俄罗斯莫斯科女性性工作者中的人工流产、避孕措施使用和双重保护措施。
Induced abortion, contraceptive use, and dual protection among female sex workers in Moscow, Russia.
机构信息
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
出版信息
Int J Gynaecol Obstet. 2013 Jan;120(1):27-31. doi: 10.1016/j.ijgo.2012.07.026. Epub 2012 Oct 16.
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.
目的
描述俄罗斯莫斯科地区性工作者（FSWs）的堕胎史和当前避孕措施使用情况。
方法
2005 年，在莫斯科进行了一项为期 8 个月的基于诊所的调查，共纳入了 147 名 FSWs。
结果
在 143 名 FSWs 中，共有 83 名（58.0%）报告有堕胎史，其中 45 名（31.5%）报告有多次堕胎。避孕套是主要的避孕方式（145/146 [99.3%]）；只有 17 名（12.0%）FSWs 报告使用非屏障现代避孕方法。所有报告使用非屏障现代避孕方法的女性都表示同时使用了避孕套（即双重保护）。非屏障避孕措施与避孕套使用不规律（比值比 [OR] 3.10；95%置信区间 [CI]，1.07-9.02）和多次堕胎（OR 4.71；95% CI，1.19-18.62）相关。
结论
研究结果表明 FSWs 意外怀孕的风险很大。需要进一步研究非屏障避孕措施和避孕套使用的动态。改善 FSWs 健康和福祉的努力应包括获得安全有效的避孕措施，除 HIV 预防外。
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