柬埔寨女性娱乐工作者的特征、风险行为及与堕胎相关的因素。
Characteristics, risk behaviors and factors associated with abortion among female entertainment workers in Cambodia.
作者信息
Sopheab Heng, Tuot Sovannary, Chhea Chhorvann, Gorbach Pamina
机构信息
School of Public Health at the National Institute of Public Health, Cambodia, # 2, Street 289, Tuol Kork District, Phnom Penh, Cambodia.
Research Department, KHANA, Phnom Penh, Cambodia.
出版信息
Reprod Health. 2015 Sep 4;12:82. doi: 10.1186/s12978-015-0075-y.
BACKGROUND
Linkages between HIV and reproductive health (RH) among female entertainment workers (EWs) have not been addressed well in most developing countries. In Cambodia, there has been considerable research on HIV epidemiology among EWs. However, there have been limited studies on RH and specifically factors related to abortion. We examine socio-behavioral characteristics, and RH practices as determinants of abortion among Cambodian EWs.
METHODS
A survey was conducted in Siem Reap and Battambang and Phnom Penh provinces/city among EWs in September 2012. Trained female interviewers administered the survey to 595 EWs. Two-stage cluster sampling was used to select EWs. Bivariate associations were examined using chi-squares; univariate and multivariate logistic regression were used to assess factors independently associated with reporting having at least one abortion while working as an EW.
RESULTS
Three-quarters (75 %) of EWs were sexually active, of which nearly one third reported at least one abortion while working as an EW. About 40 % of EWs reported recent an abortion in the past six months. Contraceptive use in the past year was low. Factors found to be independently associated with reporting a recent abortion included: ages 25-29 (OR = 2.2, 95 % CI: 1.2-4.0), living with spouse/cohabitated partner (OR = 2.2, 95 % CI: 1.1-4.2), longer duration of entertainment work (OR = 4.8, 95 % CI: 2.5-9.2), higher number of partners (OR = 4.4, 95 % CI: 2.2-8.7) and being a karaoke worker (OR = 2.2, 95 % CI: 1.1-4.4).
CONCLUSION
This study highlights a high proportion of EWs reporting abortion. While HIV vulnerability of EWs has been clearly established, broader RH needs have gone largely unrecognized and not prioritized. Though HIV/RH integrated initiatives have been introduced by the HIV program, challenges for EWs with multiple risks from professional and partners are profound. Therefore, there is an urgent need for practical programmatic approaches to help address their RH needs.
背景
在大多数发展中国家，女性娱乐工作者中艾滋病毒与生殖健康之间的联系尚未得到很好的解决。在柬埔寨，对娱乐工作者中的艾滋病毒流行病学进行了大量研究。然而，关于生殖健康，特别是与堕胎相关因素的研究却很有限。我们研究柬埔寨娱乐工作者的社会行为特征和生殖健康行为，以此作为堕胎的决定因素。
方法
2012年9月在暹粒省、马德望省和金边市对娱乐工作者进行了一项调查。经过培训的女性访谈员对595名娱乐工作者进行了调查。采用两阶段整群抽样法选取娱乐工作者。使用卡方检验来检验双变量关联；单变量和多变量逻辑回归用于评估与报告在担任娱乐工作者期间至少有过一次堕胎独立相关的因素。
结果
四分之三（75%）的娱乐工作者有性活动，其中近三分之一报告在担任娱乐工作者期间至少有过一次堕胎。约40%的娱乐工作者报告在过去六个月内有过堕胎。过去一年的避孕使用率较低。被发现与报告近期堕胎独立相关的因素包括：年龄25 - 29岁（比值比 = 2.2，95%置信区间：1.2 - 4.0）、与配偶/同居伴侣同住（比值比 = 2.2，95%置信区间：1.1 - 4.2）、娱乐工作时间较长（比值比 = 4.8，95%置信区间：2.5 - 9.2）、性伴侣数量较多（比值比 = 4.4，95%置信区间：2.2 - 8.7）以及是卡拉OK工作者（比值比 = 2.2，95%置信区间：1.1 - 4.4）。
结论
本研究突出了报告堕胎的娱乐工作者比例较高。虽然娱乐工作者感染艾滋病毒的易感性已得到明确证实，但更广泛的生殖健康需求在很大程度上未得到认识且未被列为优先事项。尽管艾滋病毒项目已推出艾滋病毒/生殖健康综合举措，但面临来自职业和伴侣多重风险的娱乐工作者所面临的挑战仍然巨大。因此，迫切需要切实可行的方案方法来帮助满足他们的生殖健康需求。
Zotero 插件