دورية أكاديمية
Use of long-acting reversible contraception in a cluster-random sample of female sex workers in Kenya.
| العنوان: | Use of long-acting reversible contraception in a cluster-random sample of female sex workers in Kenya. |
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| المؤلفون: | Ampt FH; Burnet Institute, Melbourne, SA, Australia.; School of Public Health and Preventive Medicine, Monash University, Melbourne, SA, Australia., Lim MSC; Burnet Institute, Melbourne, SA, Australia.; School of Public Health and Preventive Medicine, Monash University, Melbourne, SA, Australia.; Melbourne School of Global and Population Health, University of Melbourne, Melbourne, SA, Australia., Agius PA; Burnet Institute, Melbourne, SA, Australia.; School of Public Health and Preventive Medicine, Monash University, Melbourne, SA, Australia.; Judith Lumley Centre, La Trobe University, Melbourne, SA, Australia., Chersich MF; Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg, South Africa.; International Centre for Reproductive Health, Department of Primary Care and Public Health, Ghent University, Ghent, Belgium., Manguro G; International Centre for Reproductive Health, Mombasa, Kenya., Gichuki CM; International Centre for Reproductive Health, Mombasa, Kenya., Stoové M; Burnet Institute, Melbourne, SA, Australia., Temmerman M; International Centre for Reproductive Health, Mombasa, Kenya.; International Centre for Reproductive Health, Department of Primary Care and Public Health, Ghent University, Ghent, Belgium.; Aga Khan University, Nairobi, Kenya., Jaoko W; University of Nairobi, Nairobi, Kenya., Hellard M; Burnet Institute, Melbourne, SA, Australia., Gichangi P; International Centre for Reproductive Health, Mombasa, Kenya.; University of Nairobi, Nairobi, Kenya., Luchters S; Burnet Institute, Melbourne, SA, Australia.; School of Public Health and Preventive Medicine, Monash University, Melbourne, SA, Australia.; International Centre for Reproductive Health, Department of Primary Care and Public Health, Ghent University, Ghent, Belgium.; Aga Khan University, Nairobi, Kenya. |
| المصدر: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2019 Aug; Vol. 146 (2), pp. 184-191. Date of Electronic Publication: 2019 Jun 17. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 0210174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-3479 (Electronic) Linking ISSN: 00207292 NLM ISO Abbreviation: Int J Gynaecol Obstet Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017- : Malden, MA : Wiley Original Publication: [New York, NY] Hoeber Medical Division, Harper & Row, [c1969- |
| مواضيع طبية MeSH: | Contraception Behavior/*statistics & numerical data , Long-Acting Reversible Contraception/*statistics & numerical data , Sex Workers/*statistics & numerical data, Adult ; Cluster Analysis ; Contraception Behavior/psychology ; Cross-Sectional Studies ; Female ; Humans ; Intrauterine Devices/adverse effects ; Intrauterine Devices/statistics & numerical data ; Kenya ; Long-Acting Reversible Contraception/adverse effects ; Multivariate Analysis ; Odds Ratio ; Pregnancy ; Unsafe Sex/statistics & numerical data |
| مستخلص: | Objective: To assess correlates of long-acting reversible contraceptive (LARC) use, and explore patterns of LARC use among female sex workers (FSWs) in Kenya. Methods: Baseline cross-sectional data were collected between September 2016 and May 2017 in a cluster-randomized controlled trial in Mombasa. Eligibility criteria included current sex work, age 16-34 years, not pregnant, and not planning pregnancy. Peer educators recruited FSWs from randomly selected sex-work venues. Multiple logistic regression identified correlates of LARC use. Prevalence estimates were weighted to adjust for variation in FSW numbers recruited across venues. Results: Among 879 participants, the prevalence of contraceptive use was 22.6% for implants and 1.6% for intra-uterine devices (IUDs). LARC use was independently associated with previous pregnancy (adjusted odds ratio for one pregnancy, 11.4; 95% confidence interval, 4.25-30.8), positive attitude to and better knowledge of family planning, younger age, and lower education. High rates of adverse effects were reported for all methods. Conclusion: The findings suggest that implant use has increased among FSWs in Kenya. Unintended pregnancy risks remain high and IUD use is negligible. Although LARC rates are encouraging, further intervention is required to improve both uptake (particularly of IUDs) and greater access to family planning services. (© 2019 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.) |
| معلومات مُعتمدة: | Burnet Institute; Australia's National Health and Medical Research Council |
| فهرسة مساهمة: | Keywords: Cluster-randomized design; Complex sampling; Contraceptive implant; Intra-uterine device; Kenya; Long-acting reversible contraception; Sex work |
| تواريخ الأحداث: | Date Created: 20190516 Date Completed: 20190903 Latest Revision: 20190903 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1002/ijgo.12862 |
| PMID: | 31090059 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1879-3479 |
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| DOI: | 10.1002/ijgo.12862 |