{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:43:27Z","timestamp":1791222207150,"version":"4.1.0"},"reference-count":29,"publisher":"Guttmacher Institute","issue":"3","license":[{"start":{"date-parts":[[2015,6,22]],"date-time":"2015-06-22T00:00:00Z","timestamp":1434931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>CONTEXT<\/jats:title><jats:p>Evidence suggests that over\u2010the\u2010counter access to oral contraceptives may help expand use among adult women. Teenagers may particularly benefit from this approach, as they experience disproportionately high rates of unintended pregnancy and face unique challenges accessing contraceptives. However, limited research has explored teenagers\u2019 attitudes toward over\u2010the\u2010counter access.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>In 2014, a sample of 348 females aged 14\u201317, recruited via Facebook advertisements, participated in an online survey assessing teenagers\u2019 attitudes toward over\u2010the\u2010counter access and their understanding of how to use oral contraceptives after reading a prototype over\u2010the\u2010counter product label. Differences by participants\u2019 characteristics were assessed in bivariate analyses (Pearson chi\u2010square and Fisher's exact tests for categorical measures, and independent t tests and one\u2010way analyses of variance for continuous measures).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Seventy\u2010three percent of participants supported over\u2010the\u2010counter access, and 61% reported that they would likely use oral contraceptives available through this approach. Few subgroup differences were found. Notably, sexually experienced participants were significantly more likely than others both to support this approach (85% vs. 63%) and to be interested in obtaining oral contraceptives this way (77% vs. 48%). Participants understood an average of 7.1 of eight key concepts that the prototype product label was intended to convey; no significant differences were found among subgroups.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Over\u2010the\u2010counter access may be a promising approach for providing oral contraceptives to teenagers. Additional research is needed to evaluate whether teenagers can screen themselves for contraindications to oral contraceptive use and correctly use oral contraceptives obtained over the counter.<\/jats:p><\/jats:sec>","DOI":"10.1363\/47e3215","type":"journal-article","created":{"date-parts":[[2015,6,22]],"date-time":"2015-06-22T15:23:19Z","timestamp":1434986599000},"page":"123-129","source":"Crossref","is-referenced-by-count":19,"title":["A Survey of Teenagers\u2019 Attitudes Toward Moving Oral Contraceptives Over the Counter"],"prefix":"10.1363","volume":"47","author":[{"given":"Ruth","family":"Manski","sequence":"first","affiliation":[{"name":"Jane Fonda Center, Department of Gynecology and Obstetrics Emory University School of Medicine  Atlanta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Kottke","sequence":"additional","affiliation":[{"name":"Jane Fonda Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"259","published-online":{"date-parts":[[2015,6,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2011.07.013"},{"key":"e_1_2_6_3_1","volume-title":"Unintended pregnancy in the United States, Fact Sheet","author":"Guttmacher Institute","year":"2015"},{"issue":"2","key":"e_1_2_6_4_1","first-page":"25","article-title":"Prepregnancy contraceptive use among teens with unintended pregnancies resulting in live births\u2014Pregnancy Risk Assessment Monitoring System (PRAMS), 2004\u20132008","volume":"61","author":"Centers for Disease Control and Prevention","year":"2012","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"e_1_2_6_5_1","volume-title":"Improving Contraceptive Access for Teens","author":"Brindis C","year":"1998"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1931-2393.2003.tb00135.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1067\/mps.2002.128719"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000423818.85283.bd"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1592\/phco.31.4.424"},{"key":"e_1_2_6_10_1","unstructured":"American Medical Association Resolution 507: support of over\u2010the\u2010counter sales of oral contraceptives 2013 <http:\/\/ocsotc.org\/wp\u2010content\/uploads\/2013\/07\/AMAresolution5071.pdf> accessed Nov. 12 2014."},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.04.005"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-3188(97)70086-X"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1363\/46e0714"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1363\/4408412"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.179887"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2010.02.002"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.08.016"},{"key":"e_1_2_6_18_1","unstructured":"U.S. Food and Drug Administration (FDA) FDA approves Plan B One\u2010Step emergency contraceptive for use without a prescription for all women of child\u2010bearing potential June 20 2013 <http:\/\/www.fda.gov\/NewsEvents\/Newsroom\/PressAnnouncements\/ucm358082.htm> accessed Mar. 1 2015."},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2006.07.006"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2014.05.049"},{"key":"e_1_2_6_21_1","volume-title":"Pew Research Center Fact Tank","author":"Smith A","year":"2014"},{"key":"e_1_2_6_22_1","unstructured":"MarlowC How diverse is Facebook?Facebook Data Science Dec. 19 2009 <http:\/\/www.facebook.com\/notes\/facebook\u2010data\u2010science\/how\u2010diverse\u2010is\u2010facebook\/205925658858> accessed Jan. 29 2015."},{"key":"e_1_2_6_23_1","unstructured":"GuttmacherInstitute Minors\u2019 access to contraceptive services State Policies in Brief (as of January 2015) 2015 <http:\/\/www.guttmacher.org\/statecenter\/spibs\/spib_MACS.pdf> accessed Jan. 11 2015."},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.01.008"},{"key":"e_1_2_6_25_1","volume-title":"Factors Affecting Teen Sexual Behavior, Pregnancy, Childbearing and Sexually Transmitted Disease: Which Are Important? 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