Gudka Sajni, Bourdin Aline, Watkins Kim, Eshghabadi Atefeh, Everett Alan, Clifford Rhonda M
Division of Pharmacy, School of Medicine and Pharmacology, University of Western Australia, Perth, WA, Australia.
Int J Pharm Pract. 2014 Feb;22(1):13-9. doi: 10.1111/ijpp.12042. Epub 2013 May 28.
To investigate the self-reported risk factors for Chlamydia trachomatis in pharmacy-based emergency contraception (EC) consumers, evaluate their pharmacy experience and determine whether they would be willing to accept a chlamydia test from the pharmacy.
A survey for women to complete after their EC consultation was developed from themes identified in a literature search. Nineteen pharmacies in the Perth metropolitan region and 13 pharmacies in rural, regional and remote Western Australia (WA) participated in this study.
From the 113 surveys completed (n = 75 from Perth metropolitan; n = 38 from rural, regional and remote WA), 85% of respondents were between 16 and 29 years of age and all (100%) of the women had inconsistent barrier contraception. Almost all (94%) of the women had at least two, and nearly half (47%) had at least three out of the four risk factors for chlamydia. Nearly 70% of the women found it very easy/easy to access a pharmacy and felt very comfortable/comfortable discussing EC with the pharmacist. Significantly more women said they would be willing to accept a chlamydia test from a rural, regional and remote WA pharmacy than from a Perth metropolitan pharmacy (P = 0.003).
Pharmacy-based EC consumers are at high risk of chlamydia and would be willing to accept a chlamydia test from the pharmacy. There is an urgent need to re-orientate health services in Australia so that all EC consumers, including those obtaining EC from pharmacies, have the opportunity to be tested for chlamydia.
调查在药房购买紧急避孕药（EC）的消费者自我报告的沙眼衣原体风险因素，评估他们在药房的体验，并确定他们是否愿意接受药房提供的衣原体检测。
根据文献检索确定的主题，制定了一项供女性在进行紧急避孕药咨询后填写的调查问卷。珀斯都会区的19家药房以及西澳大利亚州农村、地区和偏远地区的13家药房参与了本研究。
在完成的113份调查问卷中（珀斯都会区75份；西澳大利亚州农村、地区和偏远地区38份），85%的受访者年龄在16至29岁之间，所有女性（100%）的屏障避孕方法使用情况不一致。几乎所有（94%）女性至少有两个衣原体风险因素，近一半（47%）女性在四个衣原体风险因素中至少有三个。近70%的女性认为去药房非常容易/容易，并且在与药剂师讨论紧急避孕药时感觉非常自在/自在。与珀斯都会区的药房相比，显著更多的女性表示愿意接受西澳大利亚州农村、地区和偏远地区药房提供的衣原体检测（P = 0.003）。
在药房购买紧急避孕药的消费者感染衣原体的风险很高，并且愿意接受药房提供的衣原体检测。澳大利亚迫切需要重新调整卫生服务方向，以便所有紧急避孕药消费者，包括那些从药房获取紧急避孕药的人，都有机会接受衣原体检测。
