185472 Consumers' attitudes towards physician and pharmacist roles in accessing contraceptive products

Wednesday, October 29, 2008: 1:00 PM

Karen B. Farris, PhD FAPhA , Division of Clinical and Administrative Pharmacy, University of Iowa, Iowa City, IA
Natoshia M. Askelson, MPH, PhD , Department of Community and Behavioral Health, University of Iowa, Iowa City, IA
Erica L. Spies, MS , School of Public Health, Department of Community and Behavioral Health, University of Iowa, Iowa City, IA
Mary L. Aquilino, MSN, PhD, FNP , College of Public Health, University of Iowa, Iowa City, IA
Mary E. Losch, PhD , Center for Social & Behavioral Research, University of Northern Iowa, Cedar Falls, IA
The objective was to quantify consumers' attitudes towards access to contraceptive products. A random-digit-dialing telephone survey was conducted with 1,018 people in a rural Midwest state. Respondents were asked whether they believed physicians should prescribe birth control to women 18 and older, women younger than 18 and whether physicians should encourage contraceptive usage among sexually active men and women. They were also asked whether pharmacists should have to fill prescriptions against their religious beliefs and whether pharmacies should be required to carry emergency contraceptives. Descriptive statistics were determined and differences by gender, education and income were explored. Only 2.7% believed physicians should not prescribe birth control to women 18 and over, while 26.2% believed physicians should not prescribe to women younger than 18. Most women (93.5%) and men (94.8%) supported physicians' encouraging contraceptive use among sexually active individuals. Women were more likely to agree and people with lower incomes were less likely to agree with this statement. Regarding pharmacists/pharmacies, 79.2% agreed pharmacists should be required to fill prescriptions for contraceptive products against their religious beliefs and 70.9% agreed pharmacies should be required to carry emergency contraceptive. People with higher incomes were more likely to agree that pharmacists should be required to fill prescriptions and men were more likely to support pharmacists' choice. Increasing access to contraceptive products may reduce unintended pregnancy, and a mid-western population supported increased access among all individuals via these providers. These data will be used as one component to design interventions to increase access to contraceptive products in community pharmacies.

Learning Objectives:
Describe consumers’ attitudes towards physician and pharmacist provision of contraceptive products. Discuss issues faced by providers in providing contraceptive products, particularly in rural areas.

Keywords: Access and Services, Contraceptives

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently conducting a study focused on improving access to contraceptive products and services in Iowa community pharmacies. These data form one of the baseline data points in our larger study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.