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Women's experiences with emergency contraception in an internal medicine practice.

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Title: Women's experiences with emergency contraception in an internal medicine practice.
Authors: Cunnane MS (AUTHOR), Dickson G (AUTHOR), Cook RL (AUTHOR)
Source: Journal of Women's Health (15409996). Nov2006, Vol. 15 Issue 9, p1080-1089. 10p.
Subjects: Emergency contraceptives, Unwanted pregnancy, Telephone surveys, Women, Internal medicine, Health counseling, Contraception, Medical care, Mass media
Abstract: Background: Emergency contraceptive pills (ECPs) are effective for preventing unintended pregnancy. Whether patients in primary care settings receive physician counseling regarding ECPs has not been evaluated. Methods: We conducted a cross-sectional telephone survey of reproductive-age women who sought care at a university-based general internal medicine clinic regarding receipt of physician counseling about ECPs, knowledge and experiences with ECPs, and attitudes toward using ECPs. Results: One hundred forty-nine women aged 18-45 completed the survey. Eighty percent of respondents (n = 119) were at risk for unintended pregnancy. Although all women in the sample had seen an internist in the previous 12 months, only 10% had received physician counseling about ECPs. There was little difference in the proportion of women who received counseling about ECPs comparing those who received care from an obstetrician/gynecologist and an internist with women who received care from an internist alone (13% vs. 8%, p = 0.529). Receipt of ECP counseling was not associated with the consistency of current contraceptive use. No women who were married or over the age of 40 were counseled about ECPs. The majority of participants (92%) had heard of ECPs, although most (54%) had learned about them through the media. Fifty-four percent of women would be likely to use ECPs to prevent unintended pregnancy. Conclusions: Only a fraction of women seeing internists for their primary care are receiving counseling about ECPs, irrespective of receiving care from an obstetrician/gynecologist. As primary care physicians, internists should determine risk for unintended pregnancy, assess patients' knowledge and attitudes toward ECPs, and provide counseling about this effective therapy. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Women's experiences with emergency contraception in an internal medicine practice.
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  Data: <searchLink fieldCode="AR" term="%22Cunnane+MS%22">Cunnane MS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dickson+G%22">Dickson G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cook+RL%22">Cook RL</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Women's+Health+%2815409996%29%22">Journal of Women's Health (15409996)</searchLink>. Nov2006, Vol. 15 Issue 9, p1080-1089. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Emergency+contraceptives%22">Emergency contraceptives</searchLink><br /><searchLink fieldCode="DE" term="%22Unwanted+pregnancy%22">Unwanted pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22Telephone+surveys%22">Telephone surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Women%22">Women</searchLink><br /><searchLink fieldCode="DE" term="%22Internal+medicine%22">Internal medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Health+counseling%22">Health counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Contraception%22">Contraception</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Mass+media%22">Mass media</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Emergency contraceptive pills (ECPs) are effective for preventing unintended pregnancy. Whether patients in primary care settings receive physician counseling regarding ECPs has not been evaluated. Methods: We conducted a cross-sectional telephone survey of reproductive-age women who sought care at a university-based general internal medicine clinic regarding receipt of physician counseling about ECPs, knowledge and experiences with ECPs, and attitudes toward using ECPs. Results: One hundred forty-nine women aged 18-45 completed the survey. Eighty percent of respondents (n = 119) were at risk for unintended pregnancy. Although all women in the sample had seen an internist in the previous 12 months, only 10% had received physician counseling about ECPs. There was little difference in the proportion of women who received counseling about ECPs comparing those who received care from an obstetrician/gynecologist and an internist with women who received care from an internist alone (13% vs. 8%, p = 0.529). Receipt of ECP counseling was not associated with the consistency of current contraceptive use. No women who were married or over the age of 40 were counseled about ECPs. The majority of participants (92%) had heard of ECPs, although most (54%) had learned about them through the media. Fifty-four percent of women would be likely to use ECPs to prevent unintended pregnancy. Conclusions: Only a fraction of women seeing internists for their primary care are receiving counseling about ECPs, irrespective of receiving care from an obstetrician/gynecologist. As primary care physicians, internists should determine risk for unintended pregnancy, assess patients' knowledge and attitudes toward ECPs, and provide counseling about this effective therapy. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=105843298
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        Value: 10.1089/jwh.2006.15.1080
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Emergency contraceptives
        Type: general
      – SubjectFull: Unwanted pregnancy
        Type: general
      – SubjectFull: Telephone surveys
        Type: general
      – SubjectFull: Women
        Type: general
      – SubjectFull: Internal medicine
        Type: general
      – SubjectFull: Health counseling
        Type: general
      – SubjectFull: Contraception
        Type: general
      – SubjectFull: Medical care
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      – SubjectFull: Mass media
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      – TitleFull: Women's experiences with emergency contraception in an internal medicine practice.
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              M: 11
              Text: Nov2006
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