Association between Pregnancy and Active Injection Drug Use and Sex Work among Women Injection Drug Users in Saint Petersburg, RussiaReportar como inadecuado




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Journal of Urban Health

, Volume 92, Issue 3, pp 548–558

First Online: 03 April 2015DOI: 10.1007-s11524-015-9954-3

Cite this article as: Girchenko, P., Ompad, D.C., Bikmukhametov, D. et al. J Urban Health 2015 92: 548. doi:10.1007-s11524-015-9954-3

Abstract

Widespread use of unsafe sexual practices among women injecting drugs both practicing and not practicing sex work leads to high levels of unplanned pregnancies in this population. The goal of this study was to investigate the association between pregnancy and active drug use and sex work. Data were collected using a convenience sample of 500 women in Saint Petersburg, Russia, in 2013. All women had recent experience of drug use, of which 200 were pregnant at the time of the study. The study consisted of a structured interview followed by a rapid HIV test. Pregnancy was protective against both active drug use and sex work. For HIV-positive women, these associations were stronger than for HIV-negative women: drug use prevalence ratio PR was 0.59 vs 0.85; for sex work, the PRs were 0.36 vs 0.64. Higher levels of education were associated with a lower prevalence ratio for active drug use and sex work in all models. Having children was not associated with active drug use or sex work. Pregnancy might be an optimal time for conducting interventions aimed at cessation of drug use and sex work among women injecting drugs.

KeywordsPregnancy Injection drug use Sex work in St. Petersburg Dr. D. Bikmukhametov is an independent researcher

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Autor: P. Girchenko - D. C. Ompad - D. Bikmukhametov - L. Gensburg

Fuente: https://link.springer.com/







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