News, Views and Careers for All of Higher Education
Aug. 28, 2006
For college students who wanted another level of protection against getting pregnant, the Food and Drug Administration’s decision last week to allow women 18 and older to buy the emergency contraceptive drug Plan B without a prescription came as welcome news. The risk of pregnancy can be lowered by up to 89 percent when a woman takes Plan B within 72 hours after unprotected sex. The drug has no effect if the woman is already pregnant.
Many campus health officials approved of the change, but some are saying that the development calls for a renewed emphasis on encouraging healthy sex habits among the college-age population.
Doreen Perez, past president of the American College Health Association and a health official at the University of North Florida believes that it is “paramount for us to help students understand” that the drug does not prevent sexually transmitted diseases. She also said that campus health officials should be “promoting healthy sexual behaviors.”
Perez noted that students wouldn’t be able to get the drug at her institution over the counter because North Florida doesn’t have a pharmacy. Still, the health center does have Plan B on hand for students who meet with a campus health practitioner.
Vincent Serio, director of the health center at Boise State University, believes that students who choose to buy the drug over the counter without visiting a doctor may be missing out on some important health information. He said that members of his staff often ask why the student got into the situation that led to the need for Plan B in the first place. The most common reason, he said, was that a condom breaks during intercourse. In such a scenario, a health professional could recommend a more reliable form of birth control, such as the traditional one-a-day birth control pill.
“We think there’s a value to coming into a clinic,” said Serio. “Our staff members still want to be able to sit down and talk to students who end up needing this drug.”
Holly Grason, director of the Women’s and Children’s Health Policy Center at Johns Hopkins University, believes that such concerns should be minimal. “Most women in college are sufficiently informed about contraception,” she said “Colleges health center officials really need to be thinking about what kinds of messages are out there about the drug.”
Grason said that more public health campaigns on campuses regarding the availability of Plan B would be useful. “We need to get the message out there that this is positive for females, she said. “There are significant societal benefits to preventing unintended pregnancies.”
Other health officials said that campus pharmacists would be expected to provide more information to students. “Our pharmacists will help educate and refer any patient to a clinician that needs additional counseling or information, since our pharmacy is open with parallel hours with our clinical hours,” said Lesley Sacher, director of the Thagard Student Health Center at Florida State University. “I can understand how some health care providers are concerned about reduced educational opportunities with the patient, but we do not consider these to be strong obstacles.”
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There is an interesting dynamic at play that I never thought of. As Ms. Grason points out, “Most women in college are sufficiently informed about contraception.” Indeed, it is a fair bet, that they are better informed than the general populace. While, of course, non-preachy, accurate information about sex and STDs is always helpful, college health departments should continue to treat students like adults. Adults generally don’t get lectures when they get pills.
Larry, at 9:10 am EDT on August 28, 2006
“The risk of pregnancy can be lowered by up to 89 percent when a woman takes Plan B within 72 hours after unprotected sex.”
Compare the above to the quote by the past president of the American College Health Association: “I think it’s paramount for us to help students understand that this drug does not prevent pregnancy.”
See yes, it does. Not 100% reliably, but when it lowers the risk of pregnancy, it means that it prevents pregnancy.
wolfa, at 10:25 am EDT on August 28, 2006
It’s a good move to provide students with more information than less, and having worked as an RN at a university health clinic (in my past life before I took a Ph.D. in the humanities), I think it is a mistake to assume that college age women are well informed about birth control. Some certainly are, others are clearly not. I don’t know of any student health system that would prescribe birth control pills, for instance, and not provide information on all of the forms of birth control available, how they work, and (most importantly) what to do if you screw up.
Health education is an important part of the health care process. Unless you’re receiving very poor healthcare, you should be getting information from your doctor AND pharmacist about the drugs you are prescribed. It’s not a matter of treating college students as children, as implied in the comment above, but as autonomous adults who have the right to know what drug they’re taking, what it does and does not do, and how to respond if something doesn’t go as expected. Taking Plan B is not like taking Tylenol. For many women, this may be the first time they’ve had a birth control failure, and having a health care professional to consult can be a valuable resource.
The Untenured Observer, at 10:25 am EDT on August 28, 2006
I agree with Untenured Observer, there are many college aged women who are grossly undereducated about all forms of birth control. There are wonderful advantages to getting consultation from a health care professional. My health care professional at our university has been an amazingly informative asset for me as I have made my own choices concerning birth control.
I took offense to Serio’s comment, “In such a scenario, a health professional could recommend a more reliable form of birth control, such as the traditional one-a-day birth control pill.” It seems to me that Mr. Serio has very little understanding about the risks associated with the birth control pill. Why do is it that we are willing to (a) put all the responsibility on the woman and (b) ignore the strong possibility that a hormone-based birth control is NOT an option for some women? For health reasons, my health care professional dissuaded me from using an oral contraceptive. I have been a very sexually active college student for over 5 years, without a pregnancy or STD scare, by using a combination of condoms and spermicide. Oh, and did I mention that I am in a monogomous relationship with my husband? No, we are not all irresponsible kids having sex. And you can bet your bottom dollar that if faced with the decision, I would take the morning after pill. Having a child before completing my degree is simply not an option. It would put me back in the ranks of women with less opportunities than men, unable to get employment at the same levels and binned in some meaningless statistic about college women.
Let’s be real, communicating with students as adults (which they are legally), as the Untenured Observer contests, is great option that respects everyone. Lecturing will get you know where.
education not lecture, grad student at arizona, at 11:00 am EDT on August 28, 2006
I was amazed this week to hear a spokeperson for the Family Research Council make the absurd claim that women are not intelligent enough to follow the directions for the use of Plan B! It was the poor exposition of even a poorer argument. How this organization, a radical pro-life group funded by (among others), Sun Myung Moon’s Unification Church gained the credibility to even be on C-Span amazed me. But I’ve noticed a lot of new organizations and think tanks coming into play over the past few years. It seems the Bush administration, committed to an ultra social conservative-fundamentalist agenda, employees the advice of many newly emerged parallel institutions that are pledged to his party’s ideology. So the AMA is not consulted. But the far less qualified Family Research Council is. And that gives them the extra splash they need to get on C-Span. Yes. As one poster has said, “I don’t know where this world is headed, but I don’t like.” No. I don’t either. Not at all.
Diogenes, Secret at Even More secret, at 11:25 am EDT on August 28, 2006
I don’t agree nor do I disagree with universities offering Plan B to students. However, by offering Plan B to students, I believe universities could be opening the door to an increase in lawsuits. Each university will need to set strict policies and guidelines on how a student can obtain the Plan B pill. They will also need to ensure they keep an adequate supply-that one student who becomes pregnant because the university ran out of Plan B could open the doors for major lawsuits. Honestly, in this day and age, I have seen lawsuits that are far more ridiculous, but it happens and people acutally win in some cases.
Melissa, at 11:45 am EDT on August 28, 2006
Melissa, What lawsuits are you talking about?
While it is the fad to send out press releases regarding “lawsuit abuse” most of these press releases involves lawsuits which were dismissed for failure to state a claim, not actually brought, or were facially sufficient, and after a contested trial resulted in a verdict against the press-release writer. Indeed, my old firm would do this, and despite being economic with the facts, nobody ever questioned them. Quite frankly, I am amazed that as an academic, you would rely on such 3d-hand information, rather than directing us to published decisions.
The standard of care for nurses and doctors in administering birth control (or whatever the kids are calling “Plan B” these days) is rather well-known, and if an RN or similar administrator doesn’t cut any corners, and asks all the normal questions, and provides the correct warnings, there will be no successful lawsuits against colleges. Whatever the case, colleges, and everyone else should know, that if they are going to provide medical care, they sure as heck better provide it in line with the standards that people outside the college can expect.
Larry, at 1:15 pm EDT on August 28, 2006
Larry, I’m not sure “lectures” is what I receive, but when I visit the doctor, or any health care professional, to discuss a medical question I hope for a remedy, but I also expect information about how to better prevent the issue I am seeking to treat. I just don’t view it as a lecture. This conversation is the root of prevention.
Geoff, at 5:30 pm EDT on August 28, 2006
If you ask, and they answer, it is a conversation. If they answer, without being asked, and tell you about the evils of sex, it is a lecture. But, quite frankly, men rarely get lectured on the evils of sex.
LArry, at 11:00 pm EDT on August 28, 2006
I think plan B is just one more amazing thing available to kids today that wasn’t available when I went to college. What I could have done with a computer! Or a cell! Or a dvd player! Or a Tivo! WOW. I am glad it will be made available in health centers. I also hope college health centers offer the HPV vaccine as well.
Denise Brahmann, at 3:50 pm EDT on September 4, 2006
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Amazing...
I honestly don’t know what this world is coming to... but I know I don’t like it.
S.D., at 9:00 am EDT on August 28, 2006