Induced abortion, contraceptive use, and dual protection among female sex workers in Moscow, Russia

被引：44

作者：

Decker, Michele R. ^{[1
,3
]}

Yam, Eileen A. ^{[2
]}

Wirtz, Andrea L. ^{[3
,4
]}

Baral, Stefan D. ^{[3
,4
]}

Peryshkina, Alena ^{[5
]}

Mogilnyi, Vladmir ^{[5
]}

Beyrer, Chris ^{[3
,4
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Populat Family & Reprod Hlth, Baltimore, MD 21212 USA

[2] Populat Council, Washington, DC USA

[3] Johns Hopkins Bloomberg Sch Publ Hlth, Ctr Publ Hlth & Human Rights, Baltimore, MD 21212 USA

[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21212 USA

[5] AIDS Infoshare, Moscow, Russia

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 2013年 / 120卷 / 01期

关键词：

Abortion; Condom use; Contraception; Dual protection; Female sex workers; REPRODUCTIVE HEALTH NEEDS; CONDOM USE; INFECTION; VIOLENCE; RISK;

D O I：

10.1016/j.ijgo.2012.07.026

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To describe abortion history and current contraceptive use among female sex workers (FSWs) in Moscow, Russia. Methods: A clinic-based survey was conducted among 147 FSWs in Moscow during an 8-month period in 2005. Results: In total, 83 of 143 (58.0%) FSWs reported a history of abortion, with 45 of 143 (31.5%) indicating multiple abortions. Condoms were the primary form of contraception (145/146 [99.3%]); just 17 of 142 (12.0%) FSWs reported using non-barrier modern contraception. All women who reported using a non-barrier modern method also indicated condom use (i.e. dual protection). Non-barrier contraceptive use was associated with inconsistent condom use (odds ratio [OR] 3.10; 95% confidence interval [CI], 1.07-9.02) and multiple abortions (OR 4.71; 95% CI, 1.19-18.62). Conclusion: The results illustrate substantial risk for unintended pregnancy among FSWs. Further research is needed regarding the dynamics of non-barrier contraception and condom use. Efforts to improve the health and wellbeing of FSWs should include access to safe and effective contraception, in addition to HIV prevention. (C) 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

引用

页码：27 / 31

页数：5

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