背景:女性性工作者(FSW)特别容易遭受意外怀孕。研究调查了中国FSW因商业性行为而意外怀孕的经历,然而,是有限的。这项研究旨在检查中国FSW中商业性行为导致的意外怀孕的患病率和相关性。
方法:2021年,对中国南方广东省五个城市的1257个FSW进行了横断面研究。收集了有关社会人口统计特征的数据,性行为,由于商业性行为导致的意外怀孕的经验及其妊娠结局,以及一生中堕胎的经验。采用多变量logistic回归分析确定与意外妊娠相关的因素。
结果:在1257FSW中,19.3%的人报告说,由于商业性行为,至少有一次意外怀孕。其中,96.7%选择通过人工流产终止妊娠,40.5%报告在其一生中经历多次人工流产。多变量逻辑回归表明,FSW在当前位置工作超过一年(调整后的赔率比(aOR):2.82,95%CI1.71-4.64),并且在过去一周中有超过7名客户(aOR:4.53,95%CI2.74-7.51)更有可能由于商业性行为而意外怀孕。在高层工作(aOR:0.21,95%CI0.14-0.30)和过去一个月与客户一致使用避孕套(aOR:0.16,95%CI0.10-0.23)与FSW比例较低有关。
结论:在中国南方的FSW中,意外妊娠普遍存在。在中国FSW中,可能需要采取旨在降低意外怀孕患病率和加强流产后护理的干预措施。
女性性工作者(FSW)特别容易遭受意外怀孕。对中国FSW商业性行为导致的意外怀孕经历的研究是,然而,limited.为了解决这个知识差距,我们调查了中国FSW中商业性行为导致的意外妊娠的患病率和相关性。我们在2021年对中国南方广东省五个城市的1257个FSW进行了横断面研究。多变量logistic回归分析用于确定与意外妊娠相关的因素。在1257FSW中,19.3%的人报告由于商业性行为而经历了至少一次意外怀孕。在多变量分析中,与意外怀孕显着相关的因素包括在高层工作的参与者,在当前位置工作一年以上,在过去的一个月里,客户不一致地使用避孕套,在过去的一周里有更多的客户。这项研究的结果可以为制定旨在减少意外怀孕的政策提供有价值的见解,改善堕胎护理,并加强针对FSW的计划生育计划。
BACKGROUND: Female sex workers (FSW) are particularly vulnerable to unintended pregnancy. Research examining the experience of unintended pregnancy due to commercial sex among Chinese FSW, however, is limited. This study aimed to examine the prevalence and correlates of unintended pregnancy due to commercial sex among FSW in China.
METHODS: In 2021, a cross-sectional study was conducted among 1257 FSW in five cities from Guangdong provinces in South China. Data were collected on social-demographic characteristics, sexual behaviors, experience of unintended pregnancy due to commercial sex and its pregnancy outcome, as well as experience of abortion in lifetime. Multivariable logistic regression analysis was employed to identify factors associated with unintended pregnancy.
RESULTS: Among the 1257 FSW, 19.3% reported having at least one unintended pregnancy due to commercial sex. Of those, 96.7% chose to terminate the pregnancy through induced abortion, and 40.5% reported undergoing multiple induced abortions in their lifetime. Multivariable logistic regression indicated that FSW working in current location over one year (adjusted Odds Ratio (aOR): 2.82, 95% CI 1.71-4.64) and having more than seven clients in the past week (aOR: 4.53, 95% CI 2.74-7.51) were more likely to have had unintended pregnancy due to commercial sex. Working in high tier (aOR: 0.21, 95% CI 0.14-0.30) and consistent condom use with clients in the past month (aOR: 0.16, 95% CI 0.10-0.23) were associated with a lower proportion of FSW having ever had unintended pregnancy.
CONCLUSIONS: Unintended pregnancy are prevalent among FSW in South China. Interventions aimed at reducing the prevalence of unintended pregnancy and enhancing post-abortion care could be necessary among Chinese FSW.
Female sex workers (FSW) are particularly vulnerable to unintended pregnancies. Research on the experience of unintended pregnancy resulting from commercial sex among Chinese FSW is, however, limited.To address this knowledge gap, we investigated the prevalence and correlates of unintended pregnancies due to commercial sex among FSW in China. We conducted a cross-sectional study among 1257 FSW in five cities across Guangdong Province in South China in 2021. Multivariable logistic regression analysis was used to identify factors associated with unintended pregnancy.Among 1257 FSW, 19.3% reported having experienced at least one unintended pregnancy due to commercial sex. The factors significantly associated with unintended pregnancy in the multivariate analysis included participants working in high tier, working in current location over one year, using condom with clients inconsistently in the past month, and having more clients in the past week.The findings from this study could provide valuable insights for the development of policies aimed at reducing unintended pregnancies, improving abortion care, and enhancing family planning programs targeted at FSW.