ACCESSING EMERGENCY CONTRACEPTION NEAR US COLLEGE CAMPUSES: A COMPARISON OF SAME-DAY EMERGENCY CONTRACEPTION AVAILABILITY BY STATE AFTER THE DOBBS V JACKSON WOMEN’S HEALTH ORGANIZATION DECISION
{"title":"ACCESSING EMERGENCY CONTRACEPTION NEAR US COLLEGE CAMPUSES: A COMPARISON OF SAME-DAY EMERGENCY CONTRACEPTION AVAILABILITY BY STATE AFTER THE DOBBS V JACKSON WOMEN’S HEALTH ORGANIZATION DECISION","authors":"A Rashid, K Patel, M Wood, C Chuang","doi":"10.1016/j.contraception.2024.110641","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to compare same-day emergency contraception (EC) availability near US universities in abortion-restrictive versus abortion-protective states after <em>Dobbs v Jackson Women’s Health Organization</em>.</div></div><div><h3>Methods</h3><div>Using a “mystery shopper” script, we conducted a cross-sectional telephone survey in 2023 to ascertain same-day OTC EC availability in pharmacies near universities in abortion-protective states (NY, CA), and abortion-restrictive states (TX, AK). Multivariable analysis modeled likelihood of same-day EC availability by state abortion status, controlling for chain vs. non-chain pharmacies and urban or rural locations. Alternative pharmacy locations were obtained from pharmacies where EC was unavailable.</div></div><div><h3>Results</h3><div>Of the 402 pharmacies contacted, 75% had same-day OTC EC availability, representing 65% of pharmacies in abortion-restrictive vs. 85% in abortion-protective states (p<0.001). Chain pharmacies were more likely to have same-day availability than non-chain pharmacies (92% vs. 52%, p<0.001). In the adjusted analysis, EC was less likely to be available in abortion-restrictive states (adjusted OR (aOR) 0.31, 95% CI 0.17-0.56), and more likely in chain pharmacies (aOR 11.58, 95% CI 6.45-20.80). Of the 102 pharmacies where same-day EC was unavailable, 61 (59%) did not provide an alternative location: 74% were in abortion-restrictive states, while 26% were in abortion-protective states.</div></div><div><h3>Conclusions</h3><div>This study revealed same-day OTC EC availability near universities is lower in abortion-restrictive states compared to abortion-protective states. Fewer pharmacies in abortion-restrictive states compared to abortion-protective states provided an alternative pharmacy if OTC EC was unavailable. Incentives to increase OTC EC availability in non-pharmacy locations and encourage anticipatory purchase should be implemented on and near college campuses to reduce the risk of unintended pregnancy.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110641"},"PeriodicalIF":2.8000,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contraception","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0010782424003366","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
We aimed to compare same-day emergency contraception (EC) availability near US universities in abortion-restrictive versus abortion-protective states after Dobbs v Jackson Women’s Health Organization.
Methods
Using a “mystery shopper” script, we conducted a cross-sectional telephone survey in 2023 to ascertain same-day OTC EC availability in pharmacies near universities in abortion-protective states (NY, CA), and abortion-restrictive states (TX, AK). Multivariable analysis modeled likelihood of same-day EC availability by state abortion status, controlling for chain vs. non-chain pharmacies and urban or rural locations. Alternative pharmacy locations were obtained from pharmacies where EC was unavailable.
Results
Of the 402 pharmacies contacted, 75% had same-day OTC EC availability, representing 65% of pharmacies in abortion-restrictive vs. 85% in abortion-protective states (p<0.001). Chain pharmacies were more likely to have same-day availability than non-chain pharmacies (92% vs. 52%, p<0.001). In the adjusted analysis, EC was less likely to be available in abortion-restrictive states (adjusted OR (aOR) 0.31, 95% CI 0.17-0.56), and more likely in chain pharmacies (aOR 11.58, 95% CI 6.45-20.80). Of the 102 pharmacies where same-day EC was unavailable, 61 (59%) did not provide an alternative location: 74% were in abortion-restrictive states, while 26% were in abortion-protective states.
Conclusions
This study revealed same-day OTC EC availability near universities is lower in abortion-restrictive states compared to abortion-protective states. Fewer pharmacies in abortion-restrictive states compared to abortion-protective states provided an alternative pharmacy if OTC EC was unavailable. Incentives to increase OTC EC availability in non-pharmacy locations and encourage anticipatory purchase should be implemented on and near college campuses to reduce the risk of unintended pregnancy.
期刊介绍：
Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
