Oral Contraceptive Use and Perception of the Role of the Community Pharmacist among Adolescents: an observational study
Oral Contraceptive Use and Perception of the Role of the Community Pharmacist among Adolescents: an observational study.
DOI:
https://doi.org/10.30827/ars.v64i2.27287Keywords:
Medication adherence; Adolescent; Adolescent; Oral contraceptive pills; Community pharmacy services; Sexual health; Perception; Health promotion; Community health.Abstract
Introduction: Unintended pregnancies in adolescents have serious consequences both for the adolescents themselves and their babies and for the use of health system resources. One of the reasons is the low use of oral contraceptive pills (OCPs) among this population, mainly due to lack of information or non-adherence to the medication. The aim of this study was to describe the information adolescents receive about OCPs and their use, as well as their perception of the role of the community pharmacist in this field.
Method: A cross-sectional observational study was carried out by means of a survey applied to women aged 12-19 years living in Spain, regardless of whether or not they had used OCPs, during April 2021. Different social networks were used to disseminate the survey. Different Spanish associations dedicated to family planning and adolescent sexual health counselling were also contacted.
Results: 81.7% (n=76) of respondents had not taken OCPs, although 35.5% (n=33) had had sex. The 6% (n=1) who were taking or had taken OCPs reported adherence. 88% (n=82) thought that the pharmacist is knowledgeable about medicines; however, only 19.4% (n=18) would consult them for OCP questions.
Conclusions: To solve the problems of lack of information about OCPs and adherence in adolescent women, the community pharmacist is an accessible professional who can contribute to this by taking an active role and using different forms of educational materials.
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References
World Health Organization (WHO). A snapshot of the health of young people in Europe a report prepared for the European commission conference on youth health, Brussels, Belgium; 2009 [acceso 19 de diciembre de 2022]. Disponible en: http://www.euro.who.int/__data/assets/pdf_file/0013/70114/E93036.pdf (verified 24 November 2022).
European Parliamentary Forum on Population & Development (EPF). Report on sexual and reproductive health and related rights (2013/2040(INI)); 2013 [acceso 19 de diciembre de 2022]. Disponible en: http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+REPORT+A7-2013-0306+0+DOC+PDF+V0//ES.
Ley Orgánica 2/2010, de 3 de marzo, de salud sexual y reproductiva y de la interrupción voluntaria del embarazo; 2010 [acceso 19 de diciembre de 2022]. Disponible en: https://www.boe.es/buscar/act.php?id=BOE-A-2010-3514.
Federación de Planificación Familiar Estatal. Deficiencias e Inequidad en los servicios de salud sexual y reproductiva en España; 2016 [acceso 19 de diciembre de 2022]. Disponible en: http://www.fpfe.org/wp-content/uploads/2016/04/Informe-serviciosSSR-Baja.pdf.
Rafie S, McIntosh J, Shealy KM et al. Roles of the Pharmacist in the Use of Safe and Highly Effective Long-Acting Reversible Contraception: An Opinion of the Women’s Health Practice and Research Network of the American College of Clinical Pharmacy. Pharmacotherapy 2014; 34(9):991-999. doi: 10.1002/phar.1457.
Faus-Dader MJ, Amariles-Muñoz P, Martinez-Martinez F. Atención Farmacéutica: Servicios Farmacéuticos Orientados al Paciente. Granada. Editorial Técnica Avicam; 2022
Grubb LK, Beyda RM, Eissa MA, Benjamins LJ. A Contraception Quality Improvement Initiative with Detained Young Women: Counseling, Initiation, and Utilization. J Pediatr Adolesc Gynecol. 2018; 31(4):405-410. doi: 10.1016/j.jpag.2018.01.002.
Decker MJ, Zárate CG, Atyam TV, Saphir M. Improving Adolescent Perceptions of Barriers and Facilitators to Sexual and Reproductive Health Services Through Sexual Health Education. J Adolesc Health. 2022: 72(1):138-146. doi: 10.1016/j.jadohealth.2022.09.001.
Carrasco-Garrido P, López de Andrés A, Hernández-Barrera V, et al. Trends in the use of oral contraceptives among adolescents and young women in Spain. Reprod Health. 2016;13(1):122. doi: 10.1186/s12978-016-0239-4.
Cronbach L, Shavelson RJ. My current thoughts on coefficient alpha and successor procedures. Educational and Psychological Measurement. 2004;64(3):391-18. doi:10.1177/0013164404266386.
Ministerio de Sanidad, Servicios Sociales e Igualdad de España. Interrupción voluntaria del embarazo; 2013 [acceso 19 de diciembre de 2022]. Disponible en: https://www.sanidad.gob.es/profesionales/saludPublica/prevPromocion/embarazo/docs/IVEs_anteriores/IVE_2013_1.pdf
European Parliamentary Forum on Population & Development (EPF). Contraception Atlas; 2018 [acceso 19 de diciembre de 2022]. Disponible en: https://www.contraceptioninfo.eu/sites/contraceptioninfo.eu/files/epf-contraception_atlas-v5.pdf.
European Parliamentary Forum on Population & Development (EPF). Contraception Atlas; 2017 [acceso 19 de diciembre de 2022]. Disponible en: https://www.contraceptioninfo.eu/sites/contraceptioninfo.eu/files/map_ranking_-_contraception.pdf, 2017.
Marcinkow A, Parkhomchik P, Schmode A, Yuksle N. The Quality of Information on Combined Oral Contraceptives. J Obstet Gynaecol Can. 2019; 41(11):1599-1607. doi: 10.1016/j.jogc.2019.01.024.
Denis L, Storms M, Peremans L, Van Royen K, Verhoeven V. Contraception: a questionnaire on knowledge and attitude of adolescents, distributed on Facebook. Int J Adolesc Med Health. 2016;28(4):407-412. doi: 10.1515/ijamh-2015-0027.
Burke AE, Blumenthal PD. burke. Semin Reprod Med. 2011;19(4):313-321. doi: 10.1055/s-2001-18639.
Akour A, Bardaweel S, Awwad O, Al-Muhaissen S, Hussein R. Impact of a pharmacist-provided information booklet on knowledge and attitudes towards oral contraception among Jordanian women: an interventional study. Eur J Contracept Reprod Health Care. 2017;22(6):459-464. doi: 10.1080/13625187.2017.1412425.
Zapata LB, Steenland MW, Brahmi D, Marchbanks PA, Curtis KM. Patient understanding of oral contraceptive pill instructions related to missed pills: a systematic review. Contraception. 2013; 87(5):674-684. doi: 10.1016/j.contraception.2012.08.026.
Lee J, Jezewski MA. Attitudes toward oral contraceptive use among women of reproductive age: a systematic review. ANS Adv Nurs Sci. 2017;30(1):E85-103. doi: 10.1097/00012272-200701000-00016.
Gabzdyl EM. Contraceptive care of adolescents: overview, tips, strategies, and implications for school nurses. J Sch Nurs. 2010;26(4):267-277. doi: 10.1177/1059840510374459.
Adarve-Hidalgo E, Falguera E, Seguranyes G. Adherence and compliance with the oral hormonal contraceptive method. Matronas profesión. 2016;17(1):28-34.
Hall KS, Castaño PM, Westhoff CL. The influence of oral contraceptive knowledge on oral contraceptive continuation among young women. J Womens Health (Larchmt). 2014;23(7):596-601. doi: 10.1089/jwh.2013.4574.
Guerra S, Sánchez F, Encinas A, Ugarte L, Barbadillo N, Lete I. Costs of combined hormonal contraception in Spain: is there any more cost-effective method?. ProgObstetGinecol. 2015;58:221-226. doi: 10.1016/j.pog.2015.01.001.
Trussell J, Henry N, Hassan F, Prezioso A, Law A, Filonenko A. Burden of unintended pregnancy in the United States: Potential savings with increased use of long-acting reversible contraception. Contraception. 2013;87(2):154-161. doi: 10.1016/j.contraception.2012.07.016.
Coley KC. Contraception: what pharmacists should tell their patients. Am Pharm. 1993;NS33(9):55-64. doi: 10.1016/s0160-3450(15)30668-1.
Martínez-Astorquiza-Ortiz de Zarate T, Díaz-Martín T, Martínez-Astorquiza-Corral T, MIA Study Investigators. Evaluation of factors associated with noncompliance in users of combined hormonal contraceptive methods: a cross-sectional study: results from the MIA study. BMC Womens Health. 2010; 13:38. doi: 10.1186/1472-6874-13-38.
Carmine L. Foreword: Contraceptive Strategies for Prevention of Adolescent Pregnancy. Curr Probl Pediatr Adolesc Health Care. 2018; 48(12):319-320. doi: 10.1016/j.cppeds.2018.11.001.
de Reilhac P, Plu-Bureau G, Serfaty D, Letombe B, Gondry J, Christin-Maitre S. The CORALIE study: improving patient education to help new users better understand their oral contraceptive. Eur J Contracept Reprod Health Care. 2016; 21(5):388-94. doi: 10.1080/13625187.2016.1217323.
Amin ME, Chewning B. Pharmacists’ counseling on oral contraceptives: A theory informed analysis. Res Social Adm Pharm. 2016; 12(5):669-81. doi: 10.1016/j.sapharm.2015.08.009.
Saldanha N. Use of Short Acting Reversible Contraception in Adolescents: The Pill, Patch, Ring and Emergency Contraception. Curr Probl Pediatr Adolesc Health Care. 2018;48(12):333-344. doi: 10.1016/j.cppeds.2018.11.003.
Cwiak C, Howard B, Hsieh J, Ricciotti N, Sucato G. Sexual and Contraceptive Behaviors among Adolescents Requesting Emergency Contraception. J Pediatr Adolesc Gynecol. 2016; 29(6):643-647. doi: 10.1016/j.jpag.2016.06.003.
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