Advancing New Standards in Reproductive Health, University of California, San Francisco, Oakland, California.
Advancing New Standards in Reproductive Health, University of California, San Francisco, Oakland, California.
Womens Health Issues. 2021 May-Jun;31(3):286-293. doi: 10.1016/j.whi.2020.12.010. Epub 2021 Feb 1.
Emergency contraceptive pills (ECPs) are an underused resource among adolescent and young adult women who have unprotected sex. This analysis examines young women's attitudes about and willingness to use ECPs, with particular attention to their experiences with health care providers.
Sexually active young women (ages 15-25, assigned female at birth, N = 212) completed a self-administered survey at 10 family planning clinics in the San Francisco Bay Area. Participants reported attitudes about ECP effectiveness, safety, effect on sex drive, and whether it should not be taken often, and their willingness to use ECPs in the next 3 months. The predictors of interest were past and current contraceptive experiences with health care providers. Data were analyzed through descriptive statistics and multivariable logistic regression analyses controlling for sociodemographic characteristics, prior contraceptive use, pregnancy history, and pregnancy intentions.
Most young women agreed that ECPs are effective at preventing pregnancy (75%) and safe to use (71%); few reported that they reduce sex drive (11%). Yet, the majority (62%) believed ECPs should not be taken often and only 35% reported willingness to use ECPs. In multivariable analyses, more positive health care experiences were associated with more positive attitudes about ECP safety, less concern that ECPs should not be taken often, and greater willingness to use ECPs (p < .05).
Health care providers play an important role in the acceptance and provision of ECPs, especially for young women who prefer ECPs over other contraceptive methods. In particular, providers can use the contraceptive visit as an opportunity to destigmatize repeat ECP use.
紧急避孕丸（ECP）在发生无保护性行为的青少年和年轻成年女性中未得到充分利用。本分析研究了年轻女性对 ECP 的态度和使用意愿，特别关注她们与医疗保健提供者的接触经历。
在旧金山湾区的 10 家计划生育诊所，212 名年龄在 15-25 岁之间（出生时被指定为女性）的有性行为的年轻女性完成了一份自我管理的调查。参与者报告了对 ECP 有效性、安全性、对性欲的影响以及是否不应经常服用的态度，以及他们在接下来的 3 个月内使用 ECP 的意愿。感兴趣的预测因素是过去和当前与医疗保健提供者的避孕经验。通过描述性统计和多变量逻辑回归分析来分析数据，控制社会人口统计学特征、先前的避孕使用、怀孕史和怀孕意图。
大多数年轻女性认为 ECP 能有效预防怀孕（75%）且使用安全（71%）；很少有报告称其降低性欲（11%）。然而，大多数（62%）认为 ECP 不应经常服用，只有 35%的人表示愿意使用 ECP。在多变量分析中，更积极的医疗保健经历与对 ECP 安全性更积极的态度、对 ECP 不应经常服用的担忧减少以及更愿意使用 ECP 相关（p<0.05）。
医疗保健提供者在接受和提供 ECP 方面发挥着重要作用，尤其是对于那些更喜欢 ECP 而不是其他避孕方法的年轻女性。特别是，提供者可以利用避孕就诊机会消除 ECP 重复使用的污名化。
