Community pharmacists and improving contraception access: Relationships between contraceptive counseling and dispensing contraceptives.
Community pharmacist
Contraceptive access disparities
Contraceptive counseling
Pharmacist prescribing
Journal
Research in social & administrative pharmacy : RSAP
ISSN: 1934-8150
Titre abrégé: Res Social Adm Pharm
Pays: United States
ID NLM: 101231974
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
27
07
2023
revised:
08
09
2023
accepted:
10
09
2023
pubmed:
15
9
2023
medline:
15
9
2023
entrez:
14
9
2023
Statut:
ppublish
Résumé
Experiences of contraceptive counseling and obtaining contraceptives vary for women of childbearing age based on education level, race, ethnicity, and health insurance. Community pharmacists are an important resource for improving access to contraceptive care in states with over-the-counter access to and pharmacist prescribing of contraceptives. We first aimed to determine how patient education level, race, ethnicity, insurance, and patient-provider race concordance influenced the likelihood of receiving contraceptive counseling. The second aim was to determine how receiving contraceptive counseling influenced the likelihood of being dispensed contraceptives by a pharmacist. Pearson chi-square tests and logistic regression were used to address study aims. Older women and those with Medicaid were less likely to receive contraceptive counseling. Race concordance had no influence on counseling. Counseling and education level were strong predictors of being dispensed contraceptives. Race, ethnicity, Medicaid, and marital status were negatively associated with being dispensed contraceptives. Inequities exist in access to contraceptive care for women of diverse backgrounds as well as those insured through Medicaid. State-level policy advancements and over the counter access to oral contraceptives may provide pharmacists a unique opportunity to provide contraceptive care for women without access to a primary care provider.
Sections du résumé
BACKGROUND
BACKGROUND
Experiences of contraceptive counseling and obtaining contraceptives vary for women of childbearing age based on education level, race, ethnicity, and health insurance. Community pharmacists are an important resource for improving access to contraceptive care in states with over-the-counter access to and pharmacist prescribing of contraceptives.
OBJECTIVES
OBJECTIVE
We first aimed to determine how patient education level, race, ethnicity, insurance, and patient-provider race concordance influenced the likelihood of receiving contraceptive counseling. The second aim was to determine how receiving contraceptive counseling influenced the likelihood of being dispensed contraceptives by a pharmacist.
METHODS
METHODS
Pearson chi-square tests and logistic regression were used to address study aims.
RESULTS
RESULTS
Older women and those with Medicaid were less likely to receive contraceptive counseling. Race concordance had no influence on counseling. Counseling and education level were strong predictors of being dispensed contraceptives. Race, ethnicity, Medicaid, and marital status were negatively associated with being dispensed contraceptives.
CONCLUSIONS
CONCLUSIONS
Inequities exist in access to contraceptive care for women of diverse backgrounds as well as those insured through Medicaid. State-level policy advancements and over the counter access to oral contraceptives may provide pharmacists a unique opportunity to provide contraceptive care for women without access to a primary care provider.
Identifiants
pubmed: 37709642
pii: S1551-7411(23)00369-8
doi: 10.1016/j.sapharm.2023.09.004
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1602-1605Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.