Wu Justine, Gipson Teresa, Chin Nancy, Wynn L L, Cleland Kelly, Morrison Coleen, Trussell James
Department of Family Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Obstet Gynecol. 2007 Jul;110(1):44-52. doi: 10.1097/01.AOG.0000269046.45834.a4.
To assess barriers and attitudes related to emergency contraception access among women seeking emergency contraceptive pills by using the Internet.
We conducted quantitative surveys and qualitative interviews of 200 women seeking emergency contraceptive pills from The Emergency Contraceptive Website (http://ec.princeton.edu). Main outcome measures included barriers to and attitudes toward emergency contraception access.
Participants were predominately white, college-educated, urban residents. Women most frequently cited structural barriers to obtaining emergency contraceptive pills, such as inconvenient office hours. Although women supported advanced prescription of emergency contraceptive pills, there was less enthusiasm for nonprescription access because of concerns that others (but not they) would engage in risky sexual behavior. Women valued the consultation with a health professional; 42% stated they would still speak with a clinician even if nonprescription access was available.
The Internet as a resource for emergency contraception appears limited to women of high socioeconomic status in our sample. There is a need to address beliefs that increased access to emergency contraception promotes risky sexual behavior because current evidence refutes this concern. Clinicians should still be prepared to discuss emergency contraception with patients, despite the fact that emergency contraceptive pills are now available to most (but not all) women without a prescription.
通过互联网使用情况评估寻求紧急避孕药的女性在获取紧急避孕药方面的障碍和态度。
我们对200名从紧急避孕药网站（http://ec.princeton.edu）寻求紧急避孕药的女性进行了定量调查和定性访谈。主要结果指标包括获取紧急避孕药的障碍和态度。
参与者主要是白人、受过大学教育的城市居民。女性最常提到获取紧急避孕药的结构性障碍，如办公时间不方便。尽管女性支持紧急避孕药的提前处方，但由于担心其他人（而非她们自己）会进行危险的性行为，对非处方获取的热情较低。女性重视与健康专业人员的咨询；42%的人表示，即使可以非处方获取，她们仍会与临床医生交谈。
在我们的样本中，互联网作为紧急避孕药的资源似乎仅限于社会经济地位较高的女性。有必要消除那种认为增加紧急避孕药的获取会促进危险的性行为的观念，因为目前的证据反驳了这种担忧。尽管现在大多数（但不是所有）女性无需处方就可以获得紧急避孕药，但临床医生仍应准备好与患者讨论紧急避孕药的问题。
