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Contraceptive use among female sex workers in three Russian cities.

Publication ,  Journal Article
Martin, CE; Wirtz, AL; Mogilniy, V; Peryshkina, A; Beyrer, C; Decker, MR
Published in: Int J Gynaecol Obstet
November 2015

OBJECTIVE: To determine the prevalence of, and factors associated with, use of non-barrier contraception (intrauterine device, hormonal contraceptives, and female sterilization) among female sex workers (FSWs) in three Russian cities. METHODS: A secondary analysis of data from a cross-sectional survey of FSWs aged 18 years and older from Kazan, Krasnoyarsk, and Tomsk was undertaken. Participants had completed a one-time computer-based survey in 2011. Among the 708 with a current contraceptive need, logistic regression was used to evaluate factors associated with use of non-barrier contraceptives. RESULTS: Use of non-barrier contraceptives was reported by 237 (33.5%) FSWs. Use of non-barrier contraceptives was associated with being in sex work longer (≥ 4 years vs < 1 year: adjusted odds ratio [AOR] 4.70; 95% confidence interval [CI] 1.51-14.66) and having a non-paying partner (AOR 2.02; 95% CI 1.32-3.11). Odds of non-barrier contraception were reduced among FSWs who had ever worked with a pimp/momka (AOR 0.46; 95% CI 0.24-0.87), who had experienced recent client-perpetrated violence (AOR 0.19; 95% CI 0.07-0.52), or reporting consistent condom use (AOR 0.30; 95% CI 0.16-0.54). Only 13 (5.5%) of the 237 FSWs using non-barrier contraception reported consistent condom use. CONCLUSION: Only one-third reported use of non-barrier contraception, suggesting substantial unmet contraceptive needs. FSWs are an important target population for family planning, reproductive health counseling, and care.

Duke Scholars

Published In

Int J Gynaecol Obstet

DOI

EISSN

1879-3479

Publication Date

November 2015

Volume

131

Issue

2

Start / End Page

156 / 160

Location

United States

Related Subject Headings

  • Young Adult
  • Time Factors
  • Sexual Partners
  • Sex Workers
  • Sex Offenses
  • Russia
  • Odds Ratio
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Logistic Models
 

Citation

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ICMJE
MLA
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Martin, C. E., Wirtz, A. L., Mogilniy, V., Peryshkina, A., Beyrer, C., & Decker, M. R. (2015). Contraceptive use among female sex workers in three Russian cities. Int J Gynaecol Obstet, 131(2), 156–160. https://doi.org/10.1016/j.ijgo.2015.06.026
Martin, Caitlin E., Andrea L. Wirtz, Vladimir Mogilniy, Alena Peryshkina, Chris Beyrer, and Michele R. Decker. “Contraceptive use among female sex workers in three Russian cities.Int J Gynaecol Obstet 131, no. 2 (November 2015): 156–60. https://doi.org/10.1016/j.ijgo.2015.06.026.
Martin CE, Wirtz AL, Mogilniy V, Peryshkina A, Beyrer C, Decker MR. Contraceptive use among female sex workers in three Russian cities. Int J Gynaecol Obstet. 2015 Nov;131(2):156–60.
Martin, Caitlin E., et al. “Contraceptive use among female sex workers in three Russian cities.Int J Gynaecol Obstet, vol. 131, no. 2, Nov. 2015, pp. 156–60. Pubmed, doi:10.1016/j.ijgo.2015.06.026.
Martin CE, Wirtz AL, Mogilniy V, Peryshkina A, Beyrer C, Decker MR. Contraceptive use among female sex workers in three Russian cities. Int J Gynaecol Obstet. 2015 Nov;131(2):156–160.

Published In

Int J Gynaecol Obstet

DOI

EISSN

1879-3479

Publication Date

November 2015

Volume

131

Issue

2

Start / End Page

156 / 160

Location

United States

Related Subject Headings

  • Young Adult
  • Time Factors
  • Sexual Partners
  • Sex Workers
  • Sex Offenses
  • Russia
  • Odds Ratio
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Logistic Models