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Emergency contraceptive pills over-the-counter: a population-based survey of young Swedish women
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Socialmedicinsk epidemiologi)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
2004 (English)In: Contraception, ISSN 0010-7824, E-ISSN 1879-0518, Vol. 69, no 4, 309-315 p.Article in journal (Refereed) Published
Abstract [en]

One year after emergency contraceptive pills (ECP) had become prescription-free, we sent a questionnaire to 800 randomly selected women in mid-Sweden. The aim was to investigate women's knowledge, attitudes and practices regarding the method. The response rate was 71% (n = 564). The majority of the women, 65%, would prefer to purchase ECP over-the-counter (OTC) in a pharmacy. Attitudes toward the method were predominantly positive, but one fourth (24%) had worries about side effects and one third (33%) considered ECP to be a kind of abortion. Logistic regression showed that correct knowledge of and positive attitudes toward ECP contributed to estimated future use of ECP. Although women favored the OTC option, persistent misunderstanding about ECP implies that routine information from gynecologists and health professionals as well as media campaigns is needed along with the deregulation in order to make ECP an accepted and properly used contraceptive method.

Place, publisher, year, edition, pages
2004. Vol. 69, no 4, 309-315 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-91678DOI: 10.1016/j.contraception.2003.11.013PubMedID: 15033406OAI: oai:DiVA.org:uu-91678DiVA: diva2:164490
Available from: 2004-05-03 Created: 2004-05-03 Last updated: 2017-12-14
In thesis
1. The Adoption of a New Contraceptive Method – Surveys and Interventions Regarding Emergency Contraception
Open this publication in new window or tab >>The Adoption of a New Contraceptive Method – Surveys and Interventions Regarding Emergency Contraception
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to examine the adoption of emergency contraceptive pills (ECP) in Sweden. Two cross-sectional surveys and two quasi-experimental studies were used. Reasons for induced abortion, contraceptive practices and contraceptive failure were examined in a group of abortion applicants with a waiting-room questionnaire (I) and knowledge, use and practices of ECP were assessed with a postal questionnaire in a population-based sample of young women (II). One community-based information campaign was evaluated with a repeated postal questionnaire (III) and a school-based education intervention was evaluated with repeated class-room questionnaires (IV). Abortion applicants had inadequate contraceptive practices and a low use of ECP. One year after the deregulation of ECP women were highly aware of the method and preferred the pharmacy for the purchase of ECP. Correct knowledge and positive attitudes influenced the willingness to use ECP in the future. The information campaign was noticed by two-thirds of the women and there was an overall trend towards better knowledge, improved attitudes and increased use among all women at follow-up. The school-based intervention improved the students’ knowledge of, and attitudes to, ECP without jeopardizing condom use. The adoption of ECP in Sweden seems to have gone through the first stages of diffusion of an innovation, i.e., developement, dissemination, and adoption, and has reached the stage of implementation since the studies indicated a general awareness of more than 90%, an intention to use in case of need of more than 70%, and womens’ own experience of use of around 30%. The most cited information channels were media, friends and the local Youth Clinic. ECP is gradually becoming a more widely known, accepted and used contraceptive method in Sweden, but must be considered as being only one of many tools in the prevention of unintended pregnancies.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2004. 62 p.
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1345
Keyword
Obstetrics and gynaecology, Abortion applicants, adolescents, induced abortion, contraception, emergency contraception, over-the-counter, knowledge, attitudes, practices, sexual health, community-based, intervention, Obstetrik och kvinnosjukdomar
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:uu:diva-4237 (URN)91-554-5949-8 (ISBN)
Public defence
2004-05-25, Rosénsalen, Kvinno- och barnkliniken, Akademiska sjukhuset, Ing. 95-96, Uppsala, 13:15
Opponent
Supervisors
Available from: 2004-05-03 Created: 2004-05-03Bibliographically approved

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Westerling, RagnarTydén, Tanja

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