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陷入困境:柬埔寨和老挝的性工作女性的避孕需求。

Falling through the cracks: contraceptive needs of female sex workers in Cambodia and Laos.

机构信息

Family Health International, Asia/Pacific Regional Office, Bangkok, Thailand.

出版信息

Contraception. 2011 Aug;84(2):194-8. doi: 10.1016/j.contraception.2010.11.003. Epub 2011 Jan 20.

DOI:10.1016/j.contraception.2010.11.003
PMID:21757062
Abstract

BACKGROUND

Condom is the only method promoted for dual protection among female sex workers (FSWs) in most Asian countries, which may be insufficient to prevent pregnancies given FSWs' high frequency of sexual intercourse.

STUDY DESIGN

Data were obtained from independent cross-sectional surveillance surveys conducted in Cambodia and Laos. Random samples of FSWs provided behavioral information.

RESULTS

Respondents numbered 592 in Cambodia and 1421 in Laos. In Cambodia, 28.2% had abortions in the past year despite reporting 99.0% condom use at last commercial sex. Abortion increased with the number of clients, inconsistent condom use, recent condom breakage and recent forced unprotected sex with clients. In Laos, 26.0% of all FSWs had ever aborted as had 89.4% of those who had been pregnant in the past 6 months.

CONCLUSIONS

FSWs experience higher frequency of abortion than women from the general population. FSWs' reportedly high rate of condom use is insufficient to prevent pregnancies.

摘要

背景

在大多数亚洲国家, condom 是唯一被推广用于女性性工作者(FSWs)双重保护的方法,但鉴于 FSWs 性交频率较高,这可能不足以防止怀孕。

研究设计

数据来自柬埔寨和老挝独立进行的横断面监测调查。随机抽取 FSWs 提供行为信息。

结果

柬埔寨的受访者人数为 592 人,老挝的受访者人数为 1421 人。在柬埔寨,尽管报告称上次商业性行为中 condom 的使用率为 99.0%,但过去一年仍有 28.2%的人堕胎。堕胎的发生率随着客户数量的增加、 condom 使用的不一致、最近 condom 破裂以及最近被迫与客户无保护性行为而增加。在老挝,所有 FSWs 中有 26.0%曾堕胎,过去 6 个月怀孕的 FSWs 中有 89.4%曾堕胎。

结论

FSWs 的堕胎频率高于一般人群中的女性。FSWs 报告的 condom 使用率较高,但不足以防止怀孕。

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