Induced abortion, contraceptive use, and dual protection among female sex workers in Moscow, Russia

Int J Gynaecol Obstet. 2013 Jan;120(1):27-31. doi: 10.1016/j.ijgo.2012.07.026. Epub 2012 Oct 16.


Objective: To describe abortion history and current contraceptive use among female sex workers (FSWs) in Moscow, Russia.

Methods: A clinic-based survey was conducted among 147 FSWs in Moscow during an 8-month period in 2005.

Results: In total, 83 of 143 (58.0%) FSWs reported a history of abortion, with 45 of 143 (31.5%) indicating multiple abortions. Condoms were the primary form of contraception (145/146 [99.3%]); just 17 of 142 (12.0%) FSWs reported using non-barrier modern contraception. All women who reported using a non-barrier modern method also indicated condom use (i.e. dual protection). Non-barrier contraceptive use was associated with inconsistent condom use (odds ratio [OR] 3.10; 95% confidence interval [CI], 1.07-9.02) and multiple abortions (OR 4.71; 95% CI, 1.19-18.62).

Conclusion: The results illustrate substantial risk for unintended pregnancy among FSWs. Further research is needed regarding the dynamics of non-barrier contraception and condom use. Efforts to improve the health and wellbeing of FSWs should include access to safe and effective contraception, in addition to HIV prevention.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Abortion, Induced / statistics & numerical data*
  • Adolescent
  • Adult
  • Condoms / statistics & numerical data*
  • Contraception / methods
  • Contraception / statistics & numerical data
  • Contraception Behavior / statistics & numerical data*
  • Contraceptive Agents / administration & dosage
  • Cross-Sectional Studies
  • Data Collection
  • Female
  • Humans
  • Moscow
  • Pregnancy
  • Pregnancy, Unplanned
  • Sex Work / statistics & numerical data*
  • Young Adult


  • Contraceptive Agents