Older teen attitudes toward birth control access in pharmacies: a qualitative study

Wilkinson, Tracey A.; Miller, Courtney; Rafie, Samantha; Landau, Sharon Cohen; Rafie, Sally

doi:10.1016/j.contraception.2017.11.008

Cited by 30 publications

(37 citation statements)

References 20 publications

(23 reference statements)

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“…A small 2018 survey of 18-and 19-year-old participants found that many supported increased access to contraception through the pharmacy. 9 Participants identified privacy, cost, and confidentiality as important features of pharmacist-provided contraceptive services.…”

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confidence: 99%

Hormonal contraception prescribing by pharmacists: 2019 update

Kooner¹,

Joseph²,

Griffin³

et al. 2020

Journal of the American Pharmacists Association

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mentioning

confidence: 99%

Hormonal contraception prescribing by pharmacists: 2019 update

Kooner¹,

Joseph²,

Griffin³

et al. 2020

Journal of the American Pharmacists Association

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“…Ultimately, six articles reporting data from four studies met the inclusion criteria and were included in the effectiveness review 9–14. An additional 24 articles from 23 studies were included in the values and preferences review 13 15–37…”

Section: Resultsmentioning

confidence: 99%

“…We identified 24 articles from 23 studies that met the inclusion criteria for the values and preferences review. Of these, 13 articles focused on the perspectives of female OC users, potential users, or women in general,13 15 16 18 19 21–24 29–31 37 9 focused on the perspectives of healthcare providers (particularly physicians) and pharmacists17 25 26 28 32–36 3839 and 1 focused on the general public;27 one article included both women and healthcare providers 20. Almost all studies were conducted in the USA, except for one each in Canada,32 France17 and Ireland15; one publication from the Border Contraceptive Access Study included in the values and preferences review included women residing in El Paso, Texas, who accessed OCs in both the USA and Mexico 13.…”

Section: Resultsmentioning

confidence: 99%

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Should oral contraceptive pills be available without a prescription? A systematic review of over-the-counter and pharmacy access availability

Kennedy

Yeh

Gonsalves³

et al. 2019

BMJ Glob Health

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IntroductionMaking oral contraceptives (OC) available over the counter (OTC) could reduce barriers to use. To inform WHO guidelines on self-care interventions, we conducted a systematic review of OTC availability of OCs.MethodsWe reviewed data on both effectiveness and values and preferences surrounding OTC availability of OCs. For the effectiveness review, peer-reviewed articles were included if they compared either full OTC availability or pharmacist-prescribing (behind-the-counter availability) to prescription-only availability of OCs and measured an outcome of interest. For the values and preferences review, we included peer-reviewed articles that presented primary data (qualitative or quantitative) examining people’s preferences regarding OTC access to OCs. We searched PubMed, CINAHL, LILACS and EMBASE through November 2018 and extracted data in duplicate.ResultsThe effectiveness review included four studies with 5197 total participants. Two studies from the 2000s compared women who obtained OCs OTC in Mexico to women who obtained OCs from providers in either Mexico or the USA. OTC users had higher OC continuation rates over 9 months of follow-up (adjusted HR: 1.58, 95 % CI 1.11 to 2.26). One study found OTC users were more likely to report at least one WHO category 3 contraindication (13.4% vs 8.6%, p=0.006), but not category 4 contraindications; the other study found no differences in contraindicated use. One study found lower side effects among OTC users and high patient satisfaction with both OTC and prescription access. Two cross-sectional studies from the 1970s in Colombia and Mexico found no major differences in OC continuation, but some indication of slightly higher side effects with OTC access. In 23 values and preference studies, women generally favoured OTC availability. Providers showed more modest support, with pharmacists expressing greater support than physicians. Support was generally higher for progestogen-only pills compared with combination OCs.ConclusionA small evidence base suggests women who obtain OCs OTC may have higher continuation rates and limited contraindicated use. Patients and providers generally support OTC availability. OTC availability may increase access to this effective contraceptive option and reduce unintended pregnancies.Systematic review (PROSPERO) registration numberCRD42019119406.

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“…At a clinical and policy level, it is essential to ensure that women have access to affordable or no-cost contraception at any age. Over-the-counter contraception or ensuring parent consent is not required for any family planning service including abortion, and more targeted education in schools, can help address this at the policy level [21][22][23]. Mothers and fathers are often the gate-keepers to this information and access, but, as noted by many participants, can often put up barriers themselves.…”

Section: Discussionmentioning

confidence: 99%

“Since I’m a little bit more mature”: Contraception and the Arc of Time for Women in Midlife

Alspaugh

Reibel

Barroso

2020

Preprint

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Background: Birth control methods have rapidly evolved over the past several decades, but little research has explored how women interact with contraception over time. Exploring contraceptive beliefs, perceptions, and attitudes of women in midlife can reveal much about how lived experience affects contraceptive decisions and reproductive health choices. Methods: Individual, semi-structured interviews were conducted with 20 women between the ages of 40 and 55 who had not reached menopause and did not have a permanent method of sterilization. Data were coded using qualitative descriptive methods.Results: Three major themes were identified: 1) journey toward empowerment; 2) finding the right fit: evolution over time; and 3) anticipating a transition. Past experiences with or fear of side effects and hormones were common reasons to change or avoid certain birth control methods. Most participants were happy with their contraceptive method; however, those who were unhappy were more likely to vocalize fatigue at continuing to need contraception as menopause approached.Conclusion: Approaching contraceptive counseling from a place that considers the journey with contraception over a reproductive life span will help identify how beliefs, perceptions, and attitudes of women affect their contraceptive practices and choices.

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Older teen attitudes toward birth control access in pharmacies: a qualitative study

Cited by 30 publications

References 20 publications

Hormonal contraception prescribing by pharmacists: 2019 update

Hormonal contraception prescribing by pharmacists: 2019 update

Should oral contraceptive pills be available without a prescription? A systematic review of over-the-counter and pharmacy access availability

“Since I’m a little bit more mature”: Contraception and the Arc of Time for Women in Midlife

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