Correlates of unprotected sexual intercourse among women who inject drugs or who have sexual partners who inject drugs in St Petersburg, Russia.
Correlates of unprotected sexual intercourse among women who inject drugs or who have sexual partners who inject drugs in St Petersburg, Russia.
复制标题
俄罗斯圣彼得堡注射吸毒妇女或有注射吸毒性伴侣的无保护性交的相关性。
DOI：
10.1136/jfprhc-2011-100284
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Heimer,Robert
中科院分区：
文献类型：
--
作者：
Abdala,Nadia;Hansen,NathanB;Toussova,OlgaV;Krasnoselskikh,TatianaV;Verevochkin,Sergei;Kozlov,AndreiP;Heimer,Robert
为了评估意外怀孕的风险，本研究描述了圣彼得堡注射非法药物或有性伴侣注射药物的妇女中无保护性交（UPSI）的相关性，方法2005年至2008年间，从202名俄罗斯妇女中收集了横断面调查和生物学测试结果的数据。（143个药物注射器和59个非药物注射器）进行了分析。采用多元回归分析方法，探讨女性最后一次性行为发生UPSI的相关因素。独立变量包括社会人口统计学，初次性行为的年龄，第一次性接触被认为是非自愿的，怀孕次数和参与者是主要照顾者的儿童数量，大量零星饮酒（即每月至少两次在2小时内饮用超过5杯饮料 ），根据酒精使用障碍识别测试（AUDIT-C）评分的风险饮酒，和性传播感染（HIV-1，梅毒血清学，沙眼衣原体和淋病奈瑟菌）。UPSI与大量零星饮酒[比值比（OR）2.8，95%CI 1.2-6.6]和怀孕（OR 2.25，95%CI 1.1-4.6）独立相关。结论尽管艾滋病毒感染或传播以及意外怀孕的风险很高，但研究人群中避孕套的使用率很低。需要制定方案，调查和改善这一弱势妇女群体的避孕药具使用情况，包括避孕套的使用情况。这些方案可能需要查明和针对女性生殖健康问题和酗酒问题，特别是偶尔大量饮酒，而不是采取传统的酗酒措施。
ObjectivesTo assess risk for unintended pregnancy, this study describes the correlates of unprotected sexual intercourse (UPSI) among women who inject illicit drugs or who have sexual partners who inject drugs in St Petersburg, Russia.MethodsData from a cross-sectional survey and biological test results collected between 2005 and 2008 from 202 Russian women (143 drug injectors and 59 non-drug injectors) were analysed. Multivariate regression was used to investigate the correlates of UPSI occurring at the women's last sexual act. Independent variables included socio-demographics, age at sexual debut, first sexual encounter perceived as involuntary, number of pregnancies and number of children for which the participant is the primary caretaker, heavy sporadic drinking (i.e. consuming more than five drinks in 2 hours at least twice a month), at-risk drinking per the Alcohol Use Disorder Identification Test (AUDIT-C) score, and sexually transmitted infections (HIV-1, syphilis serology,Chlamydia trachomatisandNeisseria gonorrheae).ResultsSixty-seven percent of women reported UPSI at last intercourse. UPSI was independently associated with heavy sporadic drinking [odds ratio (OR) 2.8, 95% CI 1.2–6.6] and having been pregnant (OR 2.25, 95% CI 1.1–4.6).ConclusionsDespite the high risk for HIV acquisition or transmission and unintended pregnancy, condom use among the study population is low. Programmes to investigate and improve contraceptive use, including condom use, among this vulnerable group of women are needed. Such programmes may require identifying and targeting female reproductive health concerns and problem drinking, particularly heavy sporadic drinking, rather than conventional measures of alcohol misuse.
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期刊：
Philosophical transactions of the Royal Society of London. Series B, Biological sciences
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1980
期刊：
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