Evidence map›Paper›PMID 38943120›Full record

ArticleReproductive health2024

Acceptability of an on-demand pericoital oral contraceptive pill: a systematic scoping review.

Stephen Bell, Susannah Gibbs, Abigail Winskell, Xaviera Villarino, Halle Gill, Kristen Little

Abstract readScoping Review
In one paragraph

Article in Reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
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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

6 authors.

Stephen BellIndependent Research Consultant, Sunshine Coast, QLD, Australia.
Susannah GibbsPopulation Services International, 1120 19 Street NW, Suite 600, Washington, DC, 20036, USA.
Abigail WinskellPopulation Services International, 1120 19 Street NW, Suite 600, Washington, DC, 20036, USA.
Xaviera VillarinoRollins School of Public Health, Emory University, Atlanta, GA, USA.
Halle GillPopulation Services International, 1120 19 Street NW, Suite 600, Washington, DC, 20036, USA.
Kristen LittlePopulation Services International, 1120 19 Street NW, Suite 600, Washington, DC, 20036, USA. klittle@psi.org.

Funding

Bill & Melinda Gates Foundation INV-006665Children's Investment Fund Foundation R-1806-02839
6 · The paper itself

Abstract

backgroundAccess to an on-demand pericoital oral contraceptive pill - used to prevent pregnancy within a defined window around sexual intercourse - could offer women more reproductive agency. A contraceptive with this indication is not currently available in any market. This review aims to understand international user appeal for an on-demand pericoital oral contraceptive pill.

methodsSystematic scoping review, comprising 30 peer-reviewed papers published between 2014-2023.

resultsData from 30 papers reporting on research from 16 countries across five World Health Organisation regions suggests widespread user appeal for on-demand oral contraceptive pills that can be used peri- or post-coitally, especially among women who are younger, more educated or who have less frequent sex. Women of varying age, wealth, employment or relationship status, and with different prior experience of using modern contraceptives, were also interested. Women identified clear rationale for use and preference of these types of product: close alignment with women's sexual lives that comprised unplanned, spontaneous or occasional sex; perceived convenience and effectiveness; discreet use of pills to negotiate contextual circumstances that constrained their reproductive agency. Factors inhibiting use included knowledge barriers and attitudes of service providers, a lack of knowledge and misinformation among end-users, women's dislike of menstrual side effects and myths related to the effects of hormone content on future fertility.

conclusionsIntroduction of an on-demand pericoital oral contraceptive pill could expand contraceptive choice for diverse women experiencing unmet need for modern contraception and constrained sexual and reproductive agency. Priorities for future research include: broadening the geographical scope of evidence to include SE Asia and the Pacific, and international rural and peri-urban settings; documenting the perspectives of adolescents and unmarried young people; identifying opportunities for innovation in the supply channels to enhance appropriate, affordable access to on-demand oral contraceptives; and unpacking how to bring new pericoital contraceptives to the market in a variety of international settings.

Indexed as

Contraceptives, OralCoitusContraceptionContraception BehaviorFemaleHealth Knowledge, Attitudes, PracticeHumansPatient Acceptance of Health CarePregnancySexual BehaviorContraceptives, OralContraceptive preferencesEmergency contraceptionEquityFamily planningOn-demand contraceptionPericoital contraceptiveReproductive healthScoping reviewSexual agency

Identifiers

PMID38943120
PMCPMC11212445

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.