Evidence map›Paper›PMID 26689477›Full record

Observational studyContraception2016

Pharmacy access to ulipristal acetate in Hawaii: is a prescription enough?

Holly Bullock, Sarah Steele, Nicole Kurata, Mary Tschann, Jennifer Elia, Bliss Kaneshiro, Jennifer Salcedo

Abstract readObservational Study
In one paragraph

Observational study in Contraception, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. State of emergency contraception in the U.S., 2018.Contraception and reproductive medicine · 2018
    Review
  14. Article
  15. From Kaua'i to Hawai'i Island: Interisland Differences in Emergency Contraceptive Pill Availability.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2017
    Observational
  16. Article
  17. Review
  18. Article
  19. Access to Emergency Contraception in the Over-the-Counter Era.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Holly BullockUniversity of Hawai'i at Manoa, John A. Burns School of Medicine, Department of Obstetrics, Gynecology and Women's Health, 1319 Punahou St, Suite 824, Honolulu, HI 96826. Electronic address: bullockh@hawaii.edu.
Sarah SteeleUniversity of Hawai'i at Manoa, John A. Burns School of Medicine, Department of Obstetrics, Gynecology and Women's Health, 1319 Punahou St, Suite 824, Honolulu, HI 96826.
Nicole KurataUniversity of Hawai'i at Manoa, John A. Burns School of Medicine, Department of Obstetrics, Gynecology and Women's Health, 1319 Punahou St, Suite 824, Honolulu, HI 96826.
Mary TschannUniversity of Hawai'i at Manoa, John A. Burns School of Medicine, Department of Obstetrics, Gynecology and Women's Health, 1319 Punahou St, Suite 824, Honolulu, HI 96826.
Jennifer EliaUniversity of Hawai'i at Manoa, John A. Burns School of Medicine, Department of Obstetrics, Gynecology and Women's Health, 1319 Punahou St, Suite 824, Honolulu, HI 96826.
Bliss KaneshiroUniversity of Hawai'i at Manoa, John A. Burns School of Medicine, Department of Obstetrics, Gynecology and Women's Health, 1319 Punahou St, Suite 824, Honolulu, HI 96826.
Jennifer SalcedoUniversity of Hawai'i at Manoa, John A. Burns School of Medicine, Department of Obstetrics, Gynecology and Women's Health, 1319 Punahou St, Suite 824, Honolulu, HI 96826.

Funding

RESEARCH DESIGN AND BIOSTATISTICS COREU54MD007584 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI MOKUAU, NOREEN, SHIRAMIZU, BRUCE T · 2012 to 2018
$21.1M
NIMHD NIH HHS U54 MD007584
6 · The paper itself

Abstract

objectiveTo determine pharmacy availability of ulipristal acetate (UPA) and compare to availability of levonorgestrel-containing emergency contraceptive pills (LNG-ECPs).

methodsWe conducted an observational population-based study utilizing a telephone-based secret shopper methodology. Researchers called all 198 unique retail pharmacies in Hawaii on December 2013-June 2014, representing themselves as patients and physicians.

resultsOnly 2.6% of pharmacies had UPA immediately available, though 22.8% reported ability to order UPA. In contrast, 82.4% reported immediate availability of LNG-ECPs. No significant difference in availability was reported to patients and physicians.

conclusionsAvailability of UPA is limited and significantly lower compared to LNG-ECPs. The study period did overlap with a change in distributor for UPA, likely capturing some disruption of the supply chain. IMPLICATIONS: Systems-based interventions are needed to address barriers to obtaining UPA.

Indexed as

Chi-Square DistributionContraceptive AgentsContraceptives, PostcoitalFemaleHawaiiHealth Services AccessibilityHumansLevonorgestrelNorpregnadienesPharmaciesSurveys and QuestionnairesContraceptive AgentsContraceptives, PostcoitalLevonorgestrelNorpregnadienesulipristal acetateAvailabilityEmergency contraceptionHawaiiPharmaciesUlipristal acetateUnited States

Identifiers

PMID26689477
PMCPMC5576956

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.