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Teenagers' knowledge of emergency contraception: questionnaire survey in south east Scotland

^a Edinburgh Healthcare NHS Trust Family Planning and Well Woman Services, Edinburgh EH4 1NL, ^b University of Edinburgh Department of Obstetrics and Gynaecology, Edinburgh EH8 9AG

Correspondence to: Dr Anna Glasier, Family Planning and Well Woman Services, 18 Dean Terrace, Edinburgh EH4 1NL.

Abstract

Objective: To determine the level of knowledge of emergency contraception among 14 and 15 year olds.
Design: Confidential questionnaire survey.
Setting: 10 secondary schools in Lothian, south east Scotland.
Subjects: 1206 pupils predominantly (98.7%) aged 14 and 15 in the fourth year of secondary school.
Main outcome measures: Knowledge of the existence of emergency contraception; of its safety, efficacy, and time limits; and of where to obtain it.
Results: 1121 (93.0%) fourth year pupils aged 14-16 had heard of emergency contraception. 194 girls (32.7%) and 168 boys (27.5%) had experienced sexual intercourse. Of girls who had experienced sexual intercourse, 61 (31.4%) had used emergency contraception. Knowledge of correct time limits was poor, sexually active girls being the most knowledgeable. Pupils attending schools ranked lower than the national average for academic attainment were less likely to have heard of emergency contraception and more likely to have been sexually active. 861 (76.8%) pupils knew they could obtain emergency contraception from their doctor. 925 (82.5%) pupils believed emergency contraception to be effective but 398 (35.5%) thought it more dangerous than the oral contraceptive pill.
Conclusions: One third of sexually active girls aged under 16 in Lothian have used emergency contraception. This may help explain the fairly constant teenage pregnancy rates despite increasing sexual activity. Scottish teenagers are well informed about the existence of emergency contraception. However, many do not know when and how to access it properly. Health education initiatives should target teenagers from less academic schools as they are more likely to be sexually active at a young age and are less well informed about emergency contraception.

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