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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677680 | PMC |
| http://dx.doi.org/10.1016/j.ijgo.2015.06.026 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Use of non-barrier contraceptives among women with human immunodeficiency virus; a nationwide, matched cohort study.
AIDS
November 2024
Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Objective: To investigate the use of non-barrier contraceptives among women with HIV (WWH) compared to women from the general population (WGP) in Denmark.
Design: Nationwide population-based matched cohort study.
Methods: We included WWH aged 16-50, treated at an HIV specialized clinic, and included in The Danish HIV Cohort Study between 1995-2021 and an age-matched comparison cohort of WGP.
Contraceptive use and method mix dynamics in Sub-saharan Africa: time trends and the influence of the HIV pandemic.
Contracept Reprod Med
April 2024
Regional Institute for Population Studies, University of Ghana, Post Office Box LG 96, Legon, Accra, Ghana.
Background: Contraceptive use dynamics continue to be of priority in sub-Saharan Africa because of persistently high levels of fertility. This paper focuses on the use of barrier versus non-barrier contraceptive use in sub-Saharan Africa hypothesizing that the HIV pandemic in the region would be responsible for increases in the use of barrier methods over time.
Methods: This paper uses Demographic and Heath Survey (DHS) data from 32 countries to conduct extensive analysis of trends in contraceptive use and method mix that refers to the distribution of contraceptive methods use among the sexually active population.
Contraceptive effects on the cervicovaginal microbiome: Recent evidence including randomized trials.
Am J Reprod Immunol
November 2023
Division of Immunology, Department of Pathology, University of Cape Town, Rondebosch, Western Cape, South Africa.
Article Synopsis
- Recent studies suggest that data on non-barrier contraceptives and the mucosal microbiome has often been confounded by behavioral factors, leading to potential biases in previous observational studies.
- This review highlights evidence from randomized trials, indicating that long-acting progestin-only contraceptives and oral contraceptive pills (OCPs) generally have little to no impact on the vaginal microbiome or the risk of bacterial STIs, while some evidence ties copper IUDs to an increased risk of bacterial vaginosis.
- The conclusion stresses the need for thorough evaluations of different hormonal contraceptives and their biological effects on the microbiome to enhance family planning options and guidance.
Barriers and facilitators for access and utilization of reproductive and sexual health services among Female Sex Workers in urban and rural Maharashtra, India.
Front Public Health
December 2022
Division of Social and Behavioural Research, Indian Council of Medical Research-National AIDS Research Institute (ICMR-NARI), Pune, India.
Background: The public health interventions among Female Sex Workers (FSWs) have mainly addressed HIV/ STI prevention. The focus of the HIV prevention program on FSWs' Reproductive and Sexual Health (RSH) has been limited, thus, rendering them at a higher risk of unintended pregnancies, delayed pregnancy detection, and utilizing unsafe abortion methods.
Methods: A multistakeholder analysis was performed to study access and use of RSH services among FSWs in urban and rural India.
Contraceptive exposure associates with urinary tract infection risk in a cohort of reproductive-age women: a case control study.
Eur J Contracept Reprod Health Care
February 2023
Department of Medicine, Division of Infectious Diseases, Medical Center North, Vanderbilt University Medical Center, Nashville, TN, USA.
Purpose: Although non-barrier contraception is commonly prescribed, the risk of urinary tract infections (UTI) with contraceptive exposure is unclear.
Materials And Methods: Using data from Vanderbilt University Medical Centre's deidentified electronic health record (EHR), women ages 18-52 were randomly sampled and matched based on age and length of EHR. This case-control analysis tested for association between contraception exposure and outcome using UTI-positive (UTI+) as cases and upper respiratory infection+ (URI+) as controls.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!