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Emergency hormonal contraception in Switzerland: a comparison of the user profile before and three years after deregulation
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 107284
Author(s) Arnet, Isabelle; Frey Tirri, Brigitte; Zemp Stutz, Elisabeth; Bitzer, Johannes; Hersberger, Kurt E.
Author(s) at UniBasel Hersberger, Kurt
Arnet, Isabelle
Zemp Stutz, Elisabeth
Year 2009
Title Emergency hormonal contraception in Switzerland: a comparison of the user profile before and three years after deregulation
Journal European Journal of Contraception and Reproductive Health Care
Volume 14
Number 5
Pages / Article-Number 349-56
Keywords Emergency hormonal contraception, Community pharmacies, Pharmaceutical care, Unprotected intercourse, Postcoital contraception, Switzerland
Mesh terms Adolescent; Adult; Analysis of Variance; Coitus; Contraception Behavior; Contraception, Postcoital; Contraceptive Devices, statistics & numerical data; Contraceptives, Oral, Hormonal; Female; Government Regulation; Humans; Legislation, Drug; Middle Aged; Pharmacies; Self-Assessment; Switzerland; Time Factors; Young Adult
Abstract OBJECTIVES: To evaluate the time lapse between sexual intercourse and request for emergency hormonal contraception (EHC) from pharmacies and to analyse the profiles of EHC users shortly after deregulation and three years later, assuming EHC became better-known and more easily accessed. METHODS: Official EHC written assessment forms were collected from pharmacies in Switzerland. RESULTS: Written assessment forms from 729 women aged 15-49 years (380 forms pertaining to the 2003 period and 349 for the 2006 period) were collected in 18 pharmacies. Due to the presence of more women aged less than 18, women in Group 2006 were significantly younger than those in Group 2003 (p = 0.014). Nearly one quarter (23.6%) of the women went to a pharmacy for EHC within 6 h of unprotected sexual intercourse. The median access time was 12 h in 2003 and 14 h in 2006 (p > 0.05). Variance analysis showed a relationship between time to access and the contraceptive methods used (p > 0.001) with male condom users going to a pharmacy the earliest after unprotected intercourse, followed by pill users and by women without any contraception. The number of women who did not use any contraception doubled from 2003 to 2006. CONCLUSIONS: Dispensing EHC through Swiss community pharmacies allows women to seek EHC easily and rapidly after unprotected sex. The observed changes in user profiles do not support the concern regarding enhanced sexually risky behaviour, more frequent use or misuse due to free access to EHC. The findings support a more liberal access to EHC.
Publisher Taylor & Francis
ISSN/ISBN 1362-5187
edoc-URL http://edoc.unibas.ch/dok/A5253533
Full Text on edoc No
Digital Object Identifier DOI 10.3109/13625180903147765
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/19916761
ISI-Number WOS:000277147800005
Document type (ISI) Journal Article
 
   

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