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Knowledge and use of emergency contraception: a multicountry analysis
Tia Palermo1, Jennifer Bleck, Elizabeth Westley
1Assistant Professor, Program in Public Health, Department of Preventive Medicine, Stony Brook University, State University of New York, tia.palermo@stonybrook.edu.
Summary
Knowledge and use of emergency contraception (EC) vary significantly worldwide. Wealthier, urban, and never-married women show higher awareness and usage, indicating a need for targeted information dissemination.
Area of Science:
- Reproductive Health
- Global Public Health
- Demography
Background:
- Limited population-based data exists on emergency contraception (EC) knowledge and use globally.
- Understanding these factors is crucial for improving access to EC methods.
Purpose of the Study:
- To analyze global knowledge and use of emergency contraception (EC) across 45 countries.
- To identify factors associated with EC awareness and utilization using population-based survey data.
Main Methods:
- Logistic regressions were applied to Demographic and Health Survey (DHS) data for women aged 15-49.
- Analysis examined associations between women's characteristics (age, education, wealth, marital status, location) and EC knowledge/use.
- Regional and global trends were investigated based on individual, household, and community descriptors.
Main Results:
- Awareness of EC ranged from 2% (Chad) to 66% (Colombia); usage ranged from <0.1% to 12%.
- Higher wealth correlated with increased odds of knowing or using EC.
- Never-married women were more likely to use EC in some regions; urban residence showed mixed associations with EC use.
Conclusions:
- Broader dissemination of EC information is needed, especially for low-income populations.
- Programmatic approaches should be tailored to country-specific characteristics due to regional variations in knowledge and use.
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