Lovvorn A, Nerquaye-Tetteh J, Glover E K, Amankwah-Poku A, Hays M, Raymond E
Family Health International, Research Triangle Park, NC 27709, USA.
Contraception. 2000 Apr;61(4):287-93. doi: 10.1016/s0010-7824(00)00107-4.
This study evaluated the effect of two approaches to provision of emergency contraceptive pills (ECPs) on ECP use and unprotected intercourse among women relying on spermicides for contraception. The study enrolled 211 women at 4 family planning clinics in Ghana. At two clinics, participants were advised to return to the clinic within 3 days after unprotected intercourse to obtain ECPs. At the other two clinics, participants were given ECPs to take home for use if unprotected intercourse occurred. All participants were asked to maintain daily diaries for 8 weeks to record information on sexual activity, spermicide use, and ECP use. Women at all clinics used ECPs after at least 78% of unprotected coital acts. ECPs were used more promptly by women who had the pills at home. At three of the clinics, at most 1.3% of the coital acts were unprotected; at the fourth, 6.7% were unprotected. Our data did not suggest that the availability of ECPs increased the frequency of unprotected intercourse.
本研究评估了两种提供紧急避孕药（ECP）的方法对依赖杀精剂避孕的女性使用ECP情况及无保护性行为的影响。该研究在加纳的4家计划生育诊所招募了211名女性。在两家诊所，建议参与者在无保护性行为后3天内返回诊所获取ECP。在另外两家诊所，如果发生无保护性行为，会给参与者发放ECP带回家使用。所有参与者被要求连续8周记录每日日记，以记录性活动、杀精剂使用及ECP使用情况。所有诊所的女性在至少78%的无保护性交行为后使用了ECP。家中有药的女性使用ECP更为及时。在其中三家诊所，最多1.3%的性交行为无保护；在第四家诊所，6.7%的性交行为无保护。我们的数据并未表明ECP的可得性增加了无保护性行为的频率。
