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| Title | Induced abortion, contraceptive use, and dual protection among female sex workers in Moscow, Russia |
| Publication Type | Journal Article |
| Year of Publication | 2013 |
| Authors | Decker, MR, Yam, EA, Wirtz, AL, Baral, SD, Peryshkina, A, Mogilnyi, V, Beyrer, C |
| Journal | International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics |
| Volume | 120 |
| Pagination | 27-31 |
| Date Published | Jan |
| ISBN Number | 1879-3479 (Electronic)0020-7292 (Linking) |
| Accession Number | 23083495 |
| Abstract | OBJECTIVE: To describe abortion history and current contraceptive use among female sex workers (FSWs) in Moscow, Russia. METHODS: A clinic-based survey was conducted among 147 FSWs in Moscow during an 8-month period in 2005. RESULTS: In total, 83 of 143 (58.0%) FSWs reported a history of abortion, with 45 of 143 (31.5%) indicating multiple abortions. Condoms were the primary form of contraception (145/146 [99.3%]); just 17 of 142 (12.0%) FSWs reported using non-barrier modern contraception. All women who reported using a non-barrier modern method also indicated condom use (i.e. dual protection). Non-barrier contraceptive use was associated with inconsistent condom use (odds ratio [OR] 3.10; 95% confidence interval [CI], 1.07-9.02) and multiple abortions (OR 4.71; 95% CI, 1.19-18.62). CONCLUSION: The results illustrate substantial risk for unintended pregnancy among FSWs. Further research is needed regarding the dynamics of non-barrier contraception and condom use. Efforts to improve the health and wellbeing of FSWs should include access to safe and effective contraception, in addition to HIV prevention. |
| PMCID | PMC3529991 |