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Population Geography and Emergency Contraception Access in Louisiana
Elvira Chiccarelli1, Nikka Khorsandi2, S Amanda Dumas1
1Department of Pediatrics, Louisiana State University Health Sciences Center, New Orleans, LA 70118, USA.
Pharmacy (Basel, Switzerland)
|November 25, 2020
Summary
Emergency contraception (EC) is available same-day at 66% of pharmacies. Availability is lower in larger populations and higher in areas with more education, indicating potential health disparities.
Area of Science:
- Reproductive Health
- Public Health
- Health Disparities
Background:
- Oral emergency contraception (EC) became available over-the-counter in 2013.
- Geographic and demographic factors may influence EC access.
- Understanding EC availability is crucial for reproductive healthcare access.
Purpose of the Study:
- To assess same-day availability of oral emergency contraception (EC) in Louisiana communities.
- To evaluate relationships between EC availability and local population demographics.
- To identify predictors of EC access.
Main Methods:
- Researchers contacted retail pharmacies in five Louisiana municipalities to inquire about same-day EC stock.
- Pharmacy locations were geolocated to census tracts.
- Data were analyzed against census demographics using multivariable logistic regression.
Main Results:
- Emergency contraception was available same-day in 66% of surveyed pharmacies.
- Same-day EC availability decreased with increasing local population size (p < 0.001).
- Availability increased with higher levels of educational attainment (p = 0.0015).
Conclusions:
- Despite OTC availability, EC access is not universal.
- Local population demographics, particularly city population size and education levels, predict EC availability.
- Disparities in EC access may exist for women and teens based on these demographic factors.
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