Emergency contraceptive pill use among women in Denmark, Norway and Sweden: Population‐based survey

2020 ◽  
Vol 99 (9) ◽  
pp. 1214-1221
Author(s):  
Sonia Guleria ◽  
Christian Munk ◽  
K. Miriam Elfström ◽  
Bo T. Hansen ◽  
Karin Sundström ◽  
...  
Keyword(s):  
Population Based ◽  
Contraceptive Pill ◽  
Emergency Contraceptive Pill ◽  
Emergency Contraceptive ◽  
Population Based Survey

scholarly journals Access to the Emergency Contraceptive Pill and Women's Reproductive Health: Evidence From Public Reform in Chile

Demography ◽  
2021 ◽  
Author(s):  
Damian Clarke ◽  
Viviana Salinas
Keyword(s):  
Reproductive Health ◽  
Health Outcomes ◽  
Well Being ◽  
Public Health Care ◽  
Data Sets ◽  
Contraceptive Pill ◽  
Emergency Contraceptive Pill ◽  
Emergency Contraceptive ◽  
Women’S Reproductive Health ◽  
Women's Reproductive Health

Abstract We examine the sharp expansion in availability of the emergency contraceptive pill in Chile following legalized access through municipal public health care centers. We study the period 2002–2016 and a broad rollout of the emergency contraceptive pill occurring between 2008 and 2011. By combining a number of administrative data sets on health outcomes and pharmaceutical use, and using event-study and difference-in-differences methods, we document that this expansion improved certain classes of women's reproductive health outcomes, notably reducing rates of abortion-related morbidity. These improvements were greater in areas of the country where the rollout of the emergency contraceptive pill was more extensive. We also document some evidence that refusal to provide the emergency contraceptive pill upon a women's request was linked with a worsening in reproductive health outcomes. These results point to the importance of contraceptive access as a determinant of women's reproductive health and well-being and relates to a growing body of work documenting the importance of women's autonomy as a determinant of health.

Contraception – what about the men? Experience, knowledge and attitudes: a survey of 2438 heterosexual men using an online dating service

Sexual Health ◽  
2017 ◽  
Vol 14 (6) ◽  
pp. 533 ◽  
Author(s):  
Mary Stewart ◽  
Todd Ritter ◽  
Deborah Bateson ◽  
Kevin McGeechan ◽  
Edith Weisberg
Keyword(s):  
Decision Making ◽  
Contraceptive Method ◽  
Online Dating ◽  
Older Men ◽  
Heterosexual Men ◽  
Attitudes And Beliefs ◽  
Contraceptive Pill ◽  
Emergency Contraceptive Pill ◽  
Emergency Contraceptive

Background There is little research on men’s contraceptive knowledge, attitudes and beliefs, yet the male partner is known to influence contraceptive choices. This study investigates contraceptive experiences, knowledge, attitudes and beliefs of a sample of sexually active, heterosexual men via an online dating site. Methods: An anonymous online survey was sent to men who had logged onto an online dating site within the previous year. Results: We analysed 2438 survey responses. A contraceptive method was used at last intercourse for 82% of men <50 years old versus 69% of men ≥50 (P < 0.0001). Condoms (35%), vasectomy (22%) and the contraceptive pill (21%) were the most commonly used methods. Older men were less likely to use condoms than younger men (P < 0.0001). More than 80% of participants had heard of each method. The greatest perceived harm was with the emergency contraceptive pill, with 32% responding that it was ‘harmful to the health of the user’ and 37% not sure. Belief that contraception decision-making should be shared between partners increased from 57% in a ‘one-night stand’ to 75% in a casual relationship, to 92% in a long-term relationship. Conclusion: Among this sample there is high contraceptive use, especially vasectomy in older men and a desire to share contraceptive decision-making with their partners, especially in long-term relationships. However, low awareness of some methods and misperceptions about hormonal contraceptive method safety, especially the emergency contraceptive pill, highlight the need for education for men.

scholarly journals The Quality of Counselling for Oral Emergency Contraceptive Pills—A Simulated Patient Study in German Community Pharmacies

2020 ◽  
Vol 17 (18) ◽  
pp. 6720
Author(s):  
Bernhard Langer ◽  
Sophia Grimm ◽  
Gwenda Lungfiel ◽  
Franca Mandlmeier ◽  
Vanessa Wenig
Keyword(s):  
Simulated Patient ◽  
Guideline Recommendation ◽  
Community Pharmacies ◽  
Unprotected Sexual Intercourse ◽  
Patient Study ◽  
Contraceptive Pill ◽  
Emergency Contraceptive Pills ◽  
Emergency Contraceptive Pill ◽  
Contraceptive Pills ◽  
Emergency Contraceptive

Background: In Germany, there are two different active substances, levonorgestrel (LNG) and ulipristal acetate (UPA), available as emergency contraception (the “morning after pill”) with UPA still effective even 72 to 120 h after unprotected sexual intercourse, unlike LNG. Emergency contraceptive pills have been available without a medical prescription since March 2015 but are still only dispensed by community pharmacies. The aim of this study was to determine the counselling and dispensing behaviour of pharmacy staff and the factors that may influence this behaviour in a scenario that intends that only the emergency contraceptive pill containing the active substance UPA is dispensed (appropriate outcome). Methods: A cross-sectional study was carried out in the form of a covert simulated patient study in a random sample of community pharmacies stratified by location in the German state of Mecklenburg-Vorpommern and reported in accordance with the STROBE statement. Each pharmacy was visited once at random by one of four trained test buyers. They simulated a product-based request for an emergency contraceptive pill, stating contraceptive failure 3.5 days prior as the reason. The test scenario and the evaluation forms are based on the recommended actions, including the checklist from the Federal Chamber of Pharmacies. Results: All 199 planned pharmacy visits were carried out. The appropriate outcome (dispensing of UPA) was achieved in 78.9% of the test purchases (157/199). A significant correlation was identified between the use of the counselling room and the use of a checklist (p < 0.001). The use of a checklist led to a significantly higher questioning score (p < 0.001). In a multivariate binary logistic regression analysis, a higher questioning score (adjusted odds ratio [AOR] = 1.41; 95% CI = 1.22–1.63; p < 0.001) and a time between 12:01 and 4:00 p.m. (AOR = 2.54; 95% CI = 1.13–5.73; p = 0.024) compared to 8:00 to 12:00 a.m. were significantly associated with achieving the appropriate outcome. Conclusions: In a little over one-fifth of all test purchases, the required dispensing of UPA did not occur. The use of a counselling room and a checklist, the use of a checklist and the questioning score as well as the questioning score and achieving the appropriate outcome are all significantly correlated. A target regulation for the use of a counselling room, an explicit guideline recommendation about the use of a checklist, an obligation for keeping UPA in stock and appropriate mandatory continuing education programmes should be considered.

Sign in / Sign up

Export Citation Format

Share Document