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Research Letter|Articles in Press

The Association Between Marital Status and Counseling on Emergency Contraception From 2011 to 2019

      Emergency contraception (EC) is vital for individuals to maintain reproductive autonomy but has been referred to as “the best kept secret in reproductive health.”
      • Coeytaux F
      • Pillsbury B.
      Bringing emergency contraception to American women: the history and remaining challenges.
      Less than 5% of women in the U.S. reported that they received counseling on EC in the past year, despite several policies instituted in the U.S. over the past decade to increase access to health care and EC.
      • Lee LK
      • Chien A
      • Stewart A
      • et al.
      Women's coverage, utilization, affordability, and health after the ACA: a review of the literature.
      ,
      • Wilkinson TA
      • Clark P
      • Rafie S
      • Carroll AE
      • Miller E.
      Access to emergency contraception after removal of age restrictions.
      Moreover, knowledge and use of EC appear to vary by marital status. In the U.S., married persons report the use of EC with less frequency than unmarried individuals,

      Daniels K, Jones J, Abma J.Use of emergency contraception among women aged 15-44: United States, 2006-2010. NCHS Data Brief. 2013;(112):1–8. PMID: 23742711. Accessed 11/18/2022.

      and internationally, depending on the region, married individuals showed greater or lesser awareness of EC than never-married women.
      • Palermo T
      • Bleck J
      • Westley E
      Knowledge and use of emergency contraception: a multicountry analysis.
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      REFERENCES

        • Coeytaux F
        • Pillsbury B.
        Bringing emergency contraception to American women: the history and remaining challenges.
        Womens Health Issues. 2001; 11: 80-86https://doi.org/10.1016/s1049-3867(00)00072-4
        • Lee LK
        • Chien A
        • Stewart A
        • et al.
        Women's coverage, utilization, affordability, and health after the ACA: a review of the literature.
        Health Aff (Millwood). 2020; 39: 387-394https://doi.org/10.1377/hlthaff.2019.01361
        • Wilkinson TA
        • Clark P
        • Rafie S
        • Carroll AE
        • Miller E.
        Access to emergency contraception after removal of age restrictions.
        Pediatrics. 2017; 140e20164262https://doi.org/10.1542/peds.2016-4262
      1. Daniels K, Jones J, Abma J.Use of emergency contraception among women aged 15-44: United States, 2006-2010. NCHS Data Brief. 2013;(112):1–8. PMID: 23742711. Accessed 11/18/2022.

        • Palermo T
        • Bleck J
        • Westley E
        Knowledge and use of emergency contraception: a multicountry analysis.
        Int Perspect Sex Reprod Health. 2014; 40: 79-86https://doi.org/10.1363/4007914
        • Manzer JL
        • Bell AV.
        “We're a Little Biased”: medicine and the management of bias through the case of contraception.
        J Health Soc Behav. 2021; 62: 120-135https://doi.org/10.1177/00221465211003232