Factors associated with induced abortion among female entertainment workers: a cross-sectional study in Cambodia

被引:19
作者
Yi, Siyan [1 ,2 ]
Tuot, Sovannary [1 ]
Chhoun, Pheak [1 ]
Pal, Khuondyla [1 ]
Tith, Khimuy [1 ]
Brody, Carinne [2 ]
机构
[1] KHANA, Res Ctr, Phnom Penh, Cambodia
[2] Touro Univ Calif, Publ Hlth Program, Ctr Global Hlth Res, Vallejo, CA USA
来源
BMJ OPEN | 2015年 / 5卷 / 07期
关键词
SEX WORKERS; PHNOM-PENH; CONDOM NEGOTIATION; ST-PETERSBURG; RISK-FACTORS; WOMEN; HIV; RUSSIA; PREVALENCE; CARE;
D O I
10.1136/bmjopen-2015-007947
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To explore risk factors associated with induced abortion among sexually active female entertainment workers (FEWs) in Cambodia. Design: Cross-sectional study. Setting: Phnom Penh and Siem Reap, Cambodia. Participants: This study included 556 FEWs aged 18-47 years randomly selected from entertainment establishments in the two cities in 2014 using a two-stage cluster sampling method. Data were collected through face-to-face interviews using a structured questionnaire. Primary outcome measure: History of induced abortion during the time working as a FEW. Results: Of the total sample, 45.6% reported currently using a contraceptive method with condom (42.4%) being the most common method, followed by pills (25.6%). One-fourth (25%) of the respondents reported having been pregnant at least once, and 21.4% reported having at least one induced abortion during the time working as a FEW. After controlling for other covariates in a multivariate logistic regression model, FEWs with a history of induced abortion remained significantly more likely to be currently working in a karaoke bar (AOR= 1.75, 95% CI 1.10 to 2.78), to have worked longer as a FEW (AOR= 1.42, 95% CI 1.06 to 1.43), to have had a greater number of sexual partners in the past 12 months (AOR= 1.86, 95% CI 1.02 to 1.54), to be currently using a contraceptive method (AOR= 1.52, 95% CI 1.01 to 2.29), to be able to find condoms when they needed them (AOR= 2.03, 95% CI 1.09 to 3.82), and to report inconsistent condom use with non-commercial partners in the past 3 months (AOR= 1.62, 95% CI 1.06 to 3.44). Conclusions: This study highlights the high rates of unwanted pregnancies that ended in induced abortions among FEWs in Cambodia. Access of FEWs to quality sexual and reproductive healthcare services is deemed a high priority. Integrated interventions to improve sexual and reproductive health among these vulnerable women should be tailored to reach the most-at-risk groups.
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页数:8
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共 30 条
  • [1] Correlates of abortions and condom use among high risk women attending an STD clinic in St Petersburg, Russia
    Abdala, Nadia
    Zhan, Weihai
    Shaboltas, Alla V.
    Skochilov, Roman V.
    Kozlov, Andrei P.
    Krasnoselskikh, Tatiana V.
    [J]. REPRODUCTIVE HEALTH, 2011, 8
  • [2] Center for Disease Control and Prevention (CDC), 2011, CLIN PREV GUID SEX T
  • [3] Attitudes and experiences regarding induced abortion among female sex workers, Savannakhet Province, Laos
    Cleeve, Amanda
    Phrasisombath, Ketkesone
    Sychareun, Vanphanom
    Faxelid, Elisabeth
    [J]. SEXUAL & REPRODUCTIVE HEALTHCARE, 2014, 5 (03) : 137 - 141
  • [4] Cervical human papillomavirus infection among young women engaged in sex work in Phnom Penh, Cambodia: prevalence, genotypes, risk factors and association with HIV infection
    Couture, Marie-Claude
    Page, Kimberly
    Stein, Ellen S.
    Sansothy, Neth
    Sichan, Keo
    Kaldor, John
    Evans, Jennifer L.
    Maher, Lisa
    Palefsky, Joel
    [J]. BMC INFECTIOUS DISEASES, 2012, 12
  • [5] Young Women Engaged in Sex Work in Phnom Penh, Cambodia, Have High Incidence of HIV and Sexually Transmitted Infections, and Amphetamine-Type Stimulant Use: New Challenges to HIV Prevention and Risk
    Couture, Marie-Claude
    Sansothy, Neth
    Sapphon, Vonthanak
    Phal, Serey
    Sichan, Keo
    Stein, Ellen
    Evans, Jennifer
    Maher, Lisa
    Kaldor, John
    Vun, Mean Chhi
    Page, Kimberly
    [J]. SEXUALLY TRANSMITTED DISEASES, 2011, 38 (01) : 33 - 39
  • [6] Women's reproductive health needs in Russia: what can we learn from an intervention to improve post-abortion care?
    David, P. H.
    Reichenbach, L.
    Savelieva, I.
    Vartapetova, N.
    Potemkina, R.
    [J]. HEALTH POLICY AND PLANNING, 2007, 22 (02) : 83 - 94
  • [7] Induced abortion, contraceptive use, and dual protection among female sex workers in Moscow, Russia
    Decker, Michele R.
    Yam, Eileen A.
    Wirtz, Andrea L.
    Baral, Stefan D.
    Peryshkina, Alena
    Mogilnyi, Vladmir
    Beyrer, Chris
    [J]. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2013, 120 (01) : 27 - 31
  • [8] Heng S, 2008, 2005 CAMB STI PREV S
  • [9] Heng S, 2010, BASELINE SURVEY HIV
  • [10] Prevalence of induced abortion and associated factors among Chinese female sex workers in Hong Kong
    Lau, Joseph T. F.
    Mui, Lancelot W. H.
    Tsui, H. Y.
    Wong, Eric
    Ho, Shara P. Y.
    [J]. JOURNAL OF SEX & MARITAL THERAPY, 2007, 33 (01) : 19 - 29