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

Michele R. Decker; Eileen A. Yam; Andrea L. Wirtz; Stefan D. Baral; Alena Peryshkina; Vladmir Mogilnyi; Chris Beyrer

doi:10.1016/j.ijgo.2012.07.026

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

Michele R. Decker, Eileen A. Yam, Andrea L. Wirtz, Stefan D. Baral, Alena Peryshkina, Vladmir Mogilnyi, Chris Beyrer

Research output: Contribution to journal › Article › peer-review

39 Scopus citations

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.

Original language	English (US)
Pages (from-to)	27-31
Number of pages	5
Journal	International Journal of Gynecology and Obstetrics
Volume	120
Issue number	1
DOIs	https://doi.org/10.1016/j.ijgo.2012.07.026
State	Published - Jan 2013

Keywords

Abortion
Condom use
Contraception
Dual protection
Female sex workers

ASJC Scopus subject areas

Obstetrics and Gynecology

Access to Document

10.1016/j.ijgo.2012.07.026

Cite this

@article{ddfc34710d624d719cc0beaaf1bfa631,

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

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.",

keywords = "Abortion, Condom use, Contraception, Dual protection, Female sex workers",

author = "Decker, {Michele R.} and Yam, {Eileen A.} and Wirtz, {Andrea L.} and Baral, {Stefan D.} and Alena Peryshkina and Vladmir Mogilnyi and Chris Beyrer",

note = "Funding Information: The study was supported by the National Institute on Drug Abuse ( R01 DA15005 ) and the Fogarty International Center ( FIC # 2 D 43 TWOOOO10-20-AITRP ). ",

year = "2013",

month = jan,

doi = "10.1016/j.ijgo.2012.07.026",

language = "English (US)",

volume = "120",

pages = "27--31",

journal = "International Journal of Gynecology and Obstetrics",

issn = "0020-7292",

publisher = "Elsevier Ireland Ltd",

number = "1",

}

TY - JOUR

T1 - Induced abortion, contraceptive use, and dual protection among female sex workers in Moscow, Russia

AU - Decker, Michele R.

AU - Yam, Eileen A.

AU - Wirtz, Andrea L.

AU - Baral, Stefan D.

AU - Peryshkina, Alena

AU - Mogilnyi, Vladmir

AU - Beyrer, Chris

N1 - Funding Information: The study was supported by the National Institute on Drug Abuse ( R01 DA15005 ) and the Fogarty International Center ( FIC # 2 D 43 TWOOOO10-20-AITRP ).

PY - 2013/1

Y1 - 2013/1

N2 - 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.

AB - 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.

KW - Abortion

KW - Condom use

KW - Contraception

KW - Dual protection

KW - Female sex workers

UR - http://www.scopus.com/inward/record.url?scp=84871719806&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871719806&partnerID=8YFLogxK

U2 - 10.1016/j.ijgo.2012.07.026

DO - 10.1016/j.ijgo.2012.07.026

M3 - Article

C2 - 23083495

AN - SCOPUS:84871719806

SN - 0020-7292

VL - 120

SP - 27

EP - 31

JO - International Journal of Gynecology and Obstetrics

JF - International Journal of Gynecology and Obstetrics

IS - 1

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this