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Updated: Aug 22, 2025

Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
Published on: January 17, 2025
Temporal Changes in Counseling for and Use of Emergency Contraception
Ogechukwu Uwanaka1, Emma Qureshey, Stephen M Wagner
1Department of Obstetrics and Gynecology, Alpert Medical School, Brown University, Providence, Rhode Island; the Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, the University of Texas Health Science Center at Houston, Houston, Texas; and the Department of Obstetrics, Gynecology, and Reproductive Sciences, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Abstract:
Our objective was to evaluate changes in the prevalence of emergency contraception counseling and use after policy changes in the United States between 2011 and 2019. This was a serial cross-sectional study using the National Survey of Family Growth data set from two survey windows: 2011-2013 (4,177 women) and 2017-2019 (4,477 women). The incidence of emergency contraception counseling in the prior year did not differ between the 2011-2013 and 2017-2019 survey windows (3.3% vs 2.5%; adjusted odds ratio [aOR] 0.73, 95% CI 0.51-1.05). There was a significant increase in ever use of emergency contraception between the 2011-2013 and 2017-2019 survey windows (19.0% vs 26.1%; aOR 1.44, 95% CI 1.22-1.72). This suggests that changes facilitating access to care may have a larger effect on emergency contraception access and uptake than health care professional counseling.
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