Abstract
Objective
The objective of this work was to evaluate the acceptance, use and recall of an optional
advance prescription for emergency contraception (EC).
Materials and methods
This study used as randomized controlled trial evaluating contraceptive counseling
intervention with women aged 16���44 years who were at risk for unintended pregnancy
(N=737). Intervention participants (n=365) received contraceptive counseling with optional advance EC prescription. Control
women (n=372) received no contraceptive or EC counseling. Among intervention participants,
initial acceptance and use of EC in first 2 months were evaluated. Among all participants,
differences were evaluated between recall of EC discussion and use of EC.
Results
Among 365 intervention women, 336 received EC counseling and 51% of these 336 accepted
advance EC prescription. At 2 months, among the women who had accepted EC, 6% had
filled and used their prescription and 8% had filled but not used their prescription.
At 12 months, intervention women were significantly more likely than controls to recall
talking about EC (33% vs. 5%) and obtaining a prescription (38% vs. 6%), but there
were no differences in the use of EC (6% vs. 6%).
Conclusion
When the option is available for EC counseling, approximately half of women accepted
advance prescription for EC. However, few women who received information and/or an
advance prescription remembered discussing EC, filled the prescription or used EC
over 12 months.
Keywords
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Article info
Publication history
Published online: October 12, 2006
Accepted:
August 21,
2006
Received in revised form:
July 31,
2006
Received:
June 28,
2006
Footnotes
���This project was made possible through a cooperative agreement (award no. U50/CCU300860 TS-0768) between the Centers for Disease Control and Prevention (CDC) and the Association for Prevention, Teaching and Research (APTR).
������The findings and conclusions in this report are those of the authors and do not necessarily reflect the official views of the CDC or the APTR.
Identification
Copyright
© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
