Induced abortion, contraceptive use, and dual protection among female sex workers in Moscow, Russia
Decker, M.R.; Yam, E.A.; Wirtz, A.L.; Baral, S.D.; Peryshkina, A.; Mogilnyi, V.; Beyrer, C.
International Journal of Gynaecology and Obstetrics the Official Organ of the International Federation of Gynaecology and Obstetrics 120(1): 27-31
2013
ISSN/ISBN: 1879-3479 PMID: 23083495 DOI: 10.1016/j.ijgo.2012.07.026Document Number: 562017
To describe abortion history and current contraceptive use among female sex workers (FSWs) in Moscow, Russia. A clinic-based survey was conducted among 147 FSWs in Moscow during an 8-month period in 2005. 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). 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.
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