Acknowledgments: We would like to thank Edward Ellerbeck, MD, MPH, and Leslie Sullivan, MS, for their excellent mentorship as we developed this project for our fourth year medical school “Health of the Public” rotation.
Availability of Emergency Contraception in Rural and Urban Pharmacies in Kansas
Article first published online: 24 SEP 2012
© 2012 National Rural Health Association
The Journal of Rural Health
Volume 29, Issue 1, pages 113–118, Winter 2013
How to Cite
Samson, F. D., Loren, R., Downing, N., Schroeppel, S., Kelly, P. J. and Ramaswamy, M. (2013), Availability of Emergency Contraception in Rural and Urban Pharmacies in Kansas. The Journal of Rural Health, 29: 113–118. doi: 10.1111/j.1748-0361.2012.00429.x
For more information, contact: Megha Ramaswamy, PhD, MPH, University of Kansas School of Medicine, 3901 Rainbow Blvd, MS 1008, Kansas City, KS 66160; e-mail: email@example.com.
- Issue published online: 3 JAN 2013
- Article first published online: 24 SEP 2012
- access to care;
Purpose: Determine availability of emergency contraception (EC) at rural and urban pharmacies in Kansas.
Methods: A sample of 201 Kansas pharmacies was selected using a random integer generator. We measured ability to dispense EC within 24 hours and whether it was in stock at the time of the survey call. We examined EC availability based on geographic differences and pharmacy type.
Findings: Of the sample, 186 pharmacists agreed to be interviewed. Of these, 19% (n = 36) were unable to provide EC within 24 hours. There were essentially no differences in availability of EC between rural (75% could dispense in 24 hours) and urban pharmacies (85% could dispense in 24 hours) (P= .105). Corporate pharmacies were more likely to be able to provide EC within 24 hours compared to independent pharmacies (OR = 3.79, CI 1.71-8.43). Thirty-one percent (n = 57) of pharmacists did not carry EC at the time of the survey call. With this sample, urban pharmacies were more than twice as likely to report carrying EC compared to rural pharmacies (OR = 2.47, CI 1.31-4.68), and corporate pharmacies were also more likely to report carrying EC compared to independent pharmacies (OR = 7.77, CI 3.72-16.21).
Conclusions: In a sample of Kansas pharmacies, there were no differences between rural and urban pharmacies in 24-hour EC availability; however, there were differences in those who stocked EC at the time of the survey call. Corporate pharmacies were more likely to dispense EC within 24 hours and have it in stock compared to independent pharmacies, suggesting differences in availability of EC.