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2015 ; 12
(ä): 82
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Characteristics, risk behaviors and factors associated with abortion among female
entertainment workers in Cambodia
#MMPMID26341129
Sopheab H
; Tuot S
; Chhea C
; Gorbach P
Reprod Health
2015[Sep]; 12
(ä): 82
PMID26341129
show ga
BACKGROUND: Linkages between HIV and reproductive health (RH) among female
entertainment workers (EWs) have not been addressed well in most developing
countries. In Cambodia, there has been considerable research on HIV epidemiology
among EWs. However, there have been limited studies on RH and specifically
factors related to abortion. We examine socio-behavioral characteristics, and RH
practices as determinants of abortion among Cambodian EWs. METHODS: A survey was
conducted in Siem Reap and Battambang and Phnom Penh provinces/city among EWs in
September 2012. Trained female interviewers administered the survey to 595 EWs.
Two-stage cluster sampling was used to select EWs. Bivariate associations were
examined using chi-squares; univariate and multivariate logistic regression were
used to assess factors independently associated with reporting having at least
one abortion while working as an EW. RESULTS: Three-quarters (75 %) of EWs were
sexually active, of which nearly one third reported at least one abortion while
working as an EW. About 40 % of EWs reported recent an abortion in the past six
months. Contraceptive use in the past year was low. Factors found to be
independently associated with reporting a recent abortion included: ages 25-29
(OR?=?2.2, 95 % CI: 1.2-4.0), living with spouse/cohabitated partner (OR?=?2.2,
95 % CI: 1.1-4.2), longer duration of entertainment work (OR?=?4.8, 95 % CI:
2.5-9.2), higher number of partners (OR?=?4.4, 95 % CI: 2.2-8.7) and being a
karaoke worker (OR?=?2.2, 95 % CI: 1.1-4.4). CONCLUSION: This study highlights a
high proportion of EWs reporting abortion. While HIV vulnerability of EWs has
been clearly established, broader RH needs have gone largely unrecognized and not
prioritized. Though HIV/RH integrated initiatives have been introduced by the HIV
program, challenges for EWs with multiple risks from professional and partners
are profound. Therefore, there is an urgent need for practical programmatic
approaches to help address their RH needs.
|*Risk-Taking
[MESH]
|*Sex Workers
[MESH]
|Abortion, Induced/*adverse effects/statistics & numerical data
[MESH]