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Contraceptive Utilization and Pregnancy Termination Among Female Sex Workers in Afghanistan.

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Title: Contraceptive Utilization and Pregnancy Termination Among Female Sex Workers in Afghanistan.
Authors: Todd CS (AUTHOR), Nasir A (AUTHOR), Raza Stanekzai M (AUTHOR), Scott PT (AUTHOR), Strathdee SA (AUTHOR), Botros BA (AUTHOR), Tjaden J (AUTHOR)
Source: Journal of Women's Health (15409996). Nov2010, Vol. 19 Issue 11, p2057-2062. 6p.
Subjects: Sexually transmitted diseases, Abortion, Analysis of variance, Cluster analysis (Statistics), Confidence intervals, Contraception, Statistical correlation, Epidemiology, Research methodology, Medical needs assessment, Medroxyprogesterone, Oral contraceptives, Population geography, Sex work, Statistics, Substance abuse, Surveys, T-test (Statistics), Data analysis, Multiple regression analysis, Disease prevalence, Unplanned pregnancy, Reproductive history, History
Geographic Terms: Afghanistan
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Contraceptive Utilization and Pregnancy Termination Among Female Sex Workers in Afghanistan.
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  Data: 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 &#177; 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 &lt; 0.001) and prior termination (54.9% vs. 31.8% in Kabul or 26.8% in Mazar, p &lt; 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. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Women&#39;s Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=105013185
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1089/jwh.2010.1947
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 6
        StartPage: 2057
    Subjects:
      – SubjectFull: Sexually transmitted diseases
        Type: general
      – SubjectFull: Abortion
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Cluster analysis (Statistics)
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Contraception
        Type: general
      – SubjectFull: Statistical correlation
        Type: general
      – SubjectFull: Epidemiology
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Medical needs assessment
        Type: general
      – SubjectFull: Medroxyprogesterone
        Type: general
      – SubjectFull: Oral contraceptives
        Type: general
      – SubjectFull: Population geography
        Type: general
      – SubjectFull: Sex work
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: T-test (Statistics)
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      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Unplanned pregnancy
        Type: general
      – SubjectFull: Reproductive history
        Type: general
      – SubjectFull: History
        Type: general
      – SubjectFull: Afghanistan
        Type: general
    Titles:
      – TitleFull: Contraceptive Utilization and Pregnancy Termination Among Female Sex Workers in Afghanistan.
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              Text: Nov2010
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