Educational Intervention Among Adolescents and Young Adults on Emergency Contraception Options

Purpose: Emergency contraception (EC), the 'last chance' contraceptive method, has gained sig-nificance post-Roe, but most young people do not know their options. Methods: We conducted an educational intervention on EC among 1,053 students aged 18-25 years. We assessed changes in knowledge of key aspects of EC using generalized estimating equations. Results: At baseline, virtually no one was aware of the intrauterine device for EC (4%), but post-intervention, 89% correctly identified intrauterine devices as the most effective EC (adjusted odds ratio [aOR] = 116.6; 95% confidence interval [CI] 62.4, 217.8). Knowledge that levonorgestrel pills could be accessed without a prescription grew (60%-90%; aOR = 9.7, 95% CI 6.7-14.0), as did knowledge that pills work best when taken as soon as possible (75%-95%; aOR = 9.6, 95% CI 6.1-14.9). Multivariate results showed adolescent and young adult participants absorbed these key concepts across age, gender, and sexual orientation. Discussion: Timely interventions are needed to empower youth with knowledge of EC options.(c) 2023 Society for Adolescent Health and Medicine. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).