research Network of the American College of Clinical Pharmacy

et al. 2011

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Addressing the issue of unintended pregnancy is a national priority. One proposed strategy to reduce unintended pregnancy is to improve access to oral contraceptives by changing them to over-the-counter (OTC) status. Existing data indicate that oral contraceptives meet safety criteria required of OTC products. Available literature demonstrates that women can self-screen for contraindications to oral contraceptives and can do this as well as clinicians, and experience with OTC emergency contraception suggests that OTC oral contraceptives would not increase sexual risk-taking behavior. Women support OTC access to oral contraceptives, but express an interest in accessing pharmacist counseling. On the basis of these data, the Women's Health Practice and Research Network of the American College of Clinical Pharmacy supports changing oral contraceptives to OTC status under two conditions: that they are sold where a pharmacist is on duty and that there are mechanisms in place to cover OTC contraceptives through Medicaid. Future research should address the issues of out-of-pocket costs to individuals, label-comprehension studies, and models for pharmacist reimbursement for time spent counseling on contraception.

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Does readily available emergency contraception increase women's awareness and use?

Abstract: Among women seeking termination of pregnancy wider availability of the ECP has increased women's awareness of EC but not use.

Cited by 19 publications

References 29 publications

Awareness, use and associated factors of emergency contraceptive pills among women of reproductive age (15-49 years) in Tamale, Ghana

Awareness, use and associated factors of emergency contraceptive pills among women of reproductive age (15-49 years) in Tamale, Ghana

Unplanned pregnancy and emergency contraception in Australia: unsolved dilemmas

Changing Oral Contraceptives from Prescription to Over‐the‐Counter Status: An Opinion Statement of the Women's Health Practice and Research Network of the American College of Clinical Pharmacy

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