%0 Journal Article
%T Impact of emergency contraception status on unintended pregnancy: observational data from a women¡äs health practice
%A Payakachat
%A Nalin
%A Ragland
%A Denise
%A Houston
%A Cherri
%J Pharmacy Practice (Internet)
%D 2010
%I Scientific Electronic Library Online
%R 10.4321/S1886-36552010000300004
%X objective: this study aimed to determine if non-prescription emergency contraception (ec) availability impacted self-reported unintended pregnancy rates and to assess women¡äs knowledge and awareness of ec prior to and after non-prescription availability. methods: a survey regarding contraception use and knowledge was verbally administered to a cross-sectional, convenience sample of 272 pregnant women receiving prenatal care at a large urban community women¡äs clinic between august 2003 and october 2008. statistical analyses determined the differences between two groups (before [ba] and after, [aa] non-prescription ec availability in the u.s. drug market) in terms of self-reported unintended pregnancy rates, knowledge and awareness of ec. results: the aa group reported higher incidence of unintended pregnancy when compared to the ba group (90.7% vs. 72.7%, p = 0.0172). the majority of both groups reported that they were not using any contraception at the time of conception (ba-84.4%; aa-83.3%). there was no significant difference in the participants¡ä awareness of ec between the two groups (ba-46.8% vs. aa-43.0%) nor was there a significant difference between the two groups in the self-reported willingness to use ec in the future (ba-53.1% vs. aa-63.4%). however, among participants who were unaware of ec, 61% reported they would consider using it in the future after receiving brief ec counseling from a pharmacist or student pharmacist. neither age nor pregnancy intention was associated with self-reported ec awareness but there was an association with income (p = 0.0410) and education (p = 0.0021). conclusion: the change from prescription-only to non-prescription status of ec in the u.s. drug market did not impact the unintended pregnancy rate in this patient population. lack of knowledge and awareness is still a major barrier to widespread ec use.
%K contraception
%K postcoital
%K behind-the-counter drugs
%K health knowledge
%K attitudes
%K practice
%K united states.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1886-36552010000300004&lng=en&nrm=iso&tlng=en