Ibis Reproductive Health, Oakland, CA, USA; Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA.
Contraception. 2013 Oct;88(4):544-52. doi: 10.1016/j.contraception.2013.04.005. Epub 2013 Apr 23.
A growing body of evidence indicates that over-the-counter (OTC) access to oral contraceptive pills (OCPs) is safe and effective.
We performed a nationally representative survey of adult women at risk of unintended pregnancy using a probability-based online panel. In November-December 2011, 2046 eligible women completed the survey. Weighted proportions were calculated, and logistic regression was used to identify covariates associated with support for and interest in using an OTC OCP.
A total of 62.2% said they were strongly (31.4%) or somewhat (30.9%) in favor of OCPs being available OTC. A total of 37.1% of participants reported being likely to use OCPs if available OTC, including 58.7% of current users, 28.0% using no method and 32.7% using a less effective method. Covariates associated with a higher odds of reporting interest in using OTC OCPs were younger age; being divorced, being separated or living with a partner (versus married); being uninsured or having private insurance (versus public insurance); living in the south (versus northeast); and current use of OCPs or less effective methods, or nonuse of contraception (versus use of another hormonal method or intrauterine device). Among respondents who said they were likely to use OTC OCPs, the highest amount they were willing to pay was on average $20.
US women are supportive of OTC access to OCPs, and many would obtain refills OTC or start using OCPs if they were available OTC.
越来越多的证据表明，非处方（OTC）获得口服避孕药（OCPs）是安全有效的。
我们使用基于概率的在线小组对有意外怀孕风险的成年女性进行了全国代表性调查。2011 年 11 月至 12 月，2046 名符合条件的女性完成了调查。计算了加权比例，并使用逻辑回归确定了支持和有兴趣使用 OTC OCP 的相关协变量。
共有 62.2%的人表示强烈（31.4%）或有些（30.9%）赞成 OCPs 可 OTC 获得。共有 37.1%的参与者表示如果 OTC 可用，他们可能会使用 OCPs，包括 58.7%的现有使用者、28.0%的未使用者和 32.7%的使用效果较差的方法。与报告对使用 OTC OCP 感兴趣的几率较高相关的协变量是年龄较小；离婚、分居或与伴侣同居（而非已婚）；没有保险或有私人保险（而非公共保险）；居住在南部（而非东北部）；以及当前使用 OCP 或效果较差的方法，或未使用避孕措施（而非使用另一种激素方法或宫内节育器）。在表示可能使用 OTC OCP 的受访者中，他们愿意支付的最高金额平均为 20 美元。
美国女性支持 OTC 获得 OCPs，如果 OTC 可用，许多人将获得 OTC 续药或开始使用 OCPs。
