Contraceptive use among female sex workers in three Russian cities

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• 作者：Caitlin E. Martin^a ; Andrea L. Wirtz^b ; ^c ; Vladimir Mogilniy^d ; Alena Peryshkina^d ; Chris Beyrer^b ; ^e ; Michele R. Decker^a ; ^b ; ^{mdecker@jhsph.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Contraception ; Female sex workers ; Russia
• 刊名：International Journal of Gynecology and Obstetrics
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：131
• 期：2
• 页码：156-160
• 全文大小：188 K

文摘

To determine the prevalence of, and factors associated with, use of non-barrier contraception (intrauterine device, hormonal contraceptives, and female sterilization) among female sex workers (FSWs) in three Russian cities.

Methods

A secondary analysis of data from a cross-sectional survey of FSWs aged 18 years and older from Kazan, Krasnoyarsk, and Tomsk was undertaken. Participants had completed a one-time computer-based survey in 2011. Among the 708 with a current contraceptive need, logistic regression was used to evaluate factors associated with use of non-barrier contraceptives.

Results

Use of non-barrier contraceptives was reported by 237 (33.5%) FSWs. Use of non-barrier contraceptives was associated with being in sex work longer (≥ 4 years vs < 1 year: adjusted odds ratio [AOR] 4.70; 95% confidence interval [CI] 1.51–14.66) and having a non-paying partner (AOR 2.02; 95% CI 1.32–3.11). Odds of non-barrier contraception were reduced among FSWs who had ever worked with a pimp/momka (AOR 0.46; 95% CI 0.24–0.87), who had experienced recent client-perpetrated violence (AOR 0.19; 95% CI 0.07–0.52), or reporting consistent condom use (AOR 0.30; 95% CI 0.16–0.54). Only 13 (5.5%) of the 237 FSWs using non-barrier contraception reported consistent condom use.

Conclusion

Only one-third reported use of non-barrier contraception, suggesting substantial unmet contraceptive needs. FSWs are an important target population for family planning, reproductive health counseling, and care.