Utilization of contraception and abortion and its relationship to HIV infection among female sex workers in Tashkent, Uzbekistan

Contraception. 2006 Oct;74(4):318-23. doi: 10.1016/j.contraception.2006.04.006. Epub 2006 Jun 30.

Abstract

Objective: This study aimed to describe reported contraceptive and abortion utilization and their relationship to human immunodeficiency virus (HIV) infection among female sex workers (FSW) in Tashkent, Uzbekistan.

Methods: For this cross-sectional study, women were recruited through outreach workers affiliated with Istiqbolli Avlod. Participants completed a self-administered questionnaire and underwent HIV testing.

Results: Of 448 participants, the majority (86.2%, n=386) used contraception; 39.6% reported inconsistent use. Methods most frequently utilized were condoms (50.9%) and intrauterine devices (16.1%). One fourth (24.3%, n=109) reported multiple (>or=3) prior abortions. Inconsistent contraceptive users were more likely to be infected with HIV (AOR=2.72, 95% CI=1.19-6.22), but such infection was not related to a specific contraceptive method, including condoms, or utilization of abortion.

Conclusions: Inconsistent contraceptive use is common and may be a predictor of HIV infection among Tashkent FSW. Factors preventing consistent contraceptive use may be related to HIV risk and require further study in this population.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Abortion, Induced / statistics & numerical data*
  • Adolescent
  • Adult
  • Contraception / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / transmission
  • HIV-1
  • Humans
  • Middle Aged
  • Pregnancy
  • Prevalence
  • Sex Work / statistics & numerical data*
  • Surveys and Questionnaires
  • Uzbekistan / epidemiology