Research Article
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An Investigation into the Knowledge, Attitudes, and Practices of Pharmacists and Pharmacy Students Regarding Oral and Emergency Contraceptives

Year 2025, Volume: 55 Issue: 3, 444 - 454, 14.01.2026
https://doi.org/10.26650/IstanbulJPharm.2025.1569116
https://izlik.org/JA75CX92UX

Abstract

Background: Oral contraceptives (OCPs) and emergency contraceptive pills (ECPs) are essential components of reproductive healthcare; however, knowledge gaps and misconceptions among healthcare professionals can impact patient care.

Methods: A cross-sectional online survey was conducted between January and April 2024 with 74 participants, including pharmacists and pharmacy students. Data were analysed using SPSS-23 with descriptive and inferential statistics. Key variables included knowledge, attitudes, and dispensing practices related to OCPs and ECPs. Associations were evaluated using Chi-square tests, ANOVA, Kruskal–Wallis, and t-tests.

Results: Most respondents were female (75.7%) and aged 18–29 years (85.1%). Confidence levels varied, with mean scores of 2.31±1.16 for identifying interaction potential with herbal supplements and 2.77±1.29 for educating patients on different contraceptive methods. Knowledge gaps were evident: 37.8% incorrectly identified or were unsure of the mechanism of action of ECPs, and 24.3% for OCPs. Females were more likely to communicate risks to patients. Variation was observed in routinely asking about smoking status (p=0.077) and informing patients about serious complications associated with OCP use (p=0.047). Additionally, 48.6% correctly identified the optimal timing for ECP administration. Overall confidence in understanding OCPs and ECPs was reflected in respective mean scores of 2.54±1.19 and 2.59±1.06.

Conclusion: The study highlights significant gaps in knowledge and practice regarding contraceptive counselling, particularly on ECPs. Our study findings underscore the need for enhanced pharmacist education and continuous professional training. Reforming curricula and enhancing public health education could help bridge these gaps, ultimately improving patient outcomes and reducing misconceptions about contraceptive use.

References

  • Al-Shami, K.M., Al^Ashwal, F.Y., Bitar, A.N., & Alshakhshir, S. (2023). Contraceptives knowledge and perception: A cross^sectional study among future pharmacists in Jordan. Open Access Journal of Contraception, 14, 159^167. https://doi.org/ 10.2147/OAJC.S431243 google scholar
  • Barakat, M., Al^Qudah, R., Akour, A., Abu^Asal, M., Thiab, S., & Dallal Bashi, Y.H. (2021). Knowledge and beliefs about the use/abuse of oral contraceptive pills among males: A mixed^method explanatory sequential study in community pharmacy settings. PLoS One, 16(5), e0251302. https://doi.org/10.1371/journal. pone.0251302 google scholar
  • Bardaweel, S.K., Akour, A.A., & Kilani, M.V.Z. (2015). Current knowledge, attitude, and patterns of oral contraceptive utilization among women in Jordan. BMC Women's Health, 15(1), 117. https://doi.org/10.1186/s12905^015^0275^1 google scholar
  • Blake, B.N., Bookbinder, S., Lazenby, G., Marshall, A., Weed, E., & Meglin, M. (2024). Knowledge of oral emergency contraception among pharmacy students. Women's Health Reports (New Rochelle), 5(1), 40^45. https://doi.org/10.1089/ whr.2023.0175 google scholar
  • Chahine, B., & Souheil, F.A. (2022). Oral contraceptives: Knowledge and counselling practices of Lebanese community pharmacists. International Journal of Phar^ macy Practice, 30(1), 45^51. https://doi.org/10.1093/ijpp/riab069 google scholar
  • Ebuehi, O.M., Ebuehi, O.A., & Inem, V. (2006). Health care providers' knowledge of, attitudes toward and provision of emergency contraceptives in Lagos, Nigeria. International Family Planning Perspectives, 32(2), 89^93. https://doi.org/10. 1363/3208906 google scholar
  • El^Awaisi, A., Koummich, S., Koraysh, S., & El Hajj, M.S. (2022). Patient safety education in entry to practice pharmacy programs: A systematic review. Journal of Patient Safety, 18(2), e373^e386. https://doi.org/10.1097/PTS.0000000000000818 google scholar
  • Failla, B., Vest, K., Lynch, S., Stewart^Lynch, A., Bolch, C.A., White, T., French, K., Scime, G., & Griffin, B.L. (2022). Impact of a hormonal contraceptive training program for pharmacists. Journal of the American Pharmacists Association, 62(4), 1287^1295.e4. https://doi.org/10.1016/j.japh.2022.02.012 google scholar
  • Gbenoba, B.O., Aje, A.A. & Fakeye, T.O. (2025). Assessment of community pharmacists’ knowledge of emergency contraceptive pills, its dispensing and associated health risks with overuse in a Nigerian metropolitan City. Discover Public Health, 22(1), 682. https://doi.org/10.1186/s12982^025^01078^4 google scholar
  • Harris, E., Melody, K., & Charneski, L. (2020). Student knowledge and confidence with prescribing hormonal contraception. Currents in Pharmacy Teaching and Learning, 12(6), 751^762. https://doi.org/10.1016/j.cptl.2020.01.031 google scholar
  • Hellerstedt, W.L., & Van Riper, K.K. (2005). Emergency contraceptive pills: Dispensing practices, knowledge and attitudes of South Dakota pharmacists. Perspectives on Sexual and Reproductive Health, 37(1), 19^24. https://doi.org/10.1363/psrh. 37.19.05 google scholar
  • Hilverding, A.T., & DiPietro Mager, N.A. (2017). Pharmacists’ attitudes regarding pro^ vision of sexual and reproductive health services. Journal of the American Pharmacists Association, 57(4), 493^497. https://doi.org/10.1016/j.japh.2017.04. 464 google scholar
  • Hobbs, M.K., Taft, A.J., Amir, L.H., Stewart, K., Shelley, J.M., Smith, A.M., Chapman, C.B., & Hussainy, S.Y. (2011). Pharmacy access to the emergency contraceptive pill: A national survey of a random sample of Australian women. Contraception, 83(2), 151^8. https://doi.org/10.1016/j.contraception.2010.06.003 google scholar
  • Jelić, A.G., Tasić, L., Škrbić, R., Marinković, V., Šatara, S.S., Stojaković, N., Peković, V.M., & Godman, B. (2021). Pharmacists’ clinical knowledge and practice in the safe use of contraceptives: Real knowledge vs. self^perception and the implications. BMC Medical Education 21(1), 430. https://doi.org/10.1186/s12909^021^02864^9 google scholar
  • Lio, I., Remines, J., Nadpara, P.A., & Goode, J.K.R. (2018). Pharmacists’ comfort level and knowledge about prescribing hormonal contraception in a supermarket chain pharmacy. Journal of the American Pharmacists Association, 58(4), 89^93.e1. https://doi.org/ 10.1016/j.japh.2018.05.005 google scholar
  • Mooney^Somers, J., Lau, A., Bateson, D., Richters, J., Stewart, M., Black, K., & Nothnagle, M. (2019). Enhancing the use of emergency contraceptive pills: A systematic review of women’s attitudes, beliefs, knowledge, and experiences in Australia. Health Care for Women International, 40(2), 174^195. https://doi.org/10.1080/ 07399332.2018.1526286 google scholar
  • Navarrete, J., Hughes, C.A., Yuksel, N., Schindel, T.J., Yamamura, S., Terajima, T., Sri^ boonruang, T., Patikorn, C., & Anantachoti, P. (2023). Community pharmacists' experiences and attitudes towards the provision of sexual and reproductive health services: An international survey. Healthcare (Basel),11(11), 1530. https:// doi.org/10.3390/healthcare11111530 google scholar
  • Nguyen, T.T.X., Nguyen, T.T.Q., Le, L.H., & Dinh D.X. (2023). Knowledge, attitudes, and practices toward emergency contraceptive pills among community pharma^ cists and pharmacy customers: A cross^sectional study in urban Vietnam. Contraception, 128, 110275. https://doi.org/10.1016/j.contraception.2023.110275 google scholar
  • Nona, R.A., Ray, R.A., Taylor, S.M., & Glass, B.D. (2025). Knowledge, attitudes, and practices of community pharmacists providing over^the^counter emergency hormonal contraception: A scoping review. International Journal of Pharmacy Practice, 33(1), 6^18. https://doi.org/10.1093/ijpp/riae062 google scholar
  • Özer, N., Kılıçkap, M., Tokgözoğlu, L., Göksülük, H., Karaaslan, D., Kayıkçıoğlu, M., Yılmaz, M.B., Barçın, C., Abacı, A., & Şahin, M. (2018). Data on smoking in Turkey: Sys^ tematic review, meta^analysis and meta^regression of epidemiological studies on cardiovascular risk factors. Turkish Journal of Cardiology Archives, 46(7), 602^612. https://doi.org/10.5543/tkda.2018.85349 google scholar
  • Papineau, J.H., Newlon, J.L., Ades, R.S., Vernon, V., Wilkinson, T.A., Thoma, L.M., & Meredith, A.H. (2021). Evaluation of student pharmacists' attitudes and per^ ceptions of hormonal contraception prescribing in Indiana. Pharmacy (Basel), 9(4), 185. https://doi.org/10.3390/pharmacy9040185 google scholar
  • Pfaff, A., & Rafie, S. (2020). Expanding pharmacy capacity for patient^centered reproductive health services. Pharmacy, 8(4), 236. https://doi.org/10.3390/ pharmacy8040236 google scholar
  • Rikard, R., Elliott, J., Dalton, E., & Stone, R.H. (2021). Pharmacist^prescribed hormonal contraception: Does didactic hormonal contraception education affect stu^ dent pharmacist perceptions of this professional activity? Pharmacy, 9(3), 145. https://doi.org/10.3390/pharmacy9030145 google scholar
  • Shakya, S., Shrestha, S., Shrestha, R.K., Giri, U., & Shrestha, S. (2020). Knowledge, attitude and practice of emergency contraceptive pills among community pharmacy practitioners working in Kathmandu Valley: A cross^sectional study. BMC Health Services Research, 20(1), 699. https://doi.org/10.1186/s12913^020^ 05543^5 google scholar
  • Singh, V., Thakur, P., Nayak, P.K., & Agrawal, S. (2014). Knowledge, attitude and practice of emergency contraceptive pills among women of reproductive age group attending AIIMS OPD Raipur. International Journal of Advances in Medicine, 1(2), 105^112. https://doi.org/10.5455/2349^3933.ijam20140817 google scholar
  • Soon, J.A., Whelan, A.M., Yuksel, N., & Rafie, S. (2021). Enhancing access to contracep^ tion through pharmacist prescribing across Canada. Canadian Pharmacists Journal, 154(6), 356^362. https://doi.org/10.1177/17151635211034534 google scholar
  • Tilahun, D., Assefa, T., & Belachew, T. (2010). Knowledge, attitude, and practice of emergency contraceptives among Adama University female students. Ethiopian Journal of Health Sciences, 20(3), 195^202. https://doi.org/10.4314/ ejhs.v20i3.69449 google scholar
  • Vanya, M., Matuz, M., Benko, R., Viola, R., Horvath^Sziklai, A., Soos, G., & Bartfai, G. (2017). Knowledge and opinion of pharmacists on emergency contraceptive pills in Hungary. International Journal of Clinical Pharmacy, 39(3), 594^600. https:// doi.org/10.1001/jama.2021.21392, google scholar
  • Whelan, A.M., Langille, D.B., & Hurst, E. (2013). Nova Scotia pharmacists' knowledge of, experiences with, and perception of factors interfering with their ability to provide emergency contraceptive pill consultations. International Journal of Pharmacy Practice, 21(5), 314^321. https://doi.org/10.1111/ijpp.12017 google scholar
There are 29 citations in total.

Details

Primary Language English
Subjects Pharmaceutical Sciences
Journal Section Research Article
Authors

Dilara Bayram Özgür 0000-0001-7037-353X

Somaya Muhtar 0009-0000-3232-3814

Submission Date October 17, 2024
Acceptance Date June 8, 2025
Publication Date January 14, 2026
DOI https://doi.org/10.26650/IstanbulJPharm.2025.1569116
IZ https://izlik.org/JA75CX92UX
Published in Issue Year 2025 Volume: 55 Issue: 3

Cite

APA Bayram Özgür, D., & Muhtar, S. (2026). An Investigation into the Knowledge, Attitudes, and Practices of Pharmacists and Pharmacy Students Regarding Oral and Emergency Contraceptives. İstanbul Journal of Pharmacy, 55(3), 444-454. https://doi.org/10.26650/IstanbulJPharm.2025.1569116
AMA 1.Bayram Özgür D, Muhtar S. An Investigation into the Knowledge, Attitudes, and Practices of Pharmacists and Pharmacy Students Regarding Oral and Emergency Contraceptives. iujp. 2026;55(3):444-454. doi:10.26650/IstanbulJPharm.2025.1569116
Chicago Bayram Özgür, Dilara, and Somaya Muhtar. 2026. “An Investigation into the Knowledge, Attitudes, and Practices of Pharmacists and Pharmacy Students Regarding Oral and Emergency Contraceptives”. İstanbul Journal of Pharmacy 55 (3): 444-54. https://doi.org/10.26650/IstanbulJPharm.2025.1569116.
EndNote Bayram Özgür D, Muhtar S (January 1, 2026) An Investigation into the Knowledge, Attitudes, and Practices of Pharmacists and Pharmacy Students Regarding Oral and Emergency Contraceptives. İstanbul Journal of Pharmacy 55 3 444–454.
IEEE [1]D. Bayram Özgür and S. Muhtar, “An Investigation into the Knowledge, Attitudes, and Practices of Pharmacists and Pharmacy Students Regarding Oral and Emergency Contraceptives”, iujp, vol. 55, no. 3, pp. 444–454, Jan. 2026, doi: 10.26650/IstanbulJPharm.2025.1569116.
ISNAD Bayram Özgür, Dilara - Muhtar, Somaya. “An Investigation into the Knowledge, Attitudes, and Practices of Pharmacists and Pharmacy Students Regarding Oral and Emergency Contraceptives”. İstanbul Journal of Pharmacy 55/3 (January 1, 2026): 444-454. https://doi.org/10.26650/IstanbulJPharm.2025.1569116.
JAMA 1.Bayram Özgür D, Muhtar S. An Investigation into the Knowledge, Attitudes, and Practices of Pharmacists and Pharmacy Students Regarding Oral and Emergency Contraceptives. iujp. 2026;55:444–454.
MLA Bayram Özgür, Dilara, and Somaya Muhtar. “An Investigation into the Knowledge, Attitudes, and Practices of Pharmacists and Pharmacy Students Regarding Oral and Emergency Contraceptives”. İstanbul Journal of Pharmacy, vol. 55, no. 3, Jan. 2026, pp. 444-5, doi:10.26650/IstanbulJPharm.2025.1569116.
Vancouver 1.Bayram Özgür D, Muhtar S. An Investigation into the Knowledge, Attitudes, and Practices of Pharmacists and Pharmacy Students Regarding Oral and Emergency Contraceptives. iujp [Internet]. 2026 Jan. 1;55(3):444-5. Available from: https://izlik.org/JA75CX92UX