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 journalArticlepeer-review

39 Scopus citations


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 languageEnglish (US)
Pages (from-to)27-31
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Issue number1
StatePublished - Jan 2013


  • Abortion
  • Condom use
  • Contraception
  • Dual protection
  • Female sex workers

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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