The visit before the morning after: barriers to preprescribing emergency contraception

Annals of Family Medicine
Alison KaraszMarji Gold

Abstract

Research suggests that while advance prescription of emergency contraception (EC) increases women's access, this prescribing model is rarely used. The present study sought to explore attitudes towards EC among patients and physicians, with the goal of understanding potential barriers to advance prescription. Qualitative, semistructured interviews were conducted with patients and clinicians in a New York City family practice clinic. Using qualitative interviews, we found that attitudes towards EC among patients and clinicians are complex. Both groups of participants reported favorable attitudes towards EC. There was general agreement that physicians should take a proactive role in educating patients about the method. A notable minority in each group described substantial reservations, however, especially regarding the potential for EC abuse. Such attitudes emerged mainly in the context of discussions about advance prescription. Advance prescription was viewed as greatly facilitating access to EC, but some patients and clinicians feared that ready access would encourage irresponsible sex. Some participants condoned the occasional, accidental, or emergency use of EC; however, habitual use, or the plan not to plan for sex, was view...Continue Reading

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Citations

Dec 5, 2009·Obstetrics and Gynecology International·Kathleen J WilderNancy Glass
Nov 28, 2006·Journal of Women's Health·Megan S CunnaneRobert L Cook
Dec 17, 2008·Journal of Women's Health·Patricia A LohrAnita L Nelson
Jun 15, 2007·The American Journal of Bioethics : AJOB·Robert F Card
Nov 22, 2011·Journal of Pediatric and Adolescent Gynecology·Sarah A B PittsCatherine M Gordon
Feb 17, 2007·Contraception·Hannah E ShacterJudith A Long
Jun 6, 2009·Perspectives on Sexual and Reproductive Health·Olivia SampsonHeike Thiel de Bocanegra
Feb 5, 2009·Clinical Transplantation·Scott W BigginsNathan Bass
Sep 23, 2008·Perspectives on Sexual and Reproductive Health·Paul G WhittakerJanet Adams
Aug 17, 2005·Contraception·Cynthia H Chuang, Karen M Freund
Jul 8, 2016·Revista latino-americana de enfermagem·Maria de Lluc Bauzà AmengualMaria Ingla Pol
Nov 22, 2007·Clinical Pharmacology and Therapeutics·J B Stanford
Jun 24, 2017·Obstetrics and Gynecology·UNKNOWN Committee on Health Care for Underserved Women
Nov 11, 2019·Journal of General Internal Medicine·Avy A SkolnikPuja Van Epps
Sep 30, 2008·Theoretical Medicine and Bioethics·Armand H Matheny Antommaria
Jun 28, 2018·BMC Public Health·M L Bauzà-AmengualS March
Sep 12, 2018·Contraception and Reproductive Medicine·Kristin O HaegerKelly Cleland

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