Correlates of abortions and condom use among high risk women attending an std clinic in st Petersburg, Russia

Reproductive Health

Tatiana V Krasnoselskikh²  Andrei P Kozlov¹  Roman V Skochilov¹  Alla V Shaboltas¹  Weihai Zhan³  Nadia Abdala³ 

[1] Saint Petersburg, State University, 7/9 Universitetskaya nab, St Petersburg, 199034, Russian Federation;Pavlov State Medical University, 6/8 Leo Tolstoy Str., St Petersburg, 197022, Russian Federation;Yale School of Public Health, 60 College Street, New Haven, CT, 06520, USA

关键词: AUDIT-C;    alcohol misuse;    high risk women;    HIV risk;    Russia;    condom use;    abortion;   

Others  :  821777
DOI  :  10.1186/1742-4755-8-28

 received in 2011-08-10, accepted in 2011-10-12,  发布年份 2011

【 摘 要 】

Background

Many women in Russia rely on abortion as a primary birth control method. Although refusal to use contraceptives, including condoms, may undermine public health efforts to decrease HIV sexual risk behaviors, few studies have investigated the risk factors associated with abortion among women at high risk for HIV. This study sought to identify the correlates of abortions and of lack of condom use among high risk STD clinic patients in St Petersburg Russia.

Methods

Cross-sectional analysis of data collected between 2009 and 2010 from women who had casual or multiple sexual partners in the previous three months was analyzed. Multivariate logistic regression assessed the independent correlates of abortion(s) and no condom use in the prior three months. Independent variables included socio-demographics, at risk drinking per alcohol use disorder identification test (AUDIT-C) criteria, having sex after drinking alcohol, having a sexual partner who injects illicit drugs, and parity.

Results

Of 87 participants, 45% had an abortion in their lifetime and 26% did not use condoms in the prior three months. Abortion was independently associated with low income (OR, 3.33, 95%CI, 1.13-9.78) and at risk drinking (OR, 3.52, 95%CI, 1.24-10.05). Lack of condom use was independently associated with being more likely to have sex after drinking (OR, 3.37, 95%CI, 1.10-10.28) and parity (OR, 3.69, 95%CI, 1.25-10.89).

Conclusions

Programs to increase contraceptive use including condom use among women at high risk for STD/HIV in Russia are needed. Programs to reduce sexual HIV risk and abortion rates must address alcohol misuse and target women with limited income.

【 授权许可】

   
2011 Abdala et al; licensee BioMed Central Ltd.

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