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J Adolesc Health. 2014 Jan;54(1):14-9. doi: 10.1016/j.jadohealth.2013.10.002.

"I'll see what I can do": What adolescents experience when requesting emergency contraception.

Author information

  • 1Department of Pediatrics, Keck School of Medicine/Children's Hospital of Los Angeles, Los Angeles, California. Electronic address: twilkinson@chla.usc.edu.
  • 2Brown University, Hasbro Children's Hospital, Providence, Rhode Island.
  • 3Des Moines University, Des Moines, Iowa.
  • 4University of Massachusetts Medical School, Worcester, Massachusetts.
  • 5Department of Pediatrics, Boston University School of Medicine/Boston Medical Center, Boston, Massachusetts.

Abstract

PURPOSE:

To understand the experiences of adolescent females when they try to obtain emergency contraception (EC) from pharmacies.

METHODS:

Female callers, posing as 17-year-old adolescents, used standardized scripts to telephone 943 pharmacies in five United States cities. Two investigators independently coded qualitative data from these calls. Codes were discussed and a thematic analysis was conducted. Investigator, expert, and informant triangulation were used to ensure data credibility.

RESULTS:

Four major themes emerged. First, ethical terms (personal or religious) were used to explain institutional pharmacy policies on EC availability. Second, there was confusion about the dispensing regulations regarding EC, given recent changes in United States policies. Third, pharmacy staff often introduced false barriers to EC access. In some cases, pharmacy staff used these barriers as justification for refusing to dispense EC; however, in other cases, pharmacy staff helped the adolescents overcome these false barriers. Finally, the degree of confidentiality in providing EC was unpredictable, with some pharmacies guaranteeing strict confidentiality and others explicitly telling adolescents, incorrectly, that their parents had to be informed.

CONCLUSIONS:

Adolescents requesting EC from pharmacies are often explained pharmacy policies in ethics-laden terms, and confidentiality is not always guaranteed. They are told of false barriers to EC access, and there is confusion concerning the evolving policies regarding EC dispensing. It is important for clinicians, pharmacy staff and others to be aware of these experiences as they work to help improve adolescents' access to EC.

Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

KEYWORDS:

Adolescent medicine; Adolescent pregnancy; Adolescent sexual behavior; Adolescents; Contraceptive agents

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PMID:
24360593
[PubMed - indexed for MEDLINE]
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