Easy access of hormonal contraceptives to women - age 20 to 24 years old

Does the combination of free or subsidized hormonal contraception and easy access of hormonal contraceptive cause less pregnancies and abortions in young women?6. Does easy access to emergency contraceptives (over the counter) for young women lead to decreased use of other hormonal contraception, fe...

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Bibliographic Details
Main Author: Myrhaug, Hilde Tinderholt
Corporate Author: Nasjonalt kunnskapssenter for helsetjenesten
Format: eBook
Language:English
Published: Oslo, Norway Knowledge Centre for the Health Services at The Norwegian Institute of Public Health (NIPH) 2008, 2008
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Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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Summary:Does the combination of free or subsidized hormonal contraception and easy access of hormonal contraceptive cause less pregnancies and abortions in young women?6. Does easy access to emergency contraceptives (over the counter) for young women lead to decreased use of other hormonal contraception, fewer pregnancies and fewer abortions?7. Does advance provision of emergency contraception to young women bring less pregnancies and abortions? The interventions described in the questions above were compared to usual access of hormonal contraception for young women (e.g. Prescription available from your GP and not subsidized or free). Methods We searched for relevant systematic reviews, randomised controlled trials and controlled trials in international databases, and appraised and synthesized studies which fulfilled our inclusion criteria. Results We summarized results from one Cochrane review only.
Background This report assessed interventions to improve easy access of hormonal contraceptives to women - age 20 to 24 years old. Objective In order to clarify the objective we addressed these questions: 1. Does prescription of hormonal contraception available at youth clinics, health services at universities and colleges and/or available from other health professions than medical doctors' cause less abortions and unwanted pregnancies in young women?2. Does prescription on hormonal contraception available at youth clinics, health services at universities and colleges and/or available from other health professions than medical doctors' bring increased sexually transmitted infections and/or thrombosis in young women?3. Does easy access of hormonal contraception lead to increased compliance?4. Does free or subsidized hormonal contraception bring less pregnancies, abortions and increased use of hormonal contraception?5.
The review had high methodological quality, but the quality of the documentation varied according to GRADE. According to this review advanced provision of emergency contraception to young women did not decrease pregnancy rates nor did it have a negative impact on sexually and reproductive health behaviours more than control group (who only received information about emergency contraception). Conclusion We identified only one systematic review. This Cochrane review answered the last question that we addressed. We did not identify more relevant studies or reviews, in spite of a comprehensive search for literature in relevant databases. More controlled trials are needed to answer the questions addressed
Item Description:English summary excerpted from full technical report in Norwegian: Lett tilgjengelig hormonell prevensjon til kvinner i alderen 20-24 år. - Excerpt from Systematic review no.12-2008
Physical Description:1 PDF file (4-5 pages)
ISBN:9788281212046