Department of Pediatrics, Keck School of Medicine/Children's Hospital of Los Angeles, Los Angeles, California.
Brown University, Hasbro Children's Hospital, Providence, Rhode Island.
J Adolesc Health. 2014 Jan;54(1):14-9. doi: 10.1016/j.jadohealth.2013.10.002.
To understand the experiences of adolescent females when they try to obtain emergency contraception (EC) from pharmacies.
Female callers, posing as 17-year-old adolescents, used standardized scripts to telephone 943 pharmacies in five United States cities. Two investigators independently coded qualitative data from these calls. Codes were discussed and a thematic analysis was conducted. Investigator, expert, and informant triangulation were used to ensure data credibility.
Four major themes emerged. First, ethical terms (personal or religious) were used to explain institutional pharmacy policies on EC availability. Second, there was confusion about the dispensing regulations regarding EC, given recent changes in United States policies. Third, pharmacy staff often introduced false barriers to EC access. In some cases, pharmacy staff used these barriers as justification for refusing to dispense EC; however, in other cases, pharmacy staff helped the adolescents overcome these false barriers. Finally, the degree of confidentiality in providing EC was unpredictable, with some pharmacies guaranteeing strict confidentiality and others explicitly telling adolescents, incorrectly, that their parents had to be informed.
Adolescents requesting EC from pharmacies are often explained pharmacy policies in ethics-laden terms, and confidentiality is not always guaranteed. They are told of false barriers to EC access, and there is confusion concerning the evolving policies regarding EC dispensing. It is important for clinicians, pharmacy staff and others to be aware of these experiences as they work to help improve adolescents' access to EC.
了解少女在尝试从药店获得紧急避孕药（EC）时的体验。
女性来电者以 17 岁少女的身份使用标准化剧本拨打了美国五个城市的 943 家药店。两名调查员独立对这些电话中的定性数据进行了编码。对代码进行了讨论并进行了主题分析。使用调查员、专家和知情人士的三角测量来确保数据的可信度。
出现了四个主要主题。首先，使用道德术语（个人或宗教）来解释机构药房关于 EC 供应的政策。其次，由于美国政策最近发生了变化，人们对 EC 配药法规感到困惑。第三，药店工作人员经常引入获取 EC 的虚假障碍。在某些情况下，药店工作人员使用这些障碍作为拒绝提供 EC 的理由；然而，在其他情况下，药店工作人员帮助青少年克服了这些虚假障碍。最后，提供 EC 的保密性程度不可预测，一些药店保证严格保密，而另一些药店则错误地告诉青少年必须通知他们的父母。
从药店索取 EC 的青少年经常以道德为基础的术语来解释药房政策，并且并不总是保证保密。他们被告知获取 EC 的虚假障碍，并且对 EC 配药政策的演变感到困惑。临床医生、药剂师和其他人员了解这些经验很重要，因为他们努力帮助改善青少年获得 EC 的机会。
