scholarly journals Prevalence and Correlates of Emergency Contraceptive Use in Transitional Albania

2017 ◽  
Vol 81 (07) ◽  
pp. e127-e132
Author(s):  
Dajana Roshi ◽  
Salvatore Italia ◽  
Genc Burazeri ◽  
Helmut Brand

Abstract Objectives The two emergency contraceptive drugs (“morning-after pill”) ulipristal acetate and levonorgestrel are available without prescription in many European countries. In Albania, ulipristal acetate is not marketed yet and levonorgestrel has still prescription-only status. The objective of this study was to assess the prevalence and socioeconomic correlates of emergency contraceptive (EMC) use, collect sales figures, and gain information on the women’s way of purchasing EMCs in post-communist Albania. Methods For this cross-sectional study, self-administered questionnaires were made accessible to women in Albania in March 2015 by hard copy or online via social networks. Women were asked about lifetime use and last year’s use of EMCs, and if they purchased EMCs with or without a prescription. Additionally, pharmacies were contacted and asked about EMC sales figures. Results Of the 205 participating women, 80.5% knew about the availability and use of EMCs, and 15.1% reported EMC use during the previous 12 months. The lifetime prevalence of use was 46.8%. Although having prescription-only status in Albania, 96% of the women bought EMCs without a physician’s prescription. Knowledge was significantly lower among the lower educated women and among women residing in small cities. Use of EMCs was significantly higher in women with a weaker financial background and, compared with small cities, in those from large or mid-sized cities. The 54 participating pharmacies (3% of all Albanian pharmacies) reported selling 11 EMCs on average per month. The use of EMCs may be estimated at 0.22 defined daily doses per 1,000 inhabitants per day. Compared to January 2015, EMC sales increased by 17% in February 2016. Conclusions Compared to other European countries, the prevalence of EMC use seems to be higher in Albania. Use and knowledge of EMCs depend on socioeconomic characteristics. It is recommended to switch EMCs to non-prescription status in transitional Albania.

Author(s):  
Kailong J. M ◽  
Adem A

The study purpose of the study was to determine the prevalence of emergency contraceptive use among the Kenya Coast National Polytechnic. The objective of the study was to establish the level of contraceptive use, student knowledge on contraceptives and accessibility of contraceptives. A descriptive cross sectional study design was employ to collect both qualitative and quantitative data. Data was collected from sample size of 196 calculated using Fisher’s formula. Data was collected using both structured questionnaires and interviews. The collected data was analyzed using SPPS version 20 and presented using tables and pie charts. About 32% of the respondents were using contraceptive, 99% had knowledge on contraceptives and 77% could access contraceptives within their neighborhood. Bivariate analysis findings show that residence (p=0.000), course (P=0.000), usage of contraceptive (p=0.000) and availability at a nearby facility (p=0.009) to statistically significant in contraceptive use. The study recommends that the respondents need more knowledge on various contraceptive options, support from both institution of learning as well as parents on safe sex practices and reliable provision of contraceptives KEY WORDS: Contraceptives, teenagers, accessibility


2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Yohannes Ayanaw Habitu ◽  
Hedija Yenus Yeshita ◽  
Abel Fekadu Dadi ◽  
Desta Galcha

Emergency contraceptives (ECs) need to be available and used appropriately as a backup in case regular contraception is not taken by people like university students. This study was conducted to assess emergency contraception use and its associated factors among female undergraduates of Arba Minch University. A cross-sectional study was conducted among 515 undergraduates using a structured questionnaire. Respondents were selected by the stratified random sampling technique and data were analyzed using SPSS version 20. Bivariate and multivariate logistic regression models were fitted to identify associated factors. The adjusted odds ratio with a 95% confidence interval was used to present the identified risk factors. The prevalence of emergency contraception use among Arba Minch University students was 78.0% (95% CI: 71.5%, 84.5%). Better information about emergency contraceptives (AOR = 6.3; 95% CI: 2.4, 9.7), good approach of EC service providers (AOR = 9.3; 95% CI: 2.4, 11.6), and positive attitude about ECs (AOR = 2.4; 95% CI: 1.5, 7.2) were factors significantly associated with EC use. The prevalence of emergency contraceptive use noted in this study was comparatively higher than the results found by previous studies conducted in Africa and Ethiopian universities. Continuing support for and wider dissemination of the class are recommended. The fact that the students/participants readily accepted the preceding provisions made such positive findings possible and sustainable.


2015 ◽  
Vol 8 (1) ◽  
Author(s):  
Tewodros Getachew Hailemariam ◽  
Tamene Tesfaye ◽  
Tedla Melese ◽  
Wondimu Alemayehu ◽  
Yeshialem Kenore ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lizhen Ye ◽  
Liset E. M. Elstgeest ◽  
Xuxi Zhang ◽  
Tamara Alhambra-Borrás ◽  
Siok Swan Tan ◽  
...  

Abstract Background Frailty is an age-related condition resulting in a state of increased vulnerability regarding functioning across multiple systems. It is a multidimensional concept referring to physical, psychological and social domains. The purpose of this study is to identify factors (demographic characteristics, lifestyle factors and health indicators) associated with overall frailty and physical, psychological and social frailty in community-dwelling older people from five European countries. Methods This cross-sectional study used baseline data from 2289 participants of the Urban Health Center European project in five European countries. Multivariable logistic regression models were used to assess associations of the factors with overall frailty and the three frailty domains. Results The mean age was 79.7 (SD = 5.7). Participants who were older, were female, had secondary or equivalent education, lived alone, not at risk of alcohol use, were less physically active, had multi-morbidity, were malnourished or with a higher level of medication risk, had higher odds of overall frailty (all P < 0.05). Age was not associated with psychological and social frailty; sex was not associated with social frailty; smoking and migration background was not associated with overall frailty or any of its domains. There existed an interaction effect between sex and household composition regarding social frailty (P < 0.0003). Conclusions The present study contributed new insights into the risk factors for frailty and its three domains (physical, psychological and social frailty). Nurses, physicians, public health professionals and policymakers should be aware of the risk factors of each type of frailty. Furthermore, examine these risk factors more comprehensively and consider overall frailty as well as its three domains in order to further contribute to decision-making more precisely on the prevention and management of frailty. Trial registration The intervention of the UHCE project was registered in the ISRCTN registry as ISRCTN52788952. The date of registration is 13/03/2017.


2013 ◽  
Vol 22 (21-22) ◽  
pp. 3006-3015 ◽  
Author(s):  
Cristina Lopez-del Burgo ◽  
Rafael T Mikolajczyk ◽  
Alfonso Osorio ◽  
Tania Errasti ◽  
Jokin de Irala

2016 ◽  
Vol 51 (5) ◽  
pp. 615-621 ◽  
Author(s):  
Avalon de Bruijn ◽  
Rutger Engels ◽  
Peter Anderson ◽  
Michal Bujalski ◽  
Jordy Gosselt ◽  
...  

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