Document Detail


Counseling about and use of emergency contraception in the United States.
MedLine Citation:
PMID:  18577140     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Few nationally representative studies have examined the prevalence and predictors of emergency contraception use or of receipt of counseling about the method. The impact of the U.S. Food and Drug Administration's 2006 approval of behind-the-counter sales of the method to women aged 18 and older remains to be seen; therefore, understanding patterns of use and counseling before the 2006 policy change is necessary to assess its impact. METHODS: Data collected from 7,643 women aged 15-44 participating in the 2002 National Survey of Family Growth were analyzed using multivariable logistic regression to assess predictors of receipt of counseling and use of emergency contraception. RESULTS: Overall, 3% of women reported that a clinician had discussed emergency contraception with them in the past year, and 4% of those who had ever had sex with a man reported having used the method. Only 4% of those who had seen a gynecologist in the past year reported having received counseling. Women's likelihood of having received counseling was reduced if they were 30 or older (odds ratio, 0.2), and was elevated if they were Hispanic (4.1), black (2.6) or ever-married (2.4). Receipt of counseling in the last 12 months was the strongest predictor of ever-use (11.7). CONCLUSIONS: Clinicians can play a pivotal role in ensuring that women have accurate information about how to access and use emergency contraception. However, efforts are needed to explore other ways to deliver this counseling.
Authors:
Megan L Kavanaugh; Eleanor Bimla Schwarz
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Perspectives on sexual and reproductive health     Volume:  40     ISSN:  1538-6341     ISO Abbreviation:  Perspect Sex Reprod Health     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-25     Completed Date:  2008-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140654     Medline TA:  Perspect Sex Reprod Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  81-6     Citation Subset:  IM    
Affiliation:
Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, USA. mlc27@pitt.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Contraception, Postcoital / statistics & numerical data*
Contraceptives, Postcoital*
Counseling / statistics & numerical data*
Cross-Sectional Studies
Ethnic Groups / statistics & numerical data*
Family Practice / statistics & numerical data
Female
Health Knowledge, Attitudes, Practice*
Humans
Physician's Practice Patterns / statistics & numerical data
Prevalence
Professional-Patient Relations
Questionnaires
United States / epidemiology
Women's Health
Chemical
Reg. No./Substance:
0/Contraceptives, Postcoital

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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