Twelve-month follow-up of advance provision of emergency contraception among teenage girls in Sweden : a randomized controlled trial

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Twelve-month follow-up of advance provision of emergency contraception among teenage girls in Sweden : a randomized controlled trial

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Publication Article, peer reviewed scientific
Title Twelve-month follow-up of advance provision of emergency contraception among teenage girls in Sweden : a randomized controlled trial
Author(s) Ekstrand, Maria ; Tydén, Tanja ; Darj, Elisabeth ; Larsson, Margareta
Date 2013
English abstract
Objective. The objective of this study was to evaluate the effect of an intervention with advance provision of emergency contraceptive pills (ECP), condoms, and extended information to a targeted group of teenage girls, compared with a control group, 12 months after intervention. Material and methods. A randomized controlled trial among 420 girls, 15–19 years old, requesting emergency contraception at a youth clinic in Sweden was carried out. Data were collected by a questionnaire at the initial visit and structured telephone interviews 12 months after enrolment. Differences between the intervention group and the control group regarding ECP use, time interval from unprotected intercourse to ECP intake, contraceptive use, and sexual risk-taking were analysed. Results. One year after the intervention 62% of the girls could be reached for follow-up. The girls in the intervention group reported a shorter time interval (mean 15.3 hours) from unprotected intercourse to ECP intake compared to the control group (mean 25.8 hours) (p = 0.019), without any evidence of decreased use of contraceptives or increased sexual risk-taking. Conclusion. Even up to 12 months following the intervention, advance provision of ECP at one single occasion, to a specific target group of adolescent girls, shortens the time interval from unprotected intercourse to pill intake, without jeopardizing contraceptive use or increasing sexual risk-taking. Considering the clinical relevance of these results, we suggest that advance provision of ECP could be implemented as a routine preventive measure for this target group.
DOI http://dx.doi.org/10.3109/03009734.2013.841308 (link to publisher's fulltext)
Publisher Informa
Host/Issue Upsala Journal of Medical Sciences;4
Volume 118
ISSN 0300-9734
Pages 271-275
Language eng (iso)
Subject(s) Adolescents
advance provision
emergency contraception
sexual risk-taking
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/17526 (link to this page)

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