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Should oral contraceptives be available without prescription

Datos Bibliográficos

ID11020140
AutoresJames Trussell (0000-0002-1417-7849, Woodrow Wilson International Center for Scholars), F Stewart (0000-0003-2560-3126), Malcolm Potts, Felicia Guest, Charlotte Ellertson
Año1993
Volumen83
Número8
Páginas1094-1099
Fecha de publicación1993-08-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.83.8.1094
PMID8342715
OpenAlexW2126528352
IdiomaEN
Citas recibidas8
Referencias citadas18

In this paper, it is argued that oral contraceptives should be available without prescription. Prescription status entails heavy costs, including the dollar, time, and psychological costs of visiting a physician to obtain a prescription, the financial and human costs of unintended pregnancies that result from the obstacle to access caused by medicalization of oral contraceptives, and administrative costs to the health care system. After a review and evaluation of the reasons for strict medical control of oral contraceptives in the United States, safety concerns anticipated in response to the proposal discussed here are addressed. Also, concerns that prescription status is necessary for efficacious use are evaluated. It is concluded that neither safety nor efficacy considerations justify prescription status for oral contraceptives. Revised package design and patient labeling could allow women to screen themselves for contraindications, to educate themselves about danger signs, and to use oral contraceptives safely and successfully. Several alternatives to providing oral contraceptives by prescription with current package design and labeling and selling them over the counter are suggested; the proposals discussed would make these safe and effective contraceptives easier to obtain and to use

Developed country · Environmental health · Family medicine · Family planning · Medical prescription · Medicalization · Population · Psychiatry · Public health · Research methodology · Unintended pregnancy · Healthcare Policy and Management · Medicine · Nursing · Pharmaceutical industry and healthcare · Reproductive Health and Contraception

  • Family planning

    Open Access•John G F Cleland, John Cleland et al.•The Lancet•2006

  • Barriers to Contraception and Interest In Over‐the‐Counter Access Among Low‐Income Women

    Open Access•Amanda Dennis, Daniel Grossman•Perspectives on Sexual and…•2012

  • Insurance and Access Implications of an Over‐the‐Counter Switch for a Progestin‐Only Pill

    Open Access•Jennifer E Mcintosh, Britt Wahlin et al.•Perspectives on Sexual and…•2013

  • Contraception Coverage Policy in the United States

    Open Access•Carol S Weisman, Diana L Velott et al.•Women s Health Issues•2025

  • Barriers to Fertility Regulation

    Open Access•Martha Campbell, Nuriye Sahin‐Hodoglugil et al.•Studies in Family Planning•2006

  • Clinic Versus Over-the-Counter Access to Oral Contraception

    J E Potter, Kari White et al.•American Journal of Public Health•2010

  • Over-the-counter oral contraceptives--an immodest proposal

    David A Grimes•American Journal of Public Health•1993

  • Did I Choose a Birth Control Method Yet

    Open Access•Jamie L Manzer, Ann V Bell•Qualitative Health Research•2022

  • Contraceptive Failure in the United States

    James Trussell, Kathryn Kost•Studies in Family Planning•1987

  • Commentary

    Willard Cates, Felicia H Stewart et al.•American Journal of Public Health•1992

  • Reproductive Risks in a Community-Based Distribution Program of Oral Contraceptives, Matamoros, Mexico

    Antonio Serrano Zavala, A ZAVALA et al.•Studies in Family Planning•1987

  • Contraceptive Failure in the United States

    James Trussell, Robert A Hatcher et al.•Studies in Family Planning•1990

  • A scale to measure microbehaviors of oral contraceptive pill use

    Deborah Oakley, Jeffery Parent•Social Biology•1990

Obras citantes distintas8
Citas por año0,24
Intervalo de citas1993 - 2025 (33)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 8
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