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Over-the-Counter Emergency Contraception in Pharmacies across Dallas, Texas: A Secret Shopper Study
Surabhi R Madadi1, Rithika Prakash1, Sarah Mayberry2
1UT Southwestern Medical School, Dallas, Texas.
Objective:
To assess over-the-counter emergency contraception pills (ECP) availability in Dallas pharmacies across income levels.
Methods:
Secret shoppers visited 83 pharmacies (47 high-, 36 low-income zip codes) to document ECP visibility and restricted storage. Descriptive statistics and Chi-square tests compared visible availability by income group.
Results:
ECP was visibly available on the shelves in 53% (44 out of 83) of pharmacies. Of these, 84% (37 out of 44) used restricted storage. Availability was higher in high-income (64%) than low-income areas (39%) (P = .024).
Conclusion:
ECP access remains limited, particularly in low-income communities, underscoring the need for efforts to improve availability.
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