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Published on: January 1, 2018
Beyond access: acceptability, use and nonuse of emergency contraception among young women
Corinne H Rocca1, Eleanor B Schwarz, Felicia H Stewart
1Department of Obstetrics, Gynecology, and Reproductive Sciences, Bixby Center for Reproductive Health Research and Policy, School of Medicine, University of California, San Francisco, CA 94105, USA. crocca@globalhealth.ucsf.edu
Objective:
This study was undertaken to assess the acceptability of levonorgestrel emergency contraception (EC).
Study Design:
We examined attitudes and use patterns among 1950 women in a randomized trial evaluating access to EC through advance provision, pharmacies, or clinics.
Results:
Most women considered EC to be safe (92%) and effective (98%). Compared with women with clinic access, women with direct pharmacy access were no more likely to use EC within 24 hours (odds ratio [OR] = 1.65, 95% CI = 0.82-3.30) or to report it very convenient (OR = 1.41, 95% CI = 0.77-2.56). However, women with advance provisions were more likely to use EC promptly (OR = 2.43, 95% CI = 1.24-4.80) and report high convenience (OR = 4.25, 95% CI = 2.32-7.76). Advance provision increased use by all women, whereas pharmacy access increased use only among condom users. Inconvenience and fear of side effects were common reasons for nonuse.
Conclusion:
Women viewed EC favorably. Advance provision improved promptness and convenience of use overall, while pharmacy access benefited specific populations.
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