High rates of Unintended Pregnancies among Young Women Sex Workers in Conflict-affected Northern Uganda: The Social Contexts of Brothels/Lodges and Substance Use
High rates of Unintended Pregnancies among Young Women Sex Workers in Conflict-affected Northern Uganda: The Social Contexts of Brothels/Lodges and Substance Use
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DOI：
10.29063/ajrh2017/v21i2.8
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发表时间：
2017-06-01
影响因子：
1
通讯作者：
Shannon, Kate
中科院分区：
文献类型：
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作者：
Duff, Putu;Muzaaya, Godfrey;Shannon, Kate
本研究旨在研究受冲突影响的北方乌干达年轻女性性工作者意外怀孕的相关性。数据来自Gulu性健康研究，这是一项对从事性工作的年轻妇女进行的横断面研究。双变量和多变量逻辑回归分析被用来研究曾经有一个意外怀孕的相关因素。在400名性工作者（中位年龄= 20岁; IQR 19-25）中，175人（43.8%）报告至少有一次意外怀孕。在多变量分析中，主要在旅馆/妓院服务客户[调整后的比值比（AOR= 2.24; 95%置信区间：1.03-4.84）]、激素避孕药使用情况[AOR= 1.68; 95% CI 1.11-2.59]和工作时药物/酒精使用情况[AOR= 1.64; 95%CI 1.04-2.60]与既往非意愿妊娠呈正相关。鉴于意外怀孕是生殖健康需求未得到满足的一个指标，这些调查结果突出表明，需要改善获得生殖健康和艾滋病毒综合服务的机会，以满足性工作者的需求。以性工作为主导的战略（E。例如，在一个实施例中，应考虑采取措施（如通过同行宣传），同时采取结构性战略和针对妓院/旅馆业主和管理人员的教育。
This study aimed to examine the correlates of unintended pregnancies among young women sex workers in conflict-affected northern Uganda. Data were drawn from the Gulu Sexual Health Study, a cross-sectional study of young women engaged in sex work. Bivariable and multivariable logistic regression was used to examine the correlates of ever having an unintended pregnancy. Among 400 sex workers (median age= 20 years; IQR 19-25), 175 (43.8%) reported at least one unintended pregnancy. In multivariable analysis, primarily servicing clients in lodges/brothels [Adjusted Odds Ratio (AOR= 2.24; 95% Confidence Interval: 1.03-4.84)], hormonal contraceptive usage [AOR= 1.68; 95% CI 1.11-2.59] and drug/alcohol use while working [AOR= 1.64; 95% CI 1.04-2.60] were positively correlated with previous unintended pregnancy. Given that unintended pregnancy is an indicator of unmet reproductive health need, these findings highlight a need for improved access to integrated reproductive health and HIV services, catered to sex workers` needs. Sex work-led strategies (e. g., peer outreach) should be considered, alongside structural strategies and education targeting brothel/lodge owners and managers.