Non-barrier contraceptive use and relation to condom use behaviour by partner type among female sex workers in Andhra Pradesh, India.
Non-barrier contraceptive use and relation to condom use behaviour by partner type among female sex workers in Andhra Pradesh, India.
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印度安得拉邦女性性工作者按伴侣类型划分的无障碍避孕药具使用情况以及与安全套使用行为的关系。
DOI：
10.1136/jfprhc-2014-100918
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Blankenship,KimM
中科院分区：
文献类型：
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作者：
Reed,Elizabeth;Erausquin,JenniferToller;Biradavolu,Monica;Servin,ArgentinaE;Blankenship,KimM
目的 该研究评估了印度安得拉邦女性性工作者 (FSW) 的无障碍避孕药具使用情况，以及商业性和非商业性男性性伴侣中安全套使用不一致的关系。方法通过受访者驱动抽样方法招募年龄至少 18 岁的 FSW (n=2338) 进行艾滋病毒风险调查。分析仅限于育龄妇女 (n=2197)。使用粗略和调整后的逻辑回归模型来评估无障碍避孕药具的使用以及与丈夫或固定男性伴侣（即非顾客）、固定顾客和偶尔顾客不一致使用安全套的关系。结果无障碍避孕方法包括避孕药（3.8%）和绝育（68.4%）。在针对相关人口统计数据进行调整的逻辑回归模型中，使用避孕药的 FSW 更有可能报告与常规客户（过去一周）[调整后优势比 (AOR) 2.2，95% 置信区间 (CI) 1.2-4.0] 和偶尔客户（过去一周）（AOR 2.6，95% CI 1.6-5.3）不一致的安全套使用情况，以及接受更多金钱进行不带安全套的性行为（过去 30 天）（AOR 2.5，95% CI 1.5–4.3）。在女性非客户伴侣中，避孕药的使用与避孕套使用不一致之间没有发现显着的关联，这可能与这些亚组内的样本量较小有关。报告绝育在年龄较大的 FSW 中更为常见，与与嫖客或非嫖客性伴侣不一致使用安全套无关。 结论调查结果记录了对现代间隔避孕药具（即避孕药、宫内节育器）的潜在需求未得到满足，但也表明了计划生育服务的重要性，特别是那些在印度安得拉邦的 FSW 中推广现代避孕方法以及艾滋病毒预防的服务。
ObjectiveThe study assessed non-barrier contraceptive use among female sex workers (FSW) in Andhra Pradesh, India and relation to inconsistent condom use among commercial and non-commercial male sexual partners.MethodsFSW at least 18 years of age (n=2338) were recruited through respondent-driven sampling for an HIV risk survey. Analysis was restricted to women of childbearing age (n=2197). Crude and adjusted logistic regression models were used to assess non-barrier contraceptive use and relation to inconsistent condom use with husbands or regular male partners (i.e. non-clients), regular clients and occasional clients.ResultsNon-barrier methods of contraception included contraceptive pills (3.8%) and sterilisation (68.4%). In logistic regression models adjusted for relevant demographics, FSW using contraceptive pills were more likely to report inconsistent condom use with a regular client (past week) [adjusted odds ratio (AOR) 2.2, 95% confidence interval (CI) 1.2–4.0] and with an occasional client (past week) (AOR 2.6, 95% CI 1.6–5.3), as well as accepting more money for sex without a condom (past 30 days) (AOR 2.5, 95% CI 1.5–4.3). No significant associations were found between pill use and inconsistent condom use among women's non-client partners, potentially related to small sample sizes within these subgroups. Reporting sterilisation, which was more common among FSW who were older in age, was not associated with inconsistent condom use with client or non-client sexual partners.ConclusionsFindings document potential unmet need for modern, spacing contraceptives (i.e. pill, intrauterine device), but also indicate the importance for family planning services, particularly those promoting modern contraceptive methods to be provided alongside HIV prevention among FSW in Andhra Pradesh, India.