2006•Southern Medical JournalRequires access
Patient Understanding and Use of Oral Contraceptive Pills in a Southern Public Health Family Planning Clinic
Terry C. Davis, Doren D Fredrickson, Linda S. Potter, Rose Brouillette, Anna Bocchini, Mark V. Williams, Ruth M. Parker
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Abstract
OBJECTIVE: To assess patient understanding and use of oral contraceptive pills (OCPs) and determine if these are associated with literacy. METHODS: Four hundred OCP users from a southern public health family planning clinic were orally tested post visit for literacy, demographics, contraceptive knowledge, OCP use, side effects, and adherence. RESULTS: Patients were predominately African American (86%); 78% had completed high school and 42% read below a 9th grade level. Most (94%) understood what to do when they missed one pill, yet few knew the correct action to take after missing two or three pills (19% and 3% respectively); 33% reported missing one or more pills in the past 2 weeks. Literacy was not associated with OCP use, knowledge, or adherence. CONCLUSION: Patients of all literacy levels had limited understanding of OCP side effects and what to do about multiple missed pills. This puts them at risk for misuse.