Injectable Contraceptive Continuation among Female Exotic Dancers Seeking Mobile Reproductive Health Services
Martin, C.E.; Han, J.J.; Serio-Chapman, C.; Chaulk, P.; Terplan, M.
Journal of Health Care for the Poor and Underserved 25(3): 1317-1327
2014
ISSN/ISBN: 1548-6869 PMID: 25130242 DOI: 10.1353/hpu.2014.0134Document Number: 622981
We describe depot medroxyprogesterone acetate (DMPA) continuation patterns among female exotic dancers receiving reproductive health services at a mobile syringe exchange. Clients initiating DMPA between November 2009 and August 2012 were identified retrospectively via chart review. Life table analysis measured continuation. Client characteristics were compared using chi-square tests. Sixty nine clients were identified; 72% were African American and 63% were younger than 25. At three months, 36% of the study sample continued DMPA; those continuing were more likely to be White (p=0.01) and receive other services (p=.01). The 12-month cumulative continuation probability was 0.09. Considering those who had received an injection, continuation proportions were higher (46% at 6; 71% at 12 months). A subset of female exotic dancers may favor DMPA as a long term contraceptive. Integrating mobile reproductive health services into public health programs can help fulfill the unique health needs of this high-risk population.