Evaluating Community Pharmacy Responses About Levonorgestrel Emergency Contraception by Mystery Caller Characteristics

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Tracey A WilkinsonElizabeth Miller

Abstract

Since restrictions on nonprescription sales were removed in 2013, levonorgestrel emergency contraception (EC) should be available without a prescription at pharmacies for consumers of all genders and ages. Using mystery callers, we assessed variations in availability of and access to EC. In 2015-2016, three sets of mystery callers (two female physicians, two adolescent females, and two adolescent males) each called all licensed retail pharmacies in five U.S. cities using standardized call scripts. Scripts assessed same-day availability and subsequent access to EC for 17-year-olds. Data on various characteristics of calls were collected and compared by caller type. Among the 993 pharmacies called, same-day availability for EC was approximately 80%, with no differences by caller types (p = .34). However, 10.7% of calls made by the adolescent male caller and 8.3% made by the adolescent female caller resulted in incorrectly being told they could not obtain EC based on age, compared to only 1.6% of calls made by the physician (p < .01). Pharmacy staff stated correctly that EC was available over-the-counter more often to adolescent male callers (62.0%) than adolescent females (51.6%) or female physicians (57%) (p < .01). Physicians w...Continue Reading

Citations

Apr 26, 2019·Pharmacy : Journal of Pharmacy, Education and Practice·Lindsay DitmarsTracey A Wilkinson
Sep 30, 2019·International Journal of Clinical Pharmacy·André SaidMartin Schulz
Dec 16, 2020·Pharmacy : Journal of Pharmacy, Education and Practice·Anna Pfaff, Sally Rafie
Jan 17, 2021·Contraception·Bria Nikole WilliamsJaneen L Arbuckle
Feb 25, 2020·Clinical Therapeutics·Jennifer C VillavicencioBrownsyne Tucker Edmonds
Feb 26, 2021·Journal of Pediatric and Adolescent Gynecology·Nikka KhorsandiRyan H Pasternak
Dec 10, 2021·Journal of Pharmacy Practice·Rebecca H StoneHenry N Young

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