The attitudes of Korean physicians toward emergency contraceptive pills: regarding women’s access and rescheduling
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ObjectiveThis study investigated the attitude of Korean physicians toward women’s access to emergency contraceptive pills (ECPs)and the reclassification of ECP to a behind-the-counter (BTC) drug. MethodsThis study involved 946 physicians who had prescribed ECP in South Korea. The written questionnaires werecompleted by obstetricians and gynecologists, family physicians, internal medicine doctors, and pediatricians. ResultsRegarding the barriers limiting women’s access to ECP, 24.8% of physicians responded that women lacked informationabout ECP and 22.5% felt that women were likely to be emotionally burdened by visits to clinics or hospitals to obtainECP prescriptions. Ninety-two percent of physicians responded that ECP should remain a prescription drug while6.1% stated preferences for a switch to a BTC drug. Physicians who opposed the switch were concerned about thepotential abuse of ECP. In order to prevent ECP abuse, the most important factor to be considered was education oncontraception. ConclusionA majority of Korean physicians opposed the reclassification of ECP to a BTC drug owing to their belief in increasingthe role of educational initiatives about contraception and contraceptive practices before improving the access to ECP. This study is also of the opinion that contraceptive education for youth and adults in Korea should be more realisticand active, with an emphasis on regular contraception use before reclassification. Furthermore, we believe thatefforts are needed to ensure accuracy of information on contraception to facilitate women’s access to ECP.
Abstract
ObjectiveThis study investigated the attitude of Korean physicians toward women’s access to emergency contraceptive pills (ECPs)and the reclassification of ECP to a behind-the-counter (BTC) drug. MethodsThis study involved 946 physicians who had prescribed ECP in South Korea. The written questionnaires werecompleted by obstetricians and gynecologists, family physicians, internal medicine doctors, and pediatricians. ResultsRegarding the barriers limiting women’s access to ECP, 24.8% of physicians responded that women lacked informationabout ECP and 22.5% felt that women were likely to be emotionally burdened by visits to clinics or hospitals to obtainECP prescriptions. Ninety-two percent of physicians responded that ECP should remain a prescription drug while6.1% stated preferences for a switch to a BTC drug. Physicians who opposed the switch were concerned about thepotential abuse of ECP. In order to prevent ECP abuse, the most important factor to be considered was education oncontraception. ConclusionA majority of Korean physicians opposed the reclassification of ECP to a BTC drug owing to their belief in increasingthe role of educational initiatives about contraception and contraceptive practices before improving the access to ECP. This study is also of the opinion that contraceptive education for youth and adults in Korea should be more realisticand active, with an emphasis on regular contraception use before reclassification. Furthermore, we believe thatefforts are needed to ensure accuracy of information on contraception to facilitate women’s access to ECP.
참고문헌 (22)
- Debates and implications on contraception and abortion policy: focusing on women’s reproductive health right, "Kim DS", Korean Women’s Development Institute, ~ (2014)
- "Korea’s contraceptive use rate of 3%, ‘the world’s lowest’" (2014)[URL]
- Choi JS, "Policy issues on abortion in Korea" (2010), Korea Institute for Health and Social Affairs
- 이임순, "한국 청소년들을 대상으로 한 성행태 조사: 2007년 제3차 조사", Obstetrics & Gynecology Science, 53(06), pp.512~519 (2010), 대한산부인과학회
- "Teenager surge in emergency contraceptive pill" (2016)[URL]
- "Premature discussion of emergency contraceptive reclassification" (2011)[URL]
- Research on the utilization patterns, knowledge, perceptions and attitudes of Korean women on contraceptives, "Koo B", Korean National Institute of Drug Safety Evaluation, ~ (2015)
- Shen J, "Interventions for emergency contraception", Cochrane Database Syst Rev, 8, pp.CD001324~ (2017)
- Richardson AR, "Ulipristal acetate : review of the efficacy and safety of a newly approved agent for emergency contraception", Clin Ther, 34, pp.24~36 (2012)
- Gemzell-Danielsson K, "Emergency contraception", Gynecol Endocrinol, 29(Suppl 1), pp.1~14 (2013)
- Lee JK, "The safety of available and emerging options for emergency contraception", Expert Opin Drug Saf, 16, pp.1163~1171 (2017)
- Gemzell-Damielsson K, "Mechanisms of action of oral emergency contraception", Gynecol Endocrinol, 30, pp.685~687 (2014)
- "Getting a prescription for emergency contraception in Korea" (2016)[URL]
- Kiechle M, "Experience with oral emergency contraception since the OTC switch in Germany", Arch Gynecol Obstet, 295, pp.651~660 (2017)
- "Oral contraceptive consumption volume: IMS sales audit as of Q4 MAT, IQVIA data" (2016)[URL]
- "Oral contraceptive consumption volume: IMS MIDAS as of Q4 MAT, IQVIA data" (2016)[URL]
- "EC status and availability-countries with non-prescription access to EC, ICEC data" (2018)[URL]
- 이한주, "청소년들의 피임실천율 및 피임방법(2007~2009년)", 여성건강간호학회지, 17(2), pp.148~156 (2011), 한국여성건강간호학회
- 황신우, "미혼남녀의 피임실천행위와 관련 요인", 여성건강간호학회지, 17(1), pp.77~87 (2011), 한국여성건강간호학회
- 김은애, "청소년 여성의 성교육 경험 및 피임제 인지에 관한 연구", 생명윤리, 17(1), pp.53~74 (2016), 한국생명윤리학회
- 강희선, "미혼 여성의 응급피임약에 대한 인식", 여성건강간호학회지, 12(2), pp.124~131 (2006), 한국여성건강간호학회
- "Projected outpatient prescription volume from 2013 to 2017" (2018)[URL]