Emergency Contraception and Risk for Sexually Transmitted Infections Among U.S. Women

Details

• Alternative Title:
  J Womens Health (Larchmt)
• Personal Author:
  Habel, Melissa A. ; Leichliter, Jami S.
• Description:
  Background:
  
  Since Food and Drug Administration (FDA) licensure of emergency contraception (EC) over-the-counter (OTC) in 2006, this is the first U.S. study to use a nationally representative sample of reproductive-aged women (15–44) to explore the relationship between receipt and use of EC and sexually transmitted infection (STI)-related health services.
  
  Methods:
  
  Using a sample of 6329 women from the National Survey of Family Growth 2006–2008, we examined the relationship between lifetime EC use and recent receipt of EC and demographics, sexual behaviors, and STI-related services. Variables significant at p < 0.10 in bivariate analyses were examined using multivariable logistic regression models.
  
  Results:
  
  Overall, 10% (704) of the sample had ever used EC. Most EC users had received EC from a family planning clinic (51%), drugstore (23%), or doctor’s office (17%). In adjusted analyses, demographic factors associated with receipt of EC in the past 12 months included never married (adjusted odds ratio [AOR] 4.0) and living in a metropolitan statistical area (AOR 4.2). Women reporting multiple partners (2 +) (AOR 2.4), inconsistent condom use (AOR 3.4), and having recently been tested for chlamydia (AOR 2.0) had higher odds of receiving EC in the past 12 months. Findings among women ever reporting EC use were similar, except women who had 4 + lifetime partners (AOR 2.5) and had recently received a chlamydia diagnosis (AOR 2.2) had higher odds of ever having used EC.
  
  Conclusions:
  
  EC recipients were no more likely than nonrecipients to have received STI counseling or screening despite greater numbers of sex partners in the past year. This research indicates that women are accessing EC in pharmacies, which may be a missed opportunity for counseling and testing.
  
  
• Subjects:
  Adolescent Adult Condoms Contraception, Postcoital Counseling Female Health Surveys Humans Interviews As Topic Logistic Models Odds Ratio Reproductive Health Services Risk Risk Factors Sexual Behavior Sexually Transmitted Diseases Sexual Partners Socioeconomic Factors Young Adult

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• Source:
  J Womens Health (Larchmt). 21(9):910-916
• Pubmed ID:
  22731690
• Pubmed Central ID:
  PMC6737533
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  21
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:580b6d4ff00208f45c46da4ba421b4ad5ff91bbbb1a7a443e8a093a6e064b759
• Download URL:
  https://stacks.cdc.gov/view/cdc/134159/cdc_134159_DS1.pdf
• File Type:
  [PDF - 98.91 KB ]