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Research ArticleOriginal Research

The Visit Before the Morning After: Barriers to Preprescribing Emergency Contraception

Alison Karasz, Nicole Tan Kirchen and Marji Gold
The Annals of Family Medicine July 2004, 2 (4) 345-350; DOI: https://doi.org/10.1370/afm.105
Alison Karasz
PhD
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Nicole Tan Kirchen
MD
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Marji Gold
MD
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    Table 1.

    Characteristics of the Sample

    CharacteristicsValue
    PatientsMedian Number
    Age, years28 (16–61)
    Education, years12 (9–18)
    Income, $ (in thousands)30 (8–120)
    Percent
    Married29
    Self-reported ethnicity
        Hispanic48
        Black26
        White26
    Clinician specialtyNumber
    Nurse practitioner1
    Physician24
        Attending9
        Resident15
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    Table 2.

    Patients’ Experiences of Contraceptive Lapses

    LapsePercent
    Intercourse without attempting contraception
    At least once in past year92
    At least once in past month42
    Experienced broken condom23
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    Table 3.

    Clinicians’ Knowledge of and Prescribing Patterns for Emergency Contraception

    CharacteristicsNo.
    Knowledgeable about emergency contraception10
    Model most used
        Model 1 emergency model11
        Model 2 routine counseling model4
        Model 3 medicine cabinet model4
    Routinely discuss emergency contraception with patients5

Additional Files

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  • The Article in Brief

    In an inner-city health center, physicians and women patients expressed mixed feelings about emergency contraception (also known as the "morning-after" pill). Most women patients felt that emergency contraception could help them in their lives, however they also had medical and moral concerns about its use. They were divided in their beliefs about whether physicians should provide advance prescriptions for emergency contraception. Most physicians had positive attitudes about emergency contraception, but few routinely talked with their patients about it. Some physicians and patients were concerned that providing advance prescriptions for emergency contraception would encourage women to use it repeatedly.

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The Annals of Family Medicine: 2 (4)
The Annals of Family Medicine: 2 (4)
Vol. 2, Issue 4
1 Jul 2004
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The Visit Before the Morning After: Barriers to Preprescribing Emergency Contraception
Alison Karasz, Nicole Tan Kirchen, Marji Gold
The Annals of Family Medicine Jul 2004, 2 (4) 345-350; DOI: 10.1370/afm.105

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The Visit Before the Morning After: Barriers to Preprescribing Emergency Contraception
Alison Karasz, Nicole Tan Kirchen, Marji Gold
The Annals of Family Medicine Jul 2004, 2 (4) 345-350; DOI: 10.1370/afm.105
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