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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Induced abortion, contraceptive use, and dual protection among female sex workers in Moscow, Russia

TitleInduced abortion, contraceptive use, and dual protection among female sex workers in Moscow, Russia
Publication TypeJournal Article
Year of Publication2013
AuthorsDecker, MR, Yam, EA, Wirtz, AL, Baral, SD, Peryshkina, A, Mogilnyi, V, Beyrer, C
JournalInternational Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics
Volume120
Pagination27-31
Date PublishedJan
ISBN Number1879-3479 (Electronic)0020-7292 (Linking)
Accession Number23083495
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