title: A survey of women obtaining emergency contraception: are they interested in using the copper IUD?
abstract: BACKGROUND
  This study aims to determine if women presenting for emergency contraception (EC) at family planning clinics may be interested in using the copper intrauterine device (IUD) for EC.
  
  
  METHODS
  This convenience sample survey was offered to women who presented for EC at four participating clinics in urban Utah. Anonymous written questionnaires were distributed. The outcome variable of interest was interest in using the copper IUD for EC.
  
  
  RESULTS
  Of survey respondents, 320 (34.0%) of 941 said they would be interested in an EC method that was long term, highly effective and reversible. Interested women were not significantly different from noninterested women in relation to age, marital status, education, household income, gravidity, previous abortions, previous sexually transmitted infections (STIs) or relationship status. One hundred twenty women (37.5% of those interested or 12.8% of all those surveyed) would wait an hour, undergo a pelvic exam to get the method and would still want the method knowing it was an IUD. However, only 12.3% of these women could also pay $350 or more for the device. Multivariable regression found the following predictors of interest in the IUD among EC users: non-Hispanic minorities (OR=2.12, 95% CI=1.14-3.93), desire to never be pregnant in the future (OR=2.87, 95% CI=1.38-5.66) and interest in adoption (OR=1.96, 95% CI=1.00-5.73) or abortion (OR=2.68, 95% CI=1.24-4.14) if pregnant when presenting for EC.
  
  
  CONCLUSIONS
  While one third of EC users surveyed at family planning clinics were interested in a long-term, highly effective method of contraception, only a small portion of all EC users may be interested in the copper IUD for EC. Cost is a potential barrier.
authors.affiliation: Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT 84132, USA. david.turok@hsc.utah.edu
authors.forename: David K
authors.initials: DK
authors.lastname: Turok
authors.forename: Shawn E
authors.initials: SE
authors.lastname: Gurtcheff
authors.forename: Erin
authors.initials: E
authors.lastname: Handley
authors.forename: Sara E
authors.initials: SE
authors.lastname: Simonsen
authors.forename: Christina
authors.initials: C
authors.lastname: Sok
authors.forename: Riana
authors.initials: R
authors.lastname: North
authors.forename: Caren
authors.initials: C
authors.lastname: Frost
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Murphy
mesh_terms: D000293:Adolescent; D000328:Adult; D044363:Contraception, Postcoital / Q000191:economics / Q000379:methods* / Q000523:psychology; D005193:Family Planning Services / Q000191:economics; D005260:Female; D058869:Gynecological Examination; D019538:Health Care Surveys; D006801:Humans; D007435:Intrauterine Devices, Copper / Q000191:economics*; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014589:Utah; D055815:Young Adult