原创力文档high lifetime pregnancy and low contraceptive usage among sex workers who use drugs- an unmet reproductive health need高终生怀孕和低避孕使用中使用药物的性工作者u2014u2014一个未满足的生殖健康的需求.pdfVIP
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high lifetime pregnancy and low contraceptive usage among sex workers who use drugs- an unmet reproductive health need高终生怀孕和低避孕使用中使用药物的性工作者u2014u2014一个未满足的生殖健康的需求
Duff et al. BMC Pregnancy and Childbirth 2011, 11:61
/1471-2393/11/61
RESEARCH ARTICLE Open Access
High Lifetime Pregnancy and Low Contraceptive
Usage Among Sex Workers Who Use Drugs- An
Unmet Reproductive Health Need
1,2 2 1 3 1,4 1,2,4*
Putu Duff , Jean Shoveller , Ruth Zhang , Debbie Alexson , Julio SG Montaner and Kate Shannon
Abstract
Background: The objective of this study was to describe levels of pregnancy and contraceptive usage among a
cohort of street-based female sex workers (FSWs) in Vancouver.
Methods: The study sample was obtained from a community-based prospective cohort study (2006-2008) of 211
women in street-based sex work who use drugs, 176 of whom had reported at least one prior pregnancy.
Descriptive statistics were used to estimate lifetime pregnancy prevalence, pregnancy outcomes (miscarriage,
abortion, adoption, child apprehension, child custody), and contraceptive usage. In secondary analyses, associations
between contraceptive usage, individual and interpersonal risk factors and high number of lifetime pregnancies
(defined as greater than the sample mean of 4) were examined.
Results: Among our sample, 84% reported a prior pregnancy, with a mean of 4 lifetime pregnancies (median = 3;
IQR: 2-5). The median age of women reporting 5+ pregnancies was 38 years old [interquartile range (IQR): 25.0-
39.0] compared to 34 years [IQR: 25.0-39.0] among women reporting 4 or fewer prior pregnancies. 45% were
Caucasian and 47% were of Aboriginal ancestry. We observed high rates of previous abortion (median = 1;IQR:1-3),
apprehension (median = 2; IQR:1-4) and adoption (median = 1; IQR:1-2) among FSWs who reported prior
pregnancy. The use of hormonal and insertive contra
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