Emergency contraceptive pill users' risk perceptions for sexually transmitted infections and future unintended pregnancy

Mary T. Hickey, Michele Shedlin

Research output: Contribution to journalArticle

Abstract

Background and purpose: The availability of emergency contraception pills (ECP) over the counter (OTC) has the potential to reduce the incidence of unintended pregnancy; however, the increased risk for sexually transmitted infection (STI) acquisition, related to unprotected intercourse, has not been adequately addressed. The purpose of this study is to gain insight into risk perceptions for STIs and subsequent unintended pregnancy in women who have purchased ECP OTC. Methods: Twenty-one women, aged 18-24, attending a private university in an urban setting, who purchased and used ECP OTC participated in 1-h, individual interviews. Conclusions: Narrative, descriptive findings indicated that these women did not consider themselves at risk for STI or unintended pregnancy, despite having used ECP OTC. Pregnancy prevention was paramount for these women, which overshadowed concerns regarding STIs. Implications for practice: Women at risk for unintended consequences of sexual activity are not fully cognizant of those potential outcomes and do not take measures to prevent their occurrence. The availability of ECP OTC offers protection against unintended pregnancy; however, opportunities for health promotion and prevention counseling may be lost.

Original languageEnglish (US)
JournalJournal of the American Association of Nurse Practitioners
DOIs
StateAccepted/In press - 2017

Fingerprint

Postcoital Contraceptives
Postcoital Contraception
Sexually Transmitted Diseases
Pregnancy
Health Promotion
Sexual Behavior
Counseling
Interviews
Incidence

Keywords

  • Advanced practice nurses
  • Contraception
  • Nurse practitioners
  • Risk factors
  • Sexually transmitted infections (STI)
  • Young adult women

ASJC Scopus subject areas

  • Nursing(all)

Cite this

@article{2d0a5083c9434bf5911ecdf7f61ee0a5,
title = "Emergency contraceptive pill users' risk perceptions for sexually transmitted infections and future unintended pregnancy",
abstract = "Background and purpose: The availability of emergency contraception pills (ECP) over the counter (OTC) has the potential to reduce the incidence of unintended pregnancy; however, the increased risk for sexually transmitted infection (STI) acquisition, related to unprotected intercourse, has not been adequately addressed. The purpose of this study is to gain insight into risk perceptions for STIs and subsequent unintended pregnancy in women who have purchased ECP OTC. Methods: Twenty-one women, aged 18-24, attending a private university in an urban setting, who purchased and used ECP OTC participated in 1-h, individual interviews. Conclusions: Narrative, descriptive findings indicated that these women did not consider themselves at risk for STI or unintended pregnancy, despite having used ECP OTC. Pregnancy prevention was paramount for these women, which overshadowed concerns regarding STIs. Implications for practice: Women at risk for unintended consequences of sexual activity are not fully cognizant of those potential outcomes and do not take measures to prevent their occurrence. The availability of ECP OTC offers protection against unintended pregnancy; however, opportunities for health promotion and prevention counseling may be lost.",
keywords = "Advanced practice nurses, Contraception, Nurse practitioners, Risk factors, Sexually transmitted infections (STI), Young adult women",
author = "Hickey, {Mary T.} and Michele Shedlin",
year = "2017",
doi = "10.1002/2327-6924.12485",
language = "English (US)",
journal = "Journal of the American Association of Nurse Practitioners",
issn = "2327-6886",
publisher = "John Wiley and Sons Ltd",

}

TY - JOUR

T1 - Emergency contraceptive pill users' risk perceptions for sexually transmitted infections and future unintended pregnancy

AU - Hickey, Mary T.

AU - Shedlin, Michele

PY - 2017

Y1 - 2017

N2 - Background and purpose: The availability of emergency contraception pills (ECP) over the counter (OTC) has the potential to reduce the incidence of unintended pregnancy; however, the increased risk for sexually transmitted infection (STI) acquisition, related to unprotected intercourse, has not been adequately addressed. The purpose of this study is to gain insight into risk perceptions for STIs and subsequent unintended pregnancy in women who have purchased ECP OTC. Methods: Twenty-one women, aged 18-24, attending a private university in an urban setting, who purchased and used ECP OTC participated in 1-h, individual interviews. Conclusions: Narrative, descriptive findings indicated that these women did not consider themselves at risk for STI or unintended pregnancy, despite having used ECP OTC. Pregnancy prevention was paramount for these women, which overshadowed concerns regarding STIs. Implications for practice: Women at risk for unintended consequences of sexual activity are not fully cognizant of those potential outcomes and do not take measures to prevent their occurrence. The availability of ECP OTC offers protection against unintended pregnancy; however, opportunities for health promotion and prevention counseling may be lost.

AB - Background and purpose: The availability of emergency contraception pills (ECP) over the counter (OTC) has the potential to reduce the incidence of unintended pregnancy; however, the increased risk for sexually transmitted infection (STI) acquisition, related to unprotected intercourse, has not been adequately addressed. The purpose of this study is to gain insight into risk perceptions for STIs and subsequent unintended pregnancy in women who have purchased ECP OTC. Methods: Twenty-one women, aged 18-24, attending a private university in an urban setting, who purchased and used ECP OTC participated in 1-h, individual interviews. Conclusions: Narrative, descriptive findings indicated that these women did not consider themselves at risk for STI or unintended pregnancy, despite having used ECP OTC. Pregnancy prevention was paramount for these women, which overshadowed concerns regarding STIs. Implications for practice: Women at risk for unintended consequences of sexual activity are not fully cognizant of those potential outcomes and do not take measures to prevent their occurrence. The availability of ECP OTC offers protection against unintended pregnancy; however, opportunities for health promotion and prevention counseling may be lost.

KW - Advanced practice nurses

KW - Contraception

KW - Nurse practitioners

KW - Risk factors

KW - Sexually transmitted infections (STI)

KW - Young adult women

UR - http://www.scopus.com/inward/record.url?scp=85021222470&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85021222470&partnerID=8YFLogxK

U2 - 10.1002/2327-6924.12485

DO - 10.1002/2327-6924.12485

M3 - Article

JO - Journal of the American Association of Nurse Practitioners

JF - Journal of the American Association of Nurse Practitioners

SN - 2327-6886

ER -