There's always Plan B: Adolescent knowledge, attitudes, and intention to use Emergency Contraception

Recent FDA policy change regarding the availability of Emergency Contraception (EC) has the potential to positively affect knowledge of and access to EC, therefore significantly reducing rates of unintended pregnancy. Unfortunately, little is known about adolescent and young adult knowledge or attitudes in regard to emergency contraception. Therefore, we conducted short surveys, in-depth interviews and focus groups with high-risk youth in NYC to ascertain awareness of EC in general, as well as thoughts and opinions on age limitations associated with the FDA policy change. Although half of the participants demonstrated previous knowledge of the existence of EC, few had heard of the change to behind-the-counter status for those 18 and above. There were also common misconceptions about EC, including the belief that it causes an abortion or is synonymous with RU486. When asked about the benefits associated with the new FDA policy, most participants felt that EC would be a valuable tool in pregnancy prevention. Perceived drawbacks and barriers associated with behind-the-counter access included a concern about the financial cost of purchasing EC at a drug store and a perceived lack of confidentiality or anonymity when obtaining EC. Along with the provision of information on teen knowledge and attitudes around EC, interviews and focus groups highlight the need for further education and outreach around this valuable birth control method.