College of Pharmacy, Purdue University, 575 Stadium Avenue, West Lafayette, IN, 47907, USA.
College of Pharmacy, Purdue University, 575 Stadium Avenue, West Lafayette, IN, 47907, USA.
Res Social Adm Pharm. 2020 May;16(5):628-636. doi: 10.1016/j.sapharm.2019.07.005. Epub 2019 Jul 9.
Despite years of research and numerous policies, access to contraceptives in the United States remains imperfect. Largely due to lack of access to contraceptives, unintended pregnancy rates remain high.
To provide researchers and policy-makers with a comprehensive review of the legislative and social landscape that has shaped contraceptive access in the United States, which may help to guide future research and policies.
A narrative overview of existing literature on policies and research regarding women's access to contraceptives was compiled, with a focus on the role of pharmacists.
Contraceptive access has been heavily influenced by laws and policies throughout the years, and disparities remain in underserved populations. Pharmacists are beginning to play a role in improving access to contraceptives through provision of contraceptives using direct pharmacy access policies.
Continued research and new policies aimed at improving contraceptive access are warranted.
尽管经过多年的研究和制定了多项政策，美国的避孕药具可及性仍然不完美。在很大程度上由于缺乏避孕药具的可及性，意外怀孕率仍然很高。
为研究人员和政策制定者提供一个全面的综述，介绍立法和社会环境如何影响美国的避孕药具可及性，这可能有助于指导未来的研究和政策。
对有关妇女获得避孕药具的政策和研究的现有文献进行叙述性综述，重点介绍药剂师的作用。
多年来，避孕药具的可及性受到法律和政策的严重影响，在服务不足的人群中仍然存在差距。药剂师开始通过直接药房准入政策提供避孕药具，在改善避孕药具可及性方面发挥作用。
需要继续开展研究和制定新政策，以改善避孕药具的可及性。
