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Q In adolescents, does easier access to emergency contraception (EC) increase rates of unprotected intercourse, sexually transmitted disease (STD), and pregnancy?
Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Emergency medicine ★★★★★★☆ Gynaecology ★★★★★★☆
METHODS
Design:
subgroup analysis of a randomised controlled trial.
Allocation:
{concealed*}†.
Blinding:
blinded {data collectors, healthcare providers, outcome assessors, and all data analysts}†.*
Follow up period:
6 months.
Setting:
4 clinics in the San Francisco Bay Area, California, USA.
Participants:
from a larger trial of 2117 women, 964 adolescents who were 15–19 years of age (mean age 17 y); were not pregnant and did not wish to become pregnant; and were using oral contraceptives, condoms, other barriers, or no contraceptive methods. Exclusion criteria: request for EC or unprotected intercourse in the previous 3 days.
Intervention:
pharmacy access to EC (n = 372), advance provision of 3 packs of levonorgestrel (Plan B) EC (n = 379), and clinic access (n = 142).
Outcomes:
contraceptive behaviours, STDs, and pregnancy.
Patient follow up:
93% …
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