Abstract
Objectives
To assess emergency contraception (EC) service provision by California's family planning
clinics.
Study Design
We made 2 scripted calls to a random sample of 309 family planning clinics.
Results
We reached one hundred ninety-four clinics on 2 occasions, although only 183 (59%)
could be reached with the information provided online by California's office of family
planning. Of these 194 clinics, 27% responded that the clinic did not provide EC and
43% offered only levonorgestrel EC. Only 1 clinic asked about recent sexual assault
and one other about their weight.
Conclusions
Prompt access to effective EC remains challenging in California. Clinic staff responding
to requests for EC should provide trauma-informed care.
Keywords
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References
- My BMI is too high for Plan B.” A changing population of women seeking ulipristal acetate emergency contraception online.Women Health. 2020; 60: 241-248
- Safety and effectiveness data for emergency contraceptive pills among women with obesity: a systematic review.Contraception. 2016; 94: 605-611
- Access to emergency contraception.Am College Obstet Gynecol. 2017; 130: 48-52
- Changes in use of emergency contraceptive pills in the United States from 2008 to 2015.Contracept X. 2021; 3100065
- Family PACT Program Report, FY 2013-2014.Sacramento. University of California, San Francisco, CA2016 (Available from:)
- Use of emergency contraception among women with experience of domestic violence and abuse: a systematic review.BMC Womens Health. 2018; 18: 156
- Exposure to domestic violence and abuse and consultations for emergency contraception: nested case-control study in a UK primary care dataset.Br J Gen Pract. 2019; 69: e199-e207
- The National Intimate Partner and Sexual Violence Survey (NISVS): 2015 data brief—updated release.National Center for Disease Control and Prevention, Atlanta, GA2018
- Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines [Internet].World Health Organization, Geneva2013 ([cited 2022 Jan 15]. Available from:)
- Implementing trauma-informed partner violence assessment in family planning clinics.J Womens Health (Larchmt). 2017; 26: 957-965
- Emergency Contraception: A multi-specialty survey of clinician knowledge and practices.Contraception. 2016; 93: 145-152
Article info
Publication history
Published online: April 01, 2022
Accepted:
March 28,
2022
Received in revised form:
March 25,
2022
Received:
February 18,
2022
Footnotes
☆Declaration of Competing Interest: The author(s) declares(declare) no conflict of interest.
Funding: This work was supported by the UC Davis Medical Student Research Fellowship and the National Center for Advancing Translational Science (NCATs), National Institutes of Health (NIH), through grant #UL1 TR001860.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
