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Emergency Contraceptive Pills in Sweden: Evaluation of an information campaign
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell kvinno- och mödrahälsovård/Lindmark)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Obstetrisk forskning/Axelsson)
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: BJOG : an international journal of obstetrics and gynaecology, ISSN 1470-0328, Vol. 111, no 8, 820-827 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To evaluate a community-based intervention regarding emergency contraceptive pills, including a mass media campaign and information to women visiting family planning clinics.

DESIGN: Quasi-experimental.

SETTING: Two counties in Sweden.

POPULATION: Eight hundred randomly selected women aged 16-30 years, 400 women in the intervention group and 400 in a comparison group.

METHODS: Postal questionnaires before (2002) and after (2003) the intervention.

MAIN OUTCOME MEASURES: Exposure to the intervention, knowledge, attitudes, practices and intention to use emergency contraceptive pills.

RESULTS: Before the intervention, the response rate was 71% (n= 564); after the intervention, the corresponding figure was 83% (n= 467); overall response rate 58%. Two-thirds (64%) of the targeted women had noticed the information campaign. One out of six who had visited a family planning clinic during the intervention year recalled being given information about emergency contraceptive pills. Specific knowledge and attitudes improved over time in both groups, but there was no difference in change between the groups. The proportion of women who had used emergency contraceptive pills increased from 27% to 31% over time. Intention to use emergency contraceptive pills in case of need was reported by 74% of the women and remained stable over time, but logistic regression showed that information during the previous year contributed to willingness to use the method in the intervention group.

CONCLUSIONS: Knowledge, attitudes and practices about emergency contraceptive pills increased in both groups. Emergency contraceptive pills is gradually becoming a more widely known, accepted and used contraceptive method in Sweden, a trend that may have limited the impact of the intervention.

Place, publisher, year, edition, pages
2004. Vol. 111, no 8, 820-827 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-91679DOI: 10.1111/j.1471-0528.2004.00206.xPubMedID: 15270930OAI: oai:DiVA.org:uu-91679DiVA: diva2:164491
Available from: 2004-05-03 Created: 2004-05-03 Last updated: 2016-04-22
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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Larsson, MargaretaEurenius, KarinWesterling, RagnarTydén, Tanja

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