Contraceptive use among female sex workers in three Russian cities.
Contraceptive use among female sex workers in three Russian cities.
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在三个俄罗斯城市的女性性工作者中使用避孕药。
DOI：
10.1016/j.ijgo.2015.06.026
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发表时间：
2015-11
期刊：
影响因子：
--
通讯作者：
Decker MR
中科院分区：
文献类型：
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作者：
Martin CE;Wirtz AL;Mogilniy V;Peryshkina A;Beyrer C;Decker MR
目的确定俄罗斯三个城市女性性工作者（FSWs）中使用非屏障避孕（宫内节育器、激素避孕和女性绝育）的流行程度及其相关因素。对喀山、克拉斯诺亚尔斯克和托木斯克18岁及以上的FSWs的横断面调查数据进行了二次分析。参与者在2011年完成了一次基于计算机的调查。在708名目前有避孕需求的患者中，使用逻辑回归来评估与使用非屏障避孕药具相关的因素。237名（33.5%）家庭女工报告使用非屏障避孕药具。使用无障碍避孕药具与从事更长时间的性工作（≥4年vs <1年：调整优势比[AOR] 4.70； 95%可信区间[CI] 1.51-14.66）和有非付费伴侣（AOR 2.02； 95%可信区间[CI] 1.32-3.11）相关。曾与皮条客/妈妈一起工作（AOR 0.46; 95% CI 0.24-0.87）、最近经历过客户施暴（AOR 0.19; 95% CI 0.07-0.52）或报告一贯使用安全套（AOR 0.30; 95% CI 0.16-0.54）的女服务员采用非屏障避孕的几率降低。在237名使用非屏障避孕方法的女伴中，只有13名（5.5%）报告坚持使用避孕套。只有三分之一的人报告使用非屏障避孕，这表明大量的避孕需求未得到满足。妇女是计划生育、生殖健康咨询和护理的重要目标人群。
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. 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. 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. 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.