The journal of family planning and reproductive health care · 2001
Emergency contraception: Who are the users?
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Shawe J, Ineichen B, Lawrenson R
Аннотация
CONTEXT: Data collected from two community family planning services are used to discuss the characteristics of users of emergency contraception (EC).
OBJECTIVE: To investigate the characteristics of women attending for emergency contraception.
DESIGN: A descriptive survey design was used to collect data. Questionnaires were completed over a 4-week period. Data were analysed using SPSS.
SETTING: Community family planning services in South West Surrey and Newham, East London.
PARTICIPANTS: Consenting women aged 14-44 years attending for emergency contraception (n = 171).
MAIN OUTCOME MEASURES: Description of the users, the current episode and contact with contraceptive services were analysed by age.
RESULTS: The age range was 14-37 years (mean 20.2 years). A majority were smokers. Of the women, 97.7% attended the clinic within the 72-hour time frame for issuing oral EC, however only 4% came within 12 hours of intercourse; 55% said that they had used contraception. Condom breakage was the commonest reason for failure. Reasons for not using contraception included getting 'carried away' (35%), not having condoms available (22%) and having drunk alcohol (13%). Of the sample 55.6% were previous users of EC.
DISCUSSION: The study demonstrates a high incidence of sexual risk taking and need for EC, especially amongst smokers and drinkers. The message that soonest is best still requires promotion. Providers of EC must co-ordinate their services to ensure access within the 12-hour time frame in a local area.
CONCLUSION: Health professionals need to ensure that clients have appropriate information about EC and regular contraceptive methods and that user friendly provision is widely available.
OBJECTIVE: To investigate the characteristics of women attending for emergency contraception.
DESIGN: A descriptive survey design was used to collect data. Questionnaires were completed over a 4-week period. Data were analysed using SPSS.
SETTING: Community family planning services in South West Surrey and Newham, East London.
PARTICIPANTS: Consenting women aged 14-44 years attending for emergency contraception (n = 171).
MAIN OUTCOME MEASURES: Description of the users, the current episode and contact with contraceptive services were analysed by age.
RESULTS: The age range was 14-37 years (mean 20.2 years). A majority were smokers. Of the women, 97.7% attended the clinic within the 72-hour time frame for issuing oral EC, however only 4% came within 12 hours of intercourse; 55% said that they had used contraception. Condom breakage was the commonest reason for failure. Reasons for not using contraception included getting 'carried away' (35%), not having condoms available (22%) and having drunk alcohol (13%). Of the sample 55.6% were previous users of EC.
DISCUSSION: The study demonstrates a high incidence of sexual risk taking and need for EC, especially amongst smokers and drinkers. The message that soonest is best still requires promotion. Providers of EC must co-ordinate their services to ensure access within the 12-hour time frame in a local area.
CONCLUSION: Health professionals need to ensure that clients have appropriate information about EC and regular contraceptive methods and that user friendly provision is widely available.