{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T12:41:49Z","timestamp":1784119309257,"version":"3.55.0"},"reference-count":35,"publisher":"Guttmacher Institute","issue":"1","license":[{"start":{"date-parts":[[2007,3,12]],"date-time":"2007-03-12T00:00:00Z","timestamp":1173657600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2007,3]]},"abstract":"<jats:p><jats:bold>CONTEXT:\u2002<\/jats:bold>  <jats:italic>Despite advances related to the provision of emergency contraception in Canada, particularly the granting of independent prescriptive authority to pharmacists in 2000, little is known about the ways in which women perceive potential barriers to using it.<\/jats:italic> <\/jats:p><jats:p><jats:bold>METHODS:\u2002<\/jats:bold>  <jats:italic>In 2004, an ethnically diverse sample of 52 women living in Greater Vancouver participated in interviews that were analyzed for an assessment of women\u2019s knowledge, attitudes and experiences related to emergency contraception, with particular attention to the ways in which ethnicity affected their stories.<\/jats:italic> <\/jats:p><jats:p><jats:bold>RESULTS:\u2002<\/jats:bold>  <jats:italic>Participants generally misperceived emergency contraception as an abortifacient, and often mistakenly thought that it has long\u2010term effects on health and fertility. Knowledge gaps regarding reproductive physiology impeded clear understanding of when it is most effective. Participants also reported receiving subtle and sometimes overtly stigmatizing messages from providers when they sought emergency contraception. Asian and South Asian women were particularly concerned about negative interactions with providers; for example, they feared that female providers from their sociocultural community might recognize, chastise or gossip about them. Institutional policies (e.g., a Catholic hospital\u2019s refusal to provide the method), coupled with low awareness of pharmacists\u2019 prescriptive authority, also created barriers to use.<\/jats:italic> <\/jats:p><jats:p><jats:bold>CONCLUSIONS:\u2002<\/jats:bold>  <jats:italic>Women\u2019s ability to benefit from emergency contraception is hampered by lack of knowledge and conservative cultural or social mores. Serious contextual and structural shifts are required before woman\u2010centered approaches to provision of the method become the norm.<\/jats:italic> <\/jats:p>","DOI":"10.1363\/3901307","type":"journal-article","created":{"date-parts":[[2007,6,1]],"date-time":"2007-06-01T09:07:30Z","timestamp":1180688850000},"page":"13-20","source":"Crossref","is-referenced-by-count":54,"title":["Identifying Barriers to Emergency Contraception Use Among Young Women from Various Sociocultural Groups in British Columbia, Canada"],"prefix":"10.1363","volume":"39","author":[{"given":"Jean","family":"Shoveller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathy","family":"Chabot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith A.","family":"Soon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Levine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"259","published-online":{"date-parts":[[2007,3,12]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/171516350413700605"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.045019"},{"key":"e_1_2_8_4_2","volume-title":"Canadian Vital Statistics: Birth Database and Stillbirth Database, Pregnancy Outcomes, by Age\u2010Group, Canada, Provinces and Territories","author":"Statistics Canada","year":"2002"},{"key":"e_1_2_8_5_2","unstructured":"FinerLBandHenshawSK Estimates of U.S. abortion incidence in 2001 and 2002 New York:The Alan Guttmacher Institute 2005 <http:\/\/wwwguttmacher.org\/pubs\/2005\/05\/18\/ab_incidence.pdf> accessed May 25 2006."},{"key":"e_1_2_8_6_2","unstructured":"SoonJA LevineMandSchmidtT Use of emergency contraceptives in women presenting for abortion in British Columbia: differences and similarities across major language groups paper presented at the annual meeting of the National Abortion Federation Seattle Apr.5\u20138 2003."},{"issue":"1","key":"e_1_2_8_7_2","first-page":"32","article-title":"Barriers to the use of emergency contraception in British Columbia","volume":"10","author":"Soon JA","year":"2003","journal-title":"Canadian Journal of Clinical Pharmacology"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)05145-9"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(02)00535-8"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/46.2.125"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1996.tb02726.x"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.22.5.523"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7377.1393"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(02)00367-0"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01239.x"},{"issue":"2","key":"e_1_2_8_16_2","first-page":"84","article-title":"\u201cIt\u2019s a mega dose of hormones, isn\u2019t it?\u201d: why women may be reluctant to use emergency contraception","volume":"22","author":"Ziebland S","year":"1996","journal-title":"British Journal of Family Planning"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(03)00327-7"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(03)00045-3"},{"key":"e_1_2_8_19_2","volume-title":"Emergency Contraception: The Nation\u2019s Best Kept Secret","author":"Hatcher RA","year":"1995"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2003.11.009"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-3-200208060-00010"},{"issue":"1","key":"e_1_2_8_22_2","first-page":"30","article-title":"Emergency contraception: a simple, safe, and effective approach to preventing pregnancy after unprotected intercourse or contraceptive failure","volume":"44","author":"Malleson R","year":"2002","journal-title":"BC Medical Journal"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.01.063"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/171516350413700105"},{"key":"e_1_2_8_25_2","unstructured":"BlackA FrancoeurDandRoweT Canadian contraception consensus: SOGC clinical practice guidelines Journal of Obstetrics and Gynaecology Canada 2004 26(2):143\u2013156 <http:\/\/sogc.medical.org\/guidelines\/pdf\/ps143_1_3.pdf> accessed Apr. 1 2006."},{"key":"e_1_2_8_26_2","doi-asserted-by":"crossref","unstructured":"BlackA FrancoeurDandRoweT Canadian contraception consensus: SOGC clinical practice guidelines Journal of Obstetrics and Gynaecology Canada 2004 26(3.):219\u2013254 <http:\/\/sogc.medical.org\/guidelines\/pdf\/ps143.2.pdf> accessed Apr. 1 2006.","DOI":"10.1016\/S1701-2163(16)30260-2"},{"key":"e_1_2_8_27_2","doi-asserted-by":"crossref","unstructured":"BlackA FrancoeurDandRoweT Canadian contraception consensus: SOGC clinical practice guidelines Journal of Obstetrics and Gynaecology Canada 2004 26(4):347\u2013387 <http:\/\/sogc.medical.org\/guidelines\/pdf\/ps143.3.pdf> accessed Apr. 1 2006.","DOI":"10.1016\/S1701-2163(16)30363-2"},{"key":"e_1_2_8_28_2","volume-title":"The Male in the Head: Young People, Heterosexuality, and Power","author":"Holland J","year":"1998"},{"key":"e_1_2_8_29_2","doi-asserted-by":"publisher","DOI":"10.1783\/jfp.31.2.288"},{"key":"e_1_2_8_30_2","doi-asserted-by":"publisher","DOI":"10.1783\/147118901101195731"},{"key":"e_1_2_8_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2003.11.018"},{"key":"e_1_2_8_32_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7347.1179"},{"key":"e_1_2_8_33_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.1.54"},{"key":"e_1_2_8_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(03)00114-8"},{"key":"e_1_2_8_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(03)00129-1"},{"key":"e_1_2_8_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.02.012"}],"container-title":["Perspectives on Sexual and Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1363%2F3901307","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1363\/3901307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T02:09:58Z","timestamp":1697076598000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1363\/3901307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,3]]},"references-count":35,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2007,3]]}},"alternative-id":["10.1363\/3901307"],"URL":"https:\/\/doi.org\/10.1363\/3901307","archive":["Portico"],"relation":{},"ISSN":["1538-6341","1931-2393"],"issn-type":[{"value":"1538-6341","type":"print"},{"value":"1931-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,3]]}}}