Correlates of abortions and condom use among high risk women attending an STD clinic in St. Petersburg, Russia.
Correlates of abortions and condom use among high risk women attending an STD clinic in St. Petersburg, Russia.
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DOI：
10.1186/1742-4755-8-28
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发表时间：
2011-10-12
影响因子：
3.4
通讯作者：
Krasnoselskikh TV
中科院分区：
文献类型：
--
作者：
Abdala N;Zhan W;Shaboltas AV;Skochilov RV;Kozlov AP;Krasnoselskikh TV
在俄罗斯，许多妇女依靠堕胎作为主要的节育方法。虽然拒绝使用避孕药具，包括避孕套，可能会破坏公共卫生工作，以减少艾滋病毒的性风险行为，很少有研究调查的风险因素与堕胎的妇女在艾滋病毒的高风险。本研究旨在确定圣彼得堡俄罗斯高危性病门诊患者中流产和缺乏安全套使用的相关性。对2009年至2010年期间收集的数据进行了横断面分析，这些数据来自在过去三个月内有临时或多个性伴侣的女性。多变量logistic回归分析了流产和前三个月未使用避孕套的独立相关因素。独立变量包括社会人口统计学，在风险饮酒每酒精使用障碍识别测试（AUDIT-C）标准，饮酒后发生性行为，有一个性伴侣谁注射非法药物，和奇偶校验。在87名参与者中，45%的人在一生中堕胎过，26%的人在过去三个月内没有使用避孕套。流产与低收入（OR，3.33，95%CI，1.13-9.78）和危险饮酒（OR，3.52，95%CI，1.24-10.05）独立相关。不使用安全套与酒后更可能发生性行为（OR，3.37，95%CI，1.10-10.28）和产次（OR，3.69，95%CI，1.25-10.89）独立相关。需要制定方案，增加避孕药具的使用，包括在俄罗斯性传播疾病/艾滋病毒高危妇女中使用避孕套。降低艾滋病毒性传播风险和堕胎率的方案必须解决酗酒问题，并以收入有限的妇女为目标。
Many women in Russia rely on abortion as a primary birth control method. Although refusal to use contraceptives, including condoms, may undermine public health efforts to decrease HIV sexual risk behaviors, few studies have investigated the risk factors associated with abortion among women at high risk for HIV. This study sought to identify the correlates of abortions and of lack of condom use among high risk STD clinic patients in St Petersburg Russia. Cross-sectional analysis of data collected between 2009 and 2010 from women who had casual or multiple sexual partners in the previous three months was analyzed. Multivariate logistic regression assessed the independent correlates of abortion(s) and no condom use in the prior three months. Independent variables included socio-demographics, at risk drinking per alcohol use disorder identification test (AUDIT-C) criteria, having sex after drinking alcohol, having a sexual partner who injects illicit drugs, and parity. Of 87 participants, 45% had an abortion in their lifetime and 26% did not use condoms in the prior three months. Abortion was independently associated with low income (OR, 3.33, 95%CI, 1.13-9.78) and at risk drinking (OR, 3.52, 95%CI, 1.24-10.05). Lack of condom use was independently associated with being more likely to have sex after drinking (OR, 3.37, 95%CI, 1.10-10.28) and parity (OR, 3.69, 95%CI, 1.25-10.89). Programs to increase contraceptive use including condom use among women at high risk for STD/HIV in Russia are needed. Programs to reduce sexual HIV risk and abortion rates must address alcohol misuse and target women with limited income.
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影响因子：
4.4
作者：
Aicken, Catherine R. H.;Nardone, Anthony;Mercer, Catherine H.
通讯作者：
Mercer, Catherine H.
DOI：
10.1136/jfprhc-2011-0079
发表时间：
2011-07-01
影响因子：
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作者：
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作者：
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影响因子：
6
作者：
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通讯作者：
Tumanov, S
DOI：
10.1080/13625180902916038
发表时间：
2009-01-01
影响因子：
1.7
作者：
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通讯作者：
Hemminki, Elina