TY  - JOUR
T1  - The not so over-the-counter status of emergency contraception in Ontario: A mixed methods study with pharmacists
AU  - Chaumont, Andréanne
AU  - Foster, Angel M.
Y1  - 2017/01/01
PY  - 2017
DA  - 2017/01/01
N1  - doi: 10.1139/facets-2017-0024
DO  - 10.1139/facets-2017-0024
T2  - FACETS
JF  - FACETS
SP  - 429
EP  - 439
VL  - 2
PB  - Canadian Science Publishing
N2  - Introduction: In Canada, the progestin-only dedicated pill is the most widely used method of emergency contraception (EC). This method gained over-the-counter status in Ontario in 2008. Our mixed methods study explored the progestin-only EC knowledge, attitudes, and provision practices of Ontario pharmacists. Methods: From June 2015 to October 2015, we collected 198 mailed surveys from Ontarian pharmacy representatives and conducted 17 in-depth interviews with a subset of respondents. We analyzed these data using descriptive statistics and for content and themes. Results: Results from our English/French bilingual survey indicate that respondents? knowledge is generally accurate, but confusion persists about the mechanism of action and the number of times the drug can be used in one menstrual cycle. Nearly half (49%) of our survey respondents indicated that progestin-only EC pills are only available behind the counter. Interviewees strongly supported the introduction and promotion of more effective methods of EC in Ontario. Conclusion: Continuing education focusing on both the regulatory status of progestin-only EC and information about the medication appears warranted. Health Canada?s recent approval of ulipristal acetate for use as a post-coital contraceptive may provide a window of opportunity for engaging with health service providers, including pharmacists, about all available modalities of EC in Canada.
AB  - Introduction: In Canada, the progestin-only dedicated pill is the most widely used method of emergency contraception (EC). This method gained over-the-counter status in Ontario in 2008. Our mixed methods study explored the progestin-only EC knowledge, attitudes, and provision practices of Ontario pharmacists. Methods: From June 2015 to October 2015, we collected 198 mailed surveys from Ontarian pharmacy representatives and conducted 17 in-depth interviews with a subset of respondents. We analyzed these data using descriptive statistics and for content and themes. Results: Results from our English/French bilingual survey indicate that respondents? knowledge is generally accurate, but confusion persists about the mechanism of action and the number of times the drug can be used in one menstrual cycle. Nearly half (49%) of our survey respondents indicated that progestin-only EC pills are only available behind the counter. Interviewees strongly supported the introduction and promotion of more effective methods of EC in Ontario. Conclusion: Continuing education focusing on both the regulatory status of progestin-only EC and information about the medication appears warranted. Health Canada?s recent approval of ulipristal acetate for use as a post-coital contraceptive may provide a window of opportunity for engaging with health service providers, including pharmacists, about all available modalities of EC in Canada.
M3  - doi: 10.1139/facets-2017-0024
UR  - https://doi.org/10.1139/facets-2017-0024
Y2  - 2024/04/26
ER  - 


TY  - JOUR
T1  - Canadian contraception consensus (part 1 of 4)
AU  - Black, A
AU  - Guilbert, E
JO  - Journal of Obstetrics and Gynaecology Canada
Y1  - 2015
VL  - 37
IS  - 10
SP  - 936
ER  - 

TY  - JOUR
T1  - Emergency contraception moves behind the counter
AU  - null, null
JO  - Canadian Medical Association Journal
Y1  - 2005
VL  - 172
IS  - 7
SP  - 845
ER  - 

TY  - JOUR
T1  - Emergency contraception: models to increase accessibility
AU  - Cohen, MM
AU  - Dunn, S
AU  - Cockerill, R
AU  - Brown, TER
JO  - Journal of Obstetrics and Gynaecology Canada
Y1  - 2003
VL  - 25
IS  - 6
SP  - 499
ER  - 

TY  - JOUR
T1  - Availability of emergency contraception after its deregulation from prescription-only status: a survey of Ontario pharmacies
AU  - Dunn, S
AU  - Brown, TER
AU  - Alldred, J
JO  - Canadian Medical Association Journal
Y1  - 2008
VL  - 178
IS  - 4
SP  - 423
ER  - 

TY  - JOUR
T1  - Plan B comes out from behind the counter
AU  - Eggertson, L
JO  - Canadian Medical Association Journal
Y1  - 2008
VL  - 178
IS  - 13
SP  - 1645
ER  - 

TY  - JOUR
T1  - Plan B emergency contraception may be ineffective for heavier women
AU  - Eggertson, L
JO  - Canadian Medical Association Journal
Y1  - 2014
VL  - 186
IS  - 1
SP  - E21
ER  - 

TY  - JOUR
T1  - Privacy issues raised over Plan B: women asked for names, addresses, sexual history
AU  - Eggertson, L
AU  - Sibbald, B
JO  - Canadian Medical Association Journal
Y1  - 2005
VL  - 173
IS  - 12
SP  - 1435
ER  - 

TY  - BOOK
AU  - Erdman, J
AU  - Foster, A
AU  - Wynn, L
TI  - Emergency contraception: the story of a global reproductive health technology
Y1  - 2012
SP  - 57
ER  - 

TY  - BOOK
AU  - Foster, A
AU  - Wynn, L
TI  - Emergency contraception: the story of a global reproductive health technology
Y1  - 2012
ER  - 

TY  - JOUR
T1  - Impact of bodyweight/body mass index on the effectiveness of emergency contraception with levonorgestrel: a pooled-analysis of three randomized controlled trials
AU  - Gemzell-Danielsson, K
AU  - Kardos, L
AU  - von Hertzen, H
JO  - Current Medical Research and Opinion
Y1  - 2015
VL  - 31
IS  - 12
SP  - 2241
ER  - 

TY  - JOUR
T1  - Can we identify women at risk of pregnancy despite using contraception? Data from randomized trials of ulipristal acetate and levonorgestrel
AU  - Glasier, A
AU  - Cameron, ST
AU  - Blithe, D
AU  - Scherrer, B
AU  - Mathe, H
AU  - Levy, D
JO  - Contraception
Y1  - 2011
VL  - 84
IS  - 4
SP  - 363
ER  - 

TY  - JOUR
T1  - Effect of body weight and BMI on the efficacy of levonorgestrel emergency contraception
AU  - Kapp, N
AU  - Abitbol, JL
AU  - Mathé, H
AU  - Scherrer, B
AU  - Guillard, H
AU  - Gainer, E
JO  - Contraception
Y1  - 2015
VL  - 91
IS  - 2
SP  - 91
ER  - 

TY  - JOUR
T1  - Meclizine for prevention of nausea associated with emergency contraceptive pills: a randomized trial
AU  - Raymond, EG
AU  - Creinin, MD
AU  - Barnhart, KT
AU  - Loworn, AE
AU  - Rountree, RW
AU  - Trussell, J
JO  - Obstetrics & Gynecology
Y1  - 2000
VL  - 95
IS  - 2
SP  - 271
ER  - 

TY  - JOUR
T1  - Effects of making emergency contraception available without a physician’s prescription: a population-based study
AU  - Soon, JA
AU  - Levine, M
AU  - Osmond, BL
AU  - Ensom, MHH
AU  - Fielding, DW
JO  - Canadian Medical Association Journal
Y1  - 2005
VL  - 172
IS  - 2
SP  - 878
ER  - 

TY  - BOOK
AU  - Trussell, J
AU  - Foster, A
AU  - Wynn, L
TI  - Emergency contraception: the story of a global reproductive health technology
Y1  - 2012
SP  - 19
ER  - 

TY  - BOOK
AU  - Wynn, L
AU  - Foster, A
AU  - Foster, A
AU  - Wynn, L
TI  - Emergency contraception: the story of a global reproductive health technology
Y1  - 2012
SP  - 3
ER  - 

TY  - JOUR
T1  - Harm reduction or women’s rights? Debates over access to emergency contraceptive pills in Canada and the US
AU  - Wynn, LL
AU  - Erdman, JN
AU  - Foster, AM
AU  - Trussell, J
JO  - Studies in Family Planning
Y1  - 2007
VL  - 38
IS  - 4
SP  - 253
ER  -