Induced abortion, contraceptive use, and dual protection among female sex workers in Moscow, Russia.
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).


CONCLUSIONS
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.
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. mdecker@jhsph.edu
Michele R
MR
Decker
Eileen A
EA
Yam
Andrea L
AL
Wirtz
Stefan D
SD
Baral
Alena
A
Peryshkina
Vladmir
V
Mogilnyi
Chris
C
Beyrer
D000028:Abortion, Induced / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D003267:Contraception / Q000379:methods / Q000706:statistics & numerical data; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003270:Contraceptive Agents / Q000008:administration & dosage; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D006801:Humans; D009031:Moscow; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D011477:Sex Work / Q000706:statistics & numerical data*; D055815:Young Adult
D003270:Contraceptive Agents