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Published in: The Journal of Obstetrics and Gynecology of India 1/2016

01-10-2016 | Original Article

Awareness and Attitudes Toward Emergency Contraceptives Among College Students in South India

Authors: Nitin Joseph, Bhavishya Shetty, Fathima Hasreen, R. Ishwarya, Mukesh Baniya, Sahil Sachdeva, Samarth Agarwal

Published in: The Journal of Obstetrics and Gynecology of India | Special Issue 1/2016

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Abstract

Background

In India every year, a large number of pregnancies are unplanned resulting in unsafe abortion. This has tremendous implications both on health and survival of women. Usage of emergency contraceptive pills (ECPs) could be a solution provided the usage is as per guidelines and social issues do not cause objections.

Aim

This study was done to assess the awareness and attitudes regarding ECPs.

Methods

Data were collected using self-administered questionnaire from the university students.

Results

Out of 449 students, 384(85.5 %) had heard about ECPs. The commonest source of information was television 299(77.9 %). Only 128(33.3 %) students knew that ECPs do not help in prevention of STDs. 209(54.4 %) participants knew the correct time frame for taking ECPs. 109(28.4 %) were unaware of its side effects. Only 149(33.2 %) had received reproductive health education (RHE) in the past. The awareness level of students about ECPs was moderate among 231(60.2 %) participants. Awareness was significantly more among males (p = 0.013), students with science background (p = 0.001) and those who had RHE previously (p = 0.043). 219(57 %) had average level of perception toward ECPs. 254(66.2 %) participants favored prescription before procuring ECPs from drug stores. 261(68 %) participants favored information about ECPs to be given in educational institutions, and a majority, 186(48.4 %), said they would recommend ECPs to their friends. Average-to-good perception about ECPs was seen in significantly greater proportion of females (p = 0.034).

Conclusion

RHE is must at educational institutions so as to promote awareness and to remove misconceptions about ECPs among youth. This would help users in preventing unintended pregnancies and unsafe abortions.
Literature
1.
go back to reference International Consortium for Emergency Contraception: Emergency contraceptive pills. 2nd ed. Washington DC; 2004. International Consortium for Emergency Contraception: Emergency contraceptive pills. 2nd ed. Washington DC; 2004.
2.
go back to reference Mehra R, Goel P, Dua D, et al. Knowledge of emergency contraception among women coming for induced abortion. J Obstet Gynecol India. 2006;56:233–5. Mehra R, Goel P, Dua D, et al. Knowledge of emergency contraception among women coming for induced abortion. J Obstet Gynecol India. 2006;56:233–5.
3.
go back to reference International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005–2006. International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005–2006.
4.
go back to reference World Health Organiation/SEARO: Making Pregnancy Safer Delhi:WHO/SEARO; 2001. World Health Organiation/SEARO: Making Pregnancy Safer Delhi:WHO/SEARO; 2001.
5.
go back to reference International Consortium for Emergency Contraception. Emergency contraceptive pills. 2nd ed. Washington, DC: US Department of Health; 2004. International Consortium for Emergency Contraception. Emergency contraceptive pills. 2nd ed. Washington, DC: US Department of Health; 2004.
6.
go back to reference Government of India. Guidelines for administration of emergency contraceptive pills by health care providers. Family planning division, ministry of health and family welfare, Govt. of India, 2008. Government of India. Guidelines for administration of emergency contraceptive pills by health care providers. Family planning division, ministry of health and family welfare, Govt. of India, 2008.
7.
go back to reference Nath A. HIV/AIDS and Indian youth—a review of the literature (1980–2008). SAHARA J. 2009;6:2–8.CrossRefPubMed Nath A. HIV/AIDS and Indian youth—a review of the literature (1980–2008). SAHARA J. 2009;6:2–8.CrossRefPubMed
8.
go back to reference Subedi S. Knowledge, attitude and practices of emergency contraception among youths of Parbat District. JHAS. 2012;2:50–3. Subedi S. Knowledge, attitude and practices of emergency contraception among youths of Parbat District. JHAS. 2012;2:50–3.
9.
go back to reference Yapici G, Oner S, Sasmaz T, et al. Awareness of emergency contraception among university students in Mersin, Turkey. J Obstet Gynaecol Res. 2010;36:1087–92.CrossRefPubMed Yapici G, Oner S, Sasmaz T, et al. Awareness of emergency contraception among university students in Mersin, Turkey. J Obstet Gynaecol Res. 2010;36:1087–92.CrossRefPubMed
10.
go back to reference Sychareun V, Hansana V, Phengsavanh A, et al. Awareness and attitudes towards emergency contraceptive pills among young people in the entertainment places, Vientiane City, Lao PDR. BMC Womens Health. 2013;13:14.CrossRefPubMedPubMedCentral Sychareun V, Hansana V, Phengsavanh A, et al. Awareness and attitudes towards emergency contraceptive pills among young people in the entertainment places, Vientiane City, Lao PDR. BMC Womens Health. 2013;13:14.CrossRefPubMedPubMedCentral
11.
12.
go back to reference Goyal P, Midha T, Anand BK. Adolescent perspective on emergency contraceptives—a community based study in urban slums of Faridabad, Haryana. Indian J Prev Soc Med. 2012;43:356–60. Goyal P, Midha T, Anand BK. Adolescent perspective on emergency contraceptives—a community based study in urban slums of Faridabad, Haryana. Indian J Prev Soc Med. 2012;43:356–60.
13.
go back to reference Kongnyuy EJ, Ngassa P, Fomulu N, et al. A survey of knowledge, attitudes and practice of emergency contraception among university students in Cameroon. BMC Emerg Med. 2007;7:7.CrossRefPubMedPubMedCentral Kongnyuy EJ, Ngassa P, Fomulu N, et al. A survey of knowledge, attitudes and practice of emergency contraception among university students in Cameroon. BMC Emerg Med. 2007;7:7.CrossRefPubMedPubMedCentral
14.
go back to reference Ojule JD, Oriji VK, Georgewill KN. Awareness and practice of emergency contraception among students of University of Port Harcourt, South-South Nigeria. Niger Health J. 2008;8:6–9. Ojule JD, Oriji VK, Georgewill KN. Awareness and practice of emergency contraception among students of University of Port Harcourt, South-South Nigeria. Niger Health J. 2008;8:6–9.
15.
go back to reference Parey B, Addison L, Mark JK, et al. Knowledge, attitude and practice of emergency contraceptive pills among tertiary level students in trinidad: a cross-sectional survey. West Indian Med J. 2010;59:650–5.PubMed Parey B, Addison L, Mark JK, et al. Knowledge, attitude and practice of emergency contraceptive pills among tertiary level students in trinidad: a cross-sectional survey. West Indian Med J. 2010;59:650–5.PubMed
16.
go back to reference Anjel V, Divya PA, Kristen W, et al. College students’ perceptions of emergency contraception provision. J. Women’s Health. 2008;17:103–11.CrossRef Anjel V, Divya PA, Kristen W, et al. College students’ perceptions of emergency contraception provision. J. Women’s Health. 2008;17:103–11.CrossRef
17.
go back to reference Yen S, Parmar DD, Lin EL, et al. Emergency contraception pill awareness and knowledge in uninsured adolescents: high rates of misconceptions concerning indications for use, side effects, and access. J Pediatr Adolesc Gynecol. 2014;. doi:10.1016/j.jpag.2014.09.018. Yen S, Parmar DD, Lin EL, et al. Emergency contraception pill awareness and knowledge in uninsured adolescents: high rates of misconceptions concerning indications for use, side effects, and access. J Pediatr Adolesc Gynecol. 2014;. doi:10.​1016/​j.​jpag.​2014.​09.​018.
18.
go back to reference Conard LA, Gold MA. Emergency contraceptive pills: a review of the recent literature. Curr Opin Obstet Gynecol. 2004;16:389–95.CrossRefPubMed Conard LA, Gold MA. Emergency contraceptive pills: a review of the recent literature. Curr Opin Obstet Gynecol. 2004;16:389–95.CrossRefPubMed
19.
go back to reference Silva FC, Vitalle MSS, Maranhão HS, et al. Regional differences in knowledge, attitudes, and practice in emergency contraceptive use among health sciences university students in Brazil. Cad Saúde Pública. 2010;26:1821–31.CrossRefPubMed Silva FC, Vitalle MSS, Maranhão HS, et al. Regional differences in knowledge, attitudes, and practice in emergency contraceptive use among health sciences university students in Brazil. Cad Saúde Pública. 2010;26:1821–31.CrossRefPubMed
20.
go back to reference Puri S, Bhatia V, Swami HM, et al. Awareness of emergency contraception among female college students in Chandigarh, India. Indian J Med Sci. 2007;61:338–46.CrossRefPubMed Puri S, Bhatia V, Swami HM, et al. Awareness of emergency contraception among female college students in Chandigarh, India. Indian J Med Sci. 2007;61:338–46.CrossRefPubMed
21.
go back to reference Vahratian A, Patel DA, Wolff C, et al. College students’perceptions of emergency contraception provision. J Women’s Health. 2008;17:103–11.CrossRef Vahratian A, Patel DA, Wolff C, et al. College students’perceptions of emergency contraception provision. J Women’s Health. 2008;17:103–11.CrossRef
22.
go back to reference Raine TR, Harper CC, Rocca CH, et al. Direct access to emergency contraception through pharmacies and effect on unintended pregnancies and STIs. JAMA. 2005;293:54–62.CrossRefPubMed Raine TR, Harper CC, Rocca CH, et al. Direct access to emergency contraception through pharmacies and effect on unintended pregnancies and STIs. JAMA. 2005;293:54–62.CrossRefPubMed
23.
go back to reference Polis CB, Schaffer K, Blanchard K, et al. Advance provision of emergency contraception for pregnancy prevention: a meta-analysis. Obstet Gynecol. 2007;110:1379–88.CrossRefPubMed Polis CB, Schaffer K, Blanchard K, et al. Advance provision of emergency contraception for pregnancy prevention: a meta-analysis. Obstet Gynecol. 2007;110:1379–88.CrossRefPubMed
24.
go back to reference Baiden F, Awini E, Clerk C. Perception of university students in Ghana about emergency contraception. Contraception. 2002;66:23–6.CrossRefPubMed Baiden F, Awini E, Clerk C. Perception of university students in Ghana about emergency contraception. Contraception. 2002;66:23–6.CrossRefPubMed
25.
go back to reference Lo SS, Fan SY, Ho PC, et al. Effect of advanced provision of emergency contraception on women’s contraceptive behaviour: a randomized controlled trial. Hum Reprod. 2004;19:2404–10.CrossRefPubMed Lo SS, Fan SY, Ho PC, et al. Effect of advanced provision of emergency contraception on women’s contraceptive behaviour: a randomized controlled trial. Hum Reprod. 2004;19:2404–10.CrossRefPubMed
26.
go back to reference Jackson RA, Schwarz EB, Freedman L, et al. Advance supply of emergency contraception. effect on use and usual contraception—a randomized trial. Obstet Gynecol. 2003;102:8–16.PubMed Jackson RA, Schwarz EB, Freedman L, et al. Advance supply of emergency contraception. effect on use and usual contraception—a randomized trial. Obstet Gynecol. 2003;102:8–16.PubMed
27.
go back to reference Baiden F, Awini E, Clerk C. Perception of university students in Ghana about emergency contraception. Contraception. 2002;66:23–6.CrossRefPubMed Baiden F, Awini E, Clerk C. Perception of university students in Ghana about emergency contraception. Contraception. 2002;66:23–6.CrossRefPubMed
28.
go back to reference Rhoads J. Should emergency contraception be sold over the counter? J Nurse Pract. 2008;4:282–3.CrossRef Rhoads J. Should emergency contraception be sold over the counter? J Nurse Pract. 2008;4:282–3.CrossRef
29.
go back to reference Raymond EG, Stewart F, Weaver M, et al. Impact of increased access to emergency contraceptive pills: a randomized controlled trial. Obstet Gynecol. 2006;108:1098–106.CrossRefPubMed Raymond EG, Stewart F, Weaver M, et al. Impact of increased access to emergency contraceptive pills: a randomized controlled trial. Obstet Gynecol. 2006;108:1098–106.CrossRefPubMed
30.
go back to reference Mollen CJ, Barg FK, Gotcsik HM, et al. Assessing attitudes about emergency contraception among urban, minority adolescent girls: an in-depth interview study. Pediatrics. 2008;122:e395–401.CrossRefPubMed Mollen CJ, Barg FK, Gotcsik HM, et al. Assessing attitudes about emergency contraception among urban, minority adolescent girls: an in-depth interview study. Pediatrics. 2008;122:e395–401.CrossRefPubMed
Metadata
Title
Awareness and Attitudes Toward Emergency Contraceptives Among College Students in South India
Authors
Nitin Joseph
Bhavishya Shetty
Fathima Hasreen
R. Ishwarya
Mukesh Baniya
Sahil Sachdeva
Samarth Agarwal
Publication date
01-10-2016
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue Special Issue 1/2016
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-015-0743-4

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