Temporal Changes in Counseling for and Use of Emergency Contraception. Issue 6 (2nd December 2022)

• Record Type: Journal Article
• Authors: Uwanaka, Ogechukwu; Qureshey, Emma; Wagner, Stephen M.; Gupta, Megha; Theva, Meena; Brown, Benjamin
• Is Part Of: Obstetrics and gynecology. Volume 140:Issue 6(2022)
• Page Start: 1049
• Page End: 1051
• Publication Date: 2022-12-02
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; 618
• DOI: 10.1097/AOG.0000000000004990
• Languages: English
• ISSNs: 0029-7844

Abstract

Abstract : The number of women who reported using emergency contraception increased from 2011 to 2019, without a concurrent increase in the incidence of counseling. Abstract : Our objective was to evaluate changes in the prevalence of emergency contraception counseling and use after policy changes in the United States between 2011 and 2019. This was a serial cross-sectional study using the National Survey of Family Growth data set from two survey windows: 2011–2013 (4, 177 women) and 2017–2019 (4, 477 women). The incidence of emergency contraception counseling in the prior year did not differ between the 2011–2013 and 2017–2019 survey windows (3.3% vs 2.5%; adjusted odds ratio [aOR] 0.73, 95% CI 0.51–1.05). There was a significant increase in ever use of emergency contraception between the 2011–2013 and 2017–2019 survey windows (19.0% vs 26.1%; aOR 1.44, 95% CI 1.22–1.72). This suggests that changes facilitating access to care may have a larger effect on emergency contraception access and uptake than health care professional counseling.