Skip to main content

Use of emergency contraceptive pill by 15-year-old girls: results from the international Health Behaviour in School-aged Children (HBSC) study

Buy Article:

$43.00 plus tax (Refund Policy)

Please cite this paper as: Gaudineau A, Ehlinger V, Nic Gabhainn S, Vayssiere C, Arnaud C, Godeau E. Use of emergency contraceptive pill by 15-year-old girls: results from the international Health Behaviour in School-aged Children (HBSC) study. BJOG 2010;117:1197–1204. Objective 

To describe emergency contraceptive pill (ECP) use and variation across countries/regions; and to explore personal and contextual factors associated with ECP use and differences across countries/regions. Design 

Data were obtained from 11 countries/regions in the 2006 Health Behaviour in School-aged Children cross-sectional study. Setting 

Data were collected by self-report questionnaire in school classrooms. Population 

The analysis is based on 2118 sexually active 15-year-old girls. Methods 

Contraceptive behaviours were compared across countries/regions by chi-square tests. Individual factors related to ECP use were investigated with separate logistic regression models. Multilevel random-intercept models allowed the investigation of individual and contextual effects, by partitioning the variance into student, school and country/region levels. Main outcome measures 

ECP use at last sexual intercourse. Results 

ECP use rate varied significantly across countries/regions. Poor communication with at least one adult (odds ratio [OR] 1.62 [1.12–2.36], P = 0.011) and daily smoking (OR 1.46 [1.00–2.11], P = 0.048) were independently associated with ECP use in comparison with condom and/or birth-control pill use. Sexual initiation at 14 years or later (OR 2.02 [1.04–3.93], P = 0.039), good perceived academic achievement (OR 1.69 [1.04–2.75], P = 0.035) and daily smoking (OR 1.63 [1.01–2.64], P = 0.045) were associated with higher levels of ECP use in comparison with unprotected girls. The country-level variance remained significant in both comparisons. Conclusions 

These data document the large heterogeneity in rates of ECP use between countries/regions. These differences could not be explained by individual or contextual factors, and raise further questions in relation to ECP access for adolescents and their education in its appropriate use.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: Adolescents; contraceptive behaviour; emergency contraceptive pill

Document Type: Research Article

Affiliations: 1: UMR Inserm U558, University Paul Sabatier, Toulouse, France 2: Health Promotion Research Centre, School of Health Sciences, National University of Ireland Galway, Ireland

Publication date: 2010-09-01

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more