To the Editor: In their randomized controlled
trial, Dr Raine and colleagues1 conclude that
direct access to EC would not compromise contraceptive or sexual behaviors
in women. We would like to raise the following points about their trial.
First, we are not aware of evidence that potentially harmful behavioral
changes due to the perception of effectiveness and safety of EC would be detected
within 6 months, so that a longer trial period might be necessary. Second,
the proportion of pregnancies after the 6-month follow-up was high in all
3 study groups (between 7.1% and 8.0%) despite the relatively easy access
to EC for each group, suggesting that providing easy access to EC may not
reduce the pregnancy rate.
Martínez-González MÁ, de Irala J, Uroz V. Direct Access to Emergency Contraception. JAMA. 2005;293(15):1856-1857. doi:10.1001/jama.293.15.1856-b