title: Factors associated with induced abortion among female entertainment workers: a cross-sectional study in Cambodia.
abstract: OBJECTIVE
  To explore risk factors associated with induced abortion among sexually active female entertainment workers (FEWs) in Cambodia.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Phnom Penh and Siem Reap, Cambodia.
  
  
  METHODS
  This study included 556 FEWs aged 18-47 years randomly selected from entertainment establishments in the two cities in 2014 using a two-stage cluster sampling method. Data were collected through face-to-face interviews using a structured questionnaire.
  
  
  METHODS
  History of induced abortion during the time working as a FEW.
  
  
  RESULTS
  Of the total sample, 45.6% reported currently using a contraceptive method with condom (42.4%) being the most common method, followed by pills (25.6%). One-fourth (25%) of the respondents reported having been pregnant at least once, and 21.4% reported having at least one induced abortion during the time working as a FEW. After controlling for other covariates in a multivariate logistic regression model, FEWs with a history of induced abortion remained significantly more likely to be currently working in a karaoke bar (AOR=1.75, 95% CI 1.10 to 2.78), to have worked longer as a FEW (AOR=1.42, 95% CI 1.06 to 1.43), to have had a greater number of sexual partners in the past 12 months (AOR=1.86, 95% CI 1.02 to 1.54), to be currently using a contraceptive method (AOR=1.52, 95% CI 1.01 to 2.29), to be able to find condoms when they needed them (AOR=2.03, 95% CI 1.09 to 3.82), and to report inconsistent condom use with non-commercial partners in the past 3 months (AOR=1.62, 95% CI 1.06 to 3.44).
  
  
  CONCLUSIONS
  This study highlights the high rates of unwanted pregnancies that ended in induced abortions among FEWs in Cambodia. Access of FEWs to quality sexual and reproductive healthcare services is deemed a high priority. Integrated interventions to improve sexual and reproductive health among these vulnerable women should be tailored to reach the most-at-risk groups.
authors.affiliation: Research Center, KHANA, Phnom Penh, Cambodia Center for Global Health Research, Public Health Program, Touro University California, Vallejo, California, USA.
authors.forename: Siyan
authors.initials: S
authors.lastname: Yi
authors.affiliation: Research Center, KHANA, Phnom Penh, Cambodia.
authors.forename: Sovannary
authors.initials: S
authors.lastname: Tuot
authors.affiliation: Research Center, KHANA, Phnom Penh, Cambodia.
authors.forename: Pheak
authors.initials: P
authors.lastname: Chhoun
authors.affiliation: Research Center, KHANA, Phnom Penh, Cambodia.
authors.forename: Khuondyla
authors.initials: K
authors.lastname: Pal
authors.affiliation: Research Center, KHANA, Phnom Penh, Cambodia.
authors.forename: Khimuy
authors.initials: K
authors.lastname: Tith
authors.affiliation: Center for Global Health Research, Public Health Program, Touro University California, Vallejo, California, USA.
authors.forename: Carinne
authors.initials: C
authors.lastname: Brody
mesh_terms: D000028:Abortion, Induced / Q000523:psychology / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D002160:Cambodia; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D011275:Pregnancy, Unwanted / Q000523:psychology; D060386:Sex Workers / Q000523:psychology / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: EPIDEMIOLOGY; PREVENTIVE MEDICINE; PUBLIC HEALTH; REPRODUCTIVE MEDICINE