270 A Within Subjects Study Of The Situational And Attitudinal Factors Associated With Emergency Contraception Use And Non Use

Conference: 
Author(s): 
Cari Free
Text: 
This study explores the differences in attitudinal and situational factors associated with emergency contraception use and non use in the same women.
The flexibility of attitudes over time is demonstrated.
Background
The UK has the highest teenage pregnancy rates in western Europe. UK policy has aimed to increase the availability of emergency contraception through its provision by chemists. About a third of women who have experienced contraceptive risks have used emergency contraception but not each time they experienced a risk.
Aim To identify differences in situational and attitudinal factors between episodes when a contraceptive risk
resulted in taking emergency contraception and episodes of risk in the same woman when no emergency contraception was used
Method A sample of students aged over 15 from schools, colleges and universities in and around London was used (n=824, response rate of 84%)
Results In the same women emergency contraception was more likely to follow a condom splitting or non use of contraception than a pill problem.
At the time of use of emergency contraception the woman’s perception of risk was higher; pregnancy was more strongly unwanted; their sexual partner wanted them to use emergency contraception and they were more likely to think that getting emergency contraception was a responsible behaviour.
Women were also more concerned about health care professional attitudes towards them and thought emergency contraception had more harmful effects when they used emergency contraception.
Conclusions:
The results indicate that there are important situational and attitudinal differences between episodes of use and non use in the same women and that cognitions are flexible over time. Implications for educational and health service inputs will be discussed.
Literature: 
270 A within Subjects Study of the Situational and Attitudinal Factors Associated with Emergency Contraception Use and Non Use