Department of Epidemiology and Health Systems, Research Group on Adolescent Health, Center for Primary Care and Public Health (Unisante), University of Lausanne, Lausanne, Switzerland.
Eur J Contracept Reprod Health Care. 2022 Oct;27(5):403-408. doi: 10.1080/13625187.2022.2093849. Epub 2022 Jul 22.
Emergency contraception (EC) access was liberalised in 2002 in Switzerland by making it accessible in pharmacies without medical prescription. However, its dispensation still requires a confidential interview with a pharmacist. This qualitative study aims to explore experiences of adolescent and young adult (AYA) females who have gone to a pharmacy in order to obtain EC.
Thirty interviews were conducted from April to August 2019 with females aged between 15 and 25 years old at the interview. Inclusion criteria was to have requested at least one EC in a pharmacy between 2014 and 2019. A thematic content analysis was performed to extract themes brought up by the participants.
Some participants reported that the most difficult moment in the process was the request at the counter. The majority of participants were escorted in a private back room but opinions were divided regarding this isolation. Experiences were sometimes negative due to lack of information and knowledge regarding the dispensation process. The interview also has also a preventive aim, but the information given during it often focussed solely on the risk of vomiting. Several participants reported having perceived or received moral judgements from pharmacists.
Pharmacists are key resources and EC dispensation an opportunity for sexual health. This exploratory study presents several elements requiring the adaptation of practices in order to prevent them from becoming barriers for AYA to access EC. Concerns are regularly expressed by young women about privacy, embarrassment and judgement in the pharmacy context regarding contraception.
2002 年，瑞士放宽了紧急避孕（EC）的获取途径，使药剂师可在无需处方的情况下提供 EC。然而，其配发仍然需要药剂师进行保密咨询。本定性研究旨在探讨曾前往药店获取 EC 的青少年和年轻成年女性（AYA）的经历。
2019 年 4 月至 8 月期间，对 15 至 25 岁的女性进行了 30 次访谈。纳入标准为 2014 年至 2019 年期间在药店至少要求过一次 EC。采用主题内容分析法提取参与者提出的主题。
一些参与者报告说，这个过程中最困难的时刻是在柜台提出要求。大多数参与者被护送到一个私人的后房间，但对这种隔离的看法存在分歧。由于对配发过程缺乏了解和知识，有时体验会很负面。访谈还具有预防目的，但在访谈中提供的信息通常仅集中在呕吐风险上。一些参与者报告说，他们曾感受到或收到过药剂师的道德评判。
药剂师是重要的资源，EC 的配发是性健康的机会。这项探索性研究提出了一些需要调整实践的元素，以防止它们成为 AYA 获取 EC 的障碍。年轻女性经常对避孕方面在药房环境中的隐私、尴尬和评判表示关注。
