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Contraceptive needs of women seeking care from a publicly funded sexually transmitted infection clinic
Authors:Godfrey Emily M  Wheat Santina G  Cyrier Rosalie  Wong William  Trussell James  Schwarz Eleanor Bimla
Affiliation:aDepartment of Family Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA;bDepartment of Community Health Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA;cDivision of STI/HIV/AIDS Prevention and Control Services, Chicago Department of Public Health, Chicago, IL 60621, USA;dOffice of Population Research, Princeton University, Princeton, NJ 08544, USA;eThe Hull York Medical School, University of Hull, HU6 7RX Hull, UK;fDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA;gDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA 15213, USA;hDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, Pittsburgh, PA 15213, USA
Abstract:

Objectives

To determine the contraceptive needs [including emergency contraception (EC)] of women seeking care from a publicly funded sexually transmitted infection (STI) clinic and to better understand women's knowledge of and attitudes towards EC.

Methods

An anonymous survey was administered to 197 women seeking services at one Chicago Department of Public Health STI clinic.

Results

After excluding women unlikely to become pregnant within the next year because of age, sexual orientation, hysterectomy and those who desired pregnancy (n=47), data from 150 women were available for analysis. Thirteen percent were using “very effective” contraception (intrauterine contraception, implant or sterilization) and 26% were using “effective” contraception (contraceptive pill, patch, ring or injectable). Approximately 23% (95% CI 16.5–30.0%) may have benefited from immediate use of EC as they reported at least one act of unprotected intercourse within the past 5 days.

Conclusion

Many women seeking care from public STI clinics are at high risk of unintended pregnancy. A substantial number of women have an immediate need of EC at the time of their clinical visit. Efforts are needed to improve provision of EC as well as effective ongoing contraception for this population.
Keywords:Contraception   Sexually transmitted infection   Post-coital contraception   Morning after pill   Public health clinic
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