Zhang Xu-Dong, Kennedy Elissa, Temmerman Marleen, Li Yan, Zhang Wei-Hong, Luchters Stanley
* International Centre for Reproductive Health, Department of Obstetrics and Gynaecology, Ghent University , Ghent , Belgium.
Eur J Contracept Reprod Health Care. 2014 Oct;19(5):368-78. doi: 10.3109/13625187.2014.927421. Epub 2014 Jul 1.
In China, considerable stigma surrounds sexual activity, contraception use and abortion among young unmarried women, and sex work remains illegal. This study examines characteristics of adolescent female sex workers (FSWs) associated with contraceptive use and abortion in Kunming, China.
This cross-sectional study was conducted between July 2010 and February 2011. Adolescent FSWs were recruited using snowball and convenience sampling. We present descriptive statistics, comparative analyses of socio-demographic and reproductive characteristics of respondents who had or had not used modern contraceptives, and assessed factors associated with prior abortion using simple odds ratios (ORs) and multivariate logistic regression adjustments.
Twenty-seven percent of adolescent FSWs had never used any modern contraceptive. Condoms (69%) and oral contraceptives (38%) were most commonly reported, and less than 3% had ever relied on an intrauterine device. We found low rates of dual protection (34%). About half of the respondents reported one or more lifetime abortions. Inconsistent condom use, frequent alcohol use and longer-term cohabitation were associated with prior abortion.
Low consistent utilisation of modern contraceptives and of dual protection, and high rates of abortion, highlight the urgent need for early contact and continuous provision of comprehensive reproductive health services for adolescent FSWs.
在中国，年轻未婚女性的性行为、避孕措施使用及堕胎存在相当大的污名化现象，且性工作仍属非法。本研究调查了中国昆明与避孕措施使用及堕胎相关的青春期女性性工作者（FSW）的特征。
本横断面研究于2010年7月至2011年2月开展。采用滚雪球抽样和便利抽样招募青春期女性性工作者。我们呈现描述性统计数据，对使用或未使用现代避孕措施的受访者的社会人口学和生殖特征进行比较分析，并使用简单比值比（OR）和多变量逻辑回归调整评估与既往堕胎相关的因素。
27%的青春期女性性工作者从未使用过任何现代避孕措施。最常报告使用的是避孕套（69%）和口服避孕药（38%），不到3%的人曾使用过宫内节育器。我们发现双重保护的使用率较低（34%）。约一半的受访者报告有过一次或多次堕胎经历。避孕套使用不规律、频繁饮酒和长期同居与既往堕胎有关。
现代避孕措施及双重保护的持续低使用率，以及高堕胎率，凸显了为青春期女性性工作者尽早接触并持续提供全面生殖健康服务的迫切需求。
