title: Advance provision of emergency contraception for adolescents.
abstract: Emergency contraception is most effective at preventing unintended pregnancy when taken as early as possible following unprotected sexual intercourse. Advance provision of this medication supports more timely and effective use. In the midst of rising teen pregnancy rates, current policies often limit access to emergency contraception for adolescents. A literature search identified three recent experimental studies of advance provision for adolescents. This article reviews those studies and finds strong support for advance provision for adolescents. Usage of emergency contraception increased with advance provision and there was no increase in negative sexual behaviors or decrease in usage of other contraceptive forms. Implications of these findings for school nurses and school-based health center staff are also discussed.
authors.affiliation: Rush School Based Health Centers at Crane and Orr High Schools, Rush University College of Nursing, Chicago, IL, USA.
authors.forename: Jehan-Marie
authors.initials: JM
authors.lastname: Adamji
authors.forename: Kathryn
authors.initials: K
authors.lastname: Swartwout
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D003268:Contraception Behavior; D044363:Contraception, Postcoital / Q000451:nursing* / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control*; D012307:Risk Factors; D012309:Risk-Taking; D012573:School Nursing; D012725:Sexual Behavior; D014481:United States