Bridging emergency contraceptive pill users to regular contraception: results from a randomized trial in Jamaica.
Contraception
; 81(2): 133-9, 2010 Feb.
Article
in En
| MEDLINE
| ID: mdl-20103451
ABSTRACT
BACKGROUND:
Emergency contraception research has shifted from examining the public health effects of increasing access to emergency contraceptive pills (ECPs) to bridging ECP users to a regular contraceptive method as a way of decreasing unintended pregnancies. STUDYDESIGN:
In a randomized controlled trial in Jamaica, we tested a discount coupon for oral contraceptive pills (OCPs) among pharmacy-based ECP purchasers as an incentive to adopt (i.e., use for at least 2 months) this and other regular contraceptive methods. Women in the intervention and control arms were followed up at 3 and 6 months after ECP purchase to determine whether they adopted the OCP or any other contraceptive method. Condom use was recorded but was not considered a regular contraceptive due to its inconsistent use.RESULTS:
There was no significant difference in the proportion of women who adopted the OCP, injectable or intrauterine device in the control group or the intervention group (p=.39), and only 14.6% of the sample (mostly OCP adopters) used one of these three methods. Condom use was high (44.0%), demonstrating that ECP users were largely a condom-using group.CONCLUSIONS:
The discount coupon intervention was not successful. Although a small proportion of ECP users did bridge, the coupon did not affect the decision to adopt a regular contraceptive method. The study highlighted the need for bridging strategies to consider women's reproductive and sexual behaviors, as well as their context. However, in countries like Jamaica where HIV/AIDS is of concern and condom use is appropriately high, bridging may not be an optimal strategy.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Health Knowledge, Attitudes, Practice
/
Contraception Behavior
/
Contraceptives, Postcoital
/
Contraception, Postcoital
Type of study:
Clinical_trials
/
Prognostic_studies
/
Qualitative_research
Limits:
Female
/
Humans
Country/Region as subject:
Caribe ingles
/
Jamaica
Language:
En
Journal:
Contraception
Year:
2010
Document type:
Article
Affiliation country:
United States