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AJPH First Look, published online ahead of print Jun 28, 2005
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AJPH.2004.046433v1
95/8/1453    most recent
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August 2005, Vol 95, No. 8 | American Journal of Public Health 1453-1457
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.046433


RESEARCH AND PRACTICE

Emergency Contraception in Emergency Departments in Oregon, 2003

Kenneth D. Rosenberg, MD, MPH, Jodi K. DeMunter, MD and Jihong Liu, ScD

At the time of the study, Kenneth D. Rosenberg and Jihong Liu were with the Oregon Department of Human Services, Office of Family Health, Portland, Oregon. Kenneth D. Rosenberg and Jodi K. DeMunter are with Oregon Health & Sciences University, Portland.

Correspondence: Requests for reprints should be sent to Kenneth D. Rosenberg, Office of Family Health, 800 NE Oregon Street, Suite 850, Portland, OR 97212 (e-mail: ken.d.rosenberg{at}state.or.us).

Objectives. We sought to learn about access to emergency contraception (EC) in Oregon emergency departments, both for women who are rape patients and for women who have had consensual unprotected sexual intercourse ("nonrape patients").

Methods. We interviewed emergency department staff in 54 of Oregon’s 57 licensed emergency departments in February–March 2003 (response rate = 94.7%).

Results. Only 61.1% of Oregon emergency departments routinely offered EC to rape patients. Catholic hospitals were as likely as non-Catholic hospitals to routinely offer EC to rape patients. The hospitals most likely to routinely offer EC to rape patients had a written protocol for the care of rape patients that included offering EC (P = .02) and access to staff with specialized sexual assault training (P=.002). For nonrape patients, 46.3% of emergency departments discouraged the prescribing of EC. Catholic hospitals were significantly less likely than non-Catholic hospitals to provide access to EC for nonrape patients (P=.05).

Conclusions. Oregon emergency departments do not routinely offer EC to women who have been raped or to women who have had consensual unprotected sexual intercourse.




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[Abstract] [Full Text] [PDF]




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