Use and knowledge of hormonal emergency contraception
Tóm tắt
Hormonal emergency contraception (EC) is an acceptable means of postcoital prevention of pregnancy, but potential users should have information and education about it before they need it. The aim of this study was to establish how many women and how many men's partners have used hormonal EC and how well the respondents know the correct time to take EC pills. Random samples (393 women and 395 men) were drawn from the Finnish population register. Response rates were 56% for women and 45% for men. Of all responding women and men, 12% had themselves or together with their partners used EC. The proportion of EC users was highest in the younger age group among both women and men. It was greater among single and cohabiting women than among married women. Only a minority of respondents knew that EC pills could be taken up to 72 h after unprotected intercourse. Women who had used EC were most knowledgeable, as were also the younger age groups among both women and men. Awareness of the availability of EC and of its correct use should be further promoted to avoid unwanted pregnancies.
Tài liệu tham khảo
Glasier A. Emergency postcoital contraception. N Engl J Med. 1997;337:1058-79.
Consensus statement on emergency contraception. Contraception. 1995;52:211-13.
Sparrow MJ, Lavill K. Breakage and slippage of condoms in family planning clients. Contraception. 1994;50:117-29.
Haspels AA. Emergency contraception: a review. Contraception. 1994;50:101-8.
Lähteenmäki P, Suhonen S, Elomaa K. Use of post-coital contraception in Finland is increasing. Plann Parenthood Eur. 1995;24:13-14.
Pharmaca Fennica 1997, Lääketeollisuusliitto ry, Lääketeollisuusyhdistys ry ja Kansainvälisen Lääketeollisuuden Suomen Yhdistys KLY ry. Kirjapaino Oy West Point, Rauma, 1996.
Hermanson T, Aro S, Bennet CL. A letter from Helsinki. Finland's Health Care System. Universal Access to Health Care in a Capitalistic Democracy. JAMA. 1994;271:1957-62.
Ritamies M, ed. The Evolution of Sexual Health in Finland. How We Did It. The Family Federation of Finland. Markprint, Oy. 1998
Haven H, ed. Koulutus Suomessa (Finnish). Education in Finland. Education 1998:1. Statistics Finland. Helsinki. 1998.
Statistical Yearbook of Finland 1997. Statistics Finland. Hämeenlinna. 1997.
Oddens BJ, Visser APh, Verner HM, Everaerd WThAM, Lehert Ph. Contraceptive use and attitudes in Great Britain. Contraception. 1994;49:73-86.
Delbanco S, Lundy J, Hoff T, Parker M, Smith MD. Public knowledge and perceptions about unplanned pregnancy and contraception in three countries. Fam Plann Perspect. 1997;29:70-5.
Kosunen E, Sihvo S, Hemminki E. Knowledge and use of hormonal emergency contraception in Finland. Contraception. 1997;55:153-7.
Smith BH, Gurney EM, Aboulela L, Templeton A. Emergency contraception: a survey of women's knowledge and attitudes. Br J Obstet Gynaecol. 1996;103:1109-16.
Delbanco SF, Mauldon J, Smith MD. Little knowledge and limited practice: emergency contraceptive pills, the public, and obstetrician-gynaecologist. Obstet Gynecol. 1997;89:1006-11.
George J, Turner J, Cooke E et al. Women's knowledge of emergency contraception. Br J Gen Pract. 1994;44:451-4.
Seamark CJ, Pereira Gray DJ. Teenagers' use of emergency contraception in a general practice. J R Soc Med. 1997;90:443-4.
Graham A, Green L, Glaiser AF. Teenagers' knowledge of emergency contraception: questionnaire survey in south east Scotland. Br Med J. 1996;312:1567-9.
Tydén T, Wetterholm M, Odlind V. Emergency contraception: the user profile. Adv Contracept. 1998;14:171-8.
Task Force on Postovulatory Methods of Fertility Regulation. Randomized controlled trial of levonorgestrel versus the Yuzpe regimen of combined oral contraceptives for emergency contraception. Lancet. 1998;352:428-33.
Warner DL, Boles J, Goldsmith J, Hatcher RA. Disclosure of condom breakage to sexual partners. JAMA. 1997;278:291-2.