Document Detail


Contraceptive utilization and pregnancy termination among female sex workers in Afghanistan.
MedLine Citation:
PMID:  20879869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To determine the prevalence and correlates of prior pregnancy termination and unmet need for contraception among female sex workers (FSWs) in Afghanistan.
METHODS: FSWs in Jalalabad, Kabul, and Mazar-i-Sharif were recruited between June 2006 and December 2007 through outreach programs. Participants completed an interviewer-administered survey describing demographics, behaviors associated with risk of sexually transmitted infections (STIs) and unplanned pregnancy, and medical history. Correlates of prior pregnancy termination and current unmet need for contraception were assessed with logistic regression analysis, controlling for site.
RESULTS: Of 520 FSWs, most (82.3%) had been pregnant at least once (mean 4.9 ± 2.7, range 1-17), among whom unplanned pregnancy (36.9%) and termination (33.2%) were common. Jalalabad participants were more likely to report both prior unplanned pregnancy (60.6% vs. 48.3% in Kabul or 20.7% in Mazar, p < 0.001) and prior termination (54.9% vs. 31.8% in Kabul or 26.8% in Mazar, p < 0.001). Most FSWs (90.0%) stated pregnancy was not currently desirable, and 85.2% were using contraception. Unmet need for contraception (14.7% of participants) was positively associated with having sold sex outside their city of residence (adjusted odds ratio [AOR] 1.88, 95% confidence interval [CI] 1.28-2.77) and inversely associated with illicit drug use (AOR 0.41, 95% CI 0.31-0.53).
CONCLUSIONS: Although FSWs in Afghanistan report high rates of contraceptive use, unplanned pregnancy is common. Reproductive health services should be included in programming for FSWs to reduce unplanned pregnancies and to reduce HIV/STI risks.
Authors:
Catherine S Todd; Abdul Nasir; Mohammad Raza Stanekzai; Paul T Scott; Steffanie A Strathdee; Boulos A Botros; Jeffrey Tjaden
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-09-29
Journal Detail:
Title:  Journal of women's health (2002)     Volume:  19     ISSN:  1931-843X     ISO Abbreviation:  J Womens Health (Larchmt)     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-05     Completed Date:  2011-01-25     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  101159262     Medline TA:  J Womens Health (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2057-62     Citation Subset:  IM    
Affiliation:
Department of Obstetrics & Gynecology, Columbia University, New York, New York 10032, USA. cst2121@columbia.edu
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / statistics & numerical data*
Adult
Afghanistan
Contraception / utilization*
Cross-Sectional Studies
Female
HIV Infections / prevention & control
Health Knowledge, Attitudes, Practice*
Humans
Interviews as Topic
Logistic Models
Pregnancy
Pregnancy, Unplanned
Prostitution / statistics & numerical data*
Questionnaires
Risk
Sexually Transmitted Diseases / prevention & control
Urban Health Services / utilization
Grant Support
ID/Acronym/Agency:
K01TW007408/TW/FIC NIH HHS
Comments/Corrections

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