Bridging emergency contraceptive pill users to regular contraception: results from a randomized trial in Jamaica

Contraception
Dawn Chin-QueeMario Chen-Mok

Abstract

Emergency contraception research has shifted from examining the public health effects of increasing access to emergency contraceptive pills (ECPs) to bridging ECP users to a regular contraceptive method as a way of decreasing unintended pregnancies. In a randomized controlled trial in Jamaica, we tested a discount coupon for oral contraceptive pills (OCPs) among pharmacy-based ECP purchasers as an incentive to adopt (i.e., use for at least 2 months) this and other regular contraceptive methods. Women in the intervention and control arms were followed up at 3 and 6 months after ECP purchase to determine whether they adopted the OCP or any other contraceptive method. Condom use was recorded but was not considered a regular contraceptive due to its inconsistent use. There was no significant difference in the proportion of women who adopted the OCP, injectable or intrauterine device in the control group or the intervention group (p=.39), and only 14.6% of the sample (mostly OCP adopters) used one of these three methods. Condom use was high (44.0%), demonstrating that ECP users were largely a condom-using group. The discount coupon intervention was not successful. Although a small proportion of ECP users did bridge, the coupon did n...Continue Reading

References

Nov 1, 1995·The Nurse Practitioner
Apr 17, 2001·Annals of Internal Medicine·D G AltmanUNKNOWN CONSORT GROUP (Consolidated Standards of Reporting Trials)
Jan 2, 2007·Obstetrics and Gynecology·Elizabeth G RaymondChelsea B Polis
Jul 5, 2007·The Journal of Family Planning and Reproductive Health Care·James Trussell, Katherine A Guthrie
Jun 26, 2008·Perspectives on Sexual and Reproductive Health·Jennifer J Frost, Jacqueline E Darroch
Oct 22, 2008·Contraception·James TrussellElizabeth Raymond

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Citations

Jan 28, 2014·The Journal of Family Planning and Reproductive Health Care·Lucy MichieElizabeth Greed
Mar 14, 2014·Current HIV/AIDS Reports·J Peter Figueroa
Oct 9, 2013·The Journal of Family Planning and Reproductive Health Care·Dawn Chin-QueeConrad Otterness
Mar 22, 2016·Contraception·Dawn S Chin-QueeVictoria Graham
Sep 25, 2014·The Linacre Quarterly·A Patrick SchneiderAmberly K Windisch
Apr 2, 2015·The New England Journal of Medicine·Elizabeth G Raymond, Kelly Cleland
Aug 1, 2014·American Journal of Men's Health·Melonie M WalcottPauline E Jolly
Nov 20, 2016·Studies in Family Planning·Ben BellowsAshish Bajracharya

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