{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:34:38Z","timestamp":1762508078182,"version":"3.37.3"},"reference-count":26,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T00:00:00Z","timestamp":1588636800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000380","name":"Guy's\n                                    and St Thomas' Charity","doi-asserted-by":"publisher","award":["MAJ120505"],"award-info":[{"award-number":["MAJ120505"]}],"id":[{"id":"10.13039\/501100000380","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec>\n                        <jats:title>Background<\/jats:title>\n                        <jats:p>In January 2017, the first free service providing oral contraceptive\n                            pills (OCPs) ordered online and posted home became available in the\n                            London boroughs of Lambeth and Southwark \u2013 ethnically and\n                            socioeconomically diverse areas with high rates of unplanned pregnancy.\n                            There are concerns that online services can increase health\n                            inequalities; therefore, we aimed to describe service-users according to\n                            age, ethnicity and Index of Multiple Deprivation (IMD) quintile of area\n                            of residence and to examine the association of these with repeated\n                            use.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                        <jats:title>Methods<\/jats:title>\n                        <jats:p>We analysed routinely collected data from January 2017 to April 2018\n                            and described service-users using available sociodemographic factors and\n                            information on patterns of use. Logistic regression analysis examined\n                            factors associated with repeat ordering of OCPs.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                        <jats:title>Results<\/jats:title>\n                        <jats:p>The service was accessed by 726 individuals; most aged between 20\n                            and 29 years (72.5%); self-identified as being of white ethnic group\n                            (58.8%); and residents of the first and second most deprived IMD\n                            quintiles (79.2%). Compared with those of white ethnic group, those of\n                            black ethnic group were significantly less likely to make repeat orders\n                            (adjusted OR 0.53, 95% CI 0.31 to 0.89; p=0.001), as were those of Asian\n                            and mixed ethnic groups.<\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                        <jats:title>Conclusions<\/jats:title>\n                        <jats:p>These are the first empirical findings on free, online contraception\n                            and suggest that early adopters broadly reflect the population of the\n                            local area in terms of ethnic diversity and deprivation as measured by\n                            IMD. Ongoing service development should prioritise the identification\n                            and removal of barriers which may inhibit repeat use for black and\n                            minority ethnic groups.<\/jats:p>\n                    <\/jats:sec>","DOI":"10.1136\/bmjsrh-2020-200610","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T21:31:10Z","timestamp":1588714270000},"page":"287-293","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["A cohort study of the service-users of online contraception"],"prefix":"10.1136","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2986-792X","authenticated-orcid":false,"given":"Emma","family":"Rezel-Potts","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa J","family":"Palmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Free","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Baraitser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,5,5]]},"reference":[{"key":"2021041920401677000_46.4.287.1","unstructured":"World Health Organization . Tracking universal health\n                            coverage: 2017 global monitoring report, 2017. Available:\n                            https:\/\/www.who.int\/healthinfo\/universal_health_coverage\/report\/2017\/en\/\n                            [Accessed 1 Nov 2019]."},{"key":"2021041920401677000_46.4.287.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2014.00393.x"},{"key":"2021041920401677000_46.4.287.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.09.007"},{"key":"2021041920401677000_46.4.287.4","unstructured":"World Health Organization . Global diffusion of\n                            eHealth: making universal health coverage achievable: report of the\n                            third global survey on eHealth, 2016. Available:\n                            https:\/\/www.who.int\/goe\/publications\/global_diffusion\/en\/ [Accessed 1\n                            Nov 2019]."},{"key":"2021041920401677000_46.4.287.5","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1093\/jamia\/ocy052","article-title":"Good intentions are not enough: how informatics interventions can worsen inequality","volume":"25","author":"Veinot","year":"2018","journal-title":"J Am Med Inform Assoc"},{"key":"2021041920401677000_46.4.287.6","unstructured":"Health and Social Care Information Centre . NHS\n                            digital data and information strategy, 2015. Available:\n                            https:\/\/digital.nhs.uk\/data-and-information\/nhs-digital-data-and-information-strategy\n                            [Accessed 1 Nov 2019]."},{"key":"2021041920401677000_46.4.287.7","unstructured":"National Health Service (NHS) . Five year forward\n                            view, 2014. Available:\n                            https:\/\/www.england.nhs.uk\/publication\/nhs-five-year-forward-view\/\n                            [Accessed 9 Oct 2019]."},{"key":"2021041920401677000_46.4.287.8","unstructured":"Faculty of Sexual and Reproductive Healthcare\n                            (FSRH)\/British Association for Sexual Health and HIV (BASHH) .\n                            FSRH\/BASHH standards for online and remote providers of sexual and\n                            reproductive health services, 2019. Available:\n                            https:\/\/www.fsrh.org\/standards-and-guidance\/documents\/fsrhbashh-standards-for-online-and-remote-providers-of-sexual\/\n                            [Accessed 12 Oct 2019]."},{"key":"2021041920401677000_46.4.287.9","doi-asserted-by":"crossref","unstructured":"Baraitser P , Syred J , Spencer-Hughes V , et al .\n                            How online sexual health services could work; generating theory to\n                            support development. BMC Health Serv Res 2015;15:1.\n                            doi:10.1186\/s12913-015-1200-x","DOI":"10.1186\/s12913-015-1200-x"},{"key":"2021041920401677000_46.4.287.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2018-200297"},{"key":"2021041920401677000_46.4.287.11","unstructured":"Lambeth Council . Demography Factsheet: Lambeth: - \"a\n                            diverse and changing population\", 2017. Available:\n                            https:\/\/www.lambeth.gov.uk\/sites\/default\/files\/ssh-demography-factsheet-2017.pdf\n                            [Accessed 13 Dec 2018]."},{"key":"2021041920401677000_46.4.287.12","unstructured":"Southwark Council . Southwark profile, 2019.\n                            Available:\n                            https:\/\/www.southwark.gov.uk\/health-and-wellbeing\/public-health\/health-and-wellbeing-in-southwark-jsna\/southwark-profile\n                            [Accessed 01 Dec 2019]."},{"key":"2021041920401677000_46.4.287.13","unstructured":"Ministry of Housing, Communities & Local\n                            Government . National statistics: English indices of multiple\n                            deprivation 2015, 2015. Available:\n                            https:\/\/www.gov.uk\/government\/statistics\/english-indices-of-deprivation-2015\n                            [Accessed 03 Nov, 2018]."},{"key":"2021041920401677000_46.4.287.14","unstructured":"Greater London Authority . Indices of deprivation,\n                            2015. Available:\n                            https:\/\/data.london.gov.uk\/dataset\/indices-of-deprivation [Accessed 3\n                            Nov 2018]."},{"key":"2021041920401677000_46.4.287.15","unstructured":"Office for National Statistics . Ethnic group by sex\n                            (females) by age for the local authorities of Lambeth and Southwark,\n                            2011. Available: https:\/\/www.nomisweb.co.uk\/ [Accessed 03 Oct\n                            2019]."},{"key":"2021041920401677000_46.4.287.16","unstructured":"Department of Health & Social Care and The Office\n                            for National Statistics . Abortion statistics for England and Wales:\n                            2017, 2018. Available:\n                            https:\/\/www.gov.uk\/government\/collections\/abortion-statistics-for-england-and-wales\n                            [Accessed 02 Feb 2019]."},{"key":"2021041920401677000_46.4.287.17","unstructured":"Lambeth, Southwark and Lewisham Public Health\n                            Departments . Lambeth, Southwark and Lewisham sexual and reproductive\n                            health strategy 2018-23 draft for consultation, 2018. Available:\n                            https:\/\/www.lambeth.gov.uk\/sites\/default\/files\/co-lambeth-southwark-and-lewisham-sexual-and-reproductive-health-strategy-2018-23.pdf\n                            [Accessed 23 Oct 2018]."},{"key":"2021041920401677000_46.4.287.18","unstructured":"Office for National Statistics . Ethnicity and\n                            national identity in England and Wales: 2011, 2012. Available:\n                            https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/culturalidentity\/ethnicity\/articles\/ethnicityandnationalidentityinenglandandwales\/2012-12-11\n                            [Accessed 23 Oct 2018]."},{"key":"2021041920401677000_46.4.287.19","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2017-101728"},{"key":"2021041920401677000_46.4.287.20","doi-asserted-by":"publisher","DOI":"10.1783\/147118909789587277"},{"key":"2021041920401677000_46.4.287.21","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2006.03.025"},{"key":"2021041920401677000_46.4.287.22","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1097\/AOG.0b013e31827e5898","article-title":"Factors associated with 12-month discontinuation among contraceptive pill, patch, and ring users","volume":"121","author":"Stuart","year":"2013","journal-title":"Obstet Gynecol"},{"key":"2021041920401677000_46.4.287.23","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2017-053302"},{"key":"2021041920401677000_46.4.287.24"},{"key":"2021041920401677000_46.4.287.25","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62071-1"},{"key":"2021041920401677000_46.4.287.26","unstructured":"National Institute for Health and Care Excellence .\n                            Scenario: prescribing to young people, 2017. Available:\n                            https:\/\/cks.nice.org.uk\/contraception-assessment#!scenario:2 [Accessed 3\n                            Oct 2018]."}],"container-title":["BMJ Sexual &amp; Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsrh-2020-200610","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T02:40:08Z","timestamp":1618972808000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/bmjsrh-2020-200610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,5]]},"references-count":26,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,10,12]]},"published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1136\/bmjsrh-2020-200610"],"URL":"https:\/\/doi.org\/10.1136\/bmjsrh-2020-200610","relation":{},"ISSN":["2515-1991","2515-2009"],"issn-type":[{"type":"print","value":"2515-1991"},{"type":"electronic","value":"2515-2009"}],"subject":[],"published":{"date-parts":[[2020,5,5]]}}}