- 作者：Tracey A. Wilkinson ; Gabriela Vargas ; Nisha Fahey ; Emily Suther ; Michael Silverstein
- 关键词：Adolescent medicine ; Adolescent pregnancy ; Adolescent sexual behavior ; Adolescents ; Contraceptive agents
- 刊名：Journal of Adolescent Health
- 出版年：January, 2014
- 年：2014
- 卷：54
- 期：1
- 页码：14-19
- 全文大小：460 K
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.