Jambrina Anna M, Rius Pilar, Gascón Pilar, Armelles Mercè, Camps-Bossacoma Mariona, Franch Àngels, Rabanal Manel
Directorate-General for Healthcare Planning and Regulation, Ministry of Health, Government of Catalonia, 08028 Barcelona, Spain.
Physiology Section, Department of Biochemistry and Physiology, Faculty of Pharmacy and Food Science, University of Barcelona, 08028 Barcelona, Spain.
J Clin Med. 2021 Jun 25;10(13):2793. doi: 10.3390/jcm10132793.
Numerous studies have been published suggesting that emergency contraception (EC) is used repeatedly, but a lack of information regarding the profile of users makes it difficult to evaluate actual consumer habits. The aim of this study was to obtain information regarding the profile of users who obtain EC and other factors that might play a role, and to provide criteria to evaluate and improve the strategies of current contraceptive programs. This was an observational one-year study based on surveillance data on the provision of EC to women of reproductive age in 60 community pharmacies in Catalonia, Spain. In total, 941 notifications of dispensation of EC in Catalonia were received. A total of 44.2% of users said it was not the first time that they had taken the medication (repeat user). The percentage of users who used condoms was lower in repeat users compared to first-time users (56.7% vs. 64.4%, < 0.05). A total of 25.7% of users stated that they did not use any barrier contraceptive method. The use of natural methods in repeat users was 53.8% in the subgroup who requested the medication after 48 h, significantly higher than in users who obtained the medication within the first 24 h ( < 0.05). A high percentage of repeat users with risky sexual behaviors were detected, suggesting that new measures must be implemented to provide information for this method, together with educational and preventive strategies.
已有大量研究表明，紧急避孕药（EC）被反复使用，但由于缺乏关于使用者特征的信息，难以评估实际的消费习惯。本研究的目的是获取有关获得紧急避孕药的使用者特征以及其他可能起作用的因素的信息，并提供评估和改进当前避孕计划策略的标准。这是一项为期一年的观察性研究，基于西班牙加泰罗尼亚60家社区药店向育龄妇女提供紧急避孕药的监测数据。加泰罗尼亚共收到941份紧急避孕药配药通知。共有44.2%的使用者表示这不是他们第一次服用该药物（重复使用者）。与首次使用者相比，重复使用者中使用避孕套的比例较低（56.7%对64.4%，<0.05）。共有25.7%的使用者表示他们未使用任何屏障避孕方法。在48小时后要求服药的亚组中，重复使用者使用自然避孕方法的比例为53.8%，显著高于在最初24小时内服药的使用者（<0.05）。检测到高比例有危险性行为的重复使用者，这表明必须实施新措施，为这种方法提供信息，并制定教育和预防策略。
