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AIDS Behav. 2018 Jun;22(6):1787-1791. doi: 10.1007/s10461-017-1990-4.

Contraceptive Use Among HIV-Infected Females with History of Injection Drug Use in St. Petersburg, Russia.

Author information

1
Division of Infectious Diseases and Global Public Health Global, Department of Medicine, University of California San Diego, 9500 Gilman Drive 0507, La Jolla, San Diego, 92093-0507, CA, USA. bswest@ucsd.edu.
2
Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
3
Laboratory of Clinical Pharmacology of Addictions, First Pavlov State Medical University, St. Petersburg, Russia.
4
Department of Medicine, Section of General Internal Medicine, Clinical Addiction Research and Education Unit, Boston Medical Center, Boston, MA, USA.
5
Data Coordinating Center, Boston University School of Public Health, Boston, MA, USA.
6
Department of Medicine, Section of General Internal Medicine, Clinical Addiction Research and Education Unit, Boston University School of Medicine/Boston Medical Center, Boston, MA, USA.
7
Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
8
Division of Infectious Diseases and Global Public Health Global, Department of Medicine, University of California San Diego, 9500 Gilman Drive 0507, La Jolla, San Diego, 92093-0507, CA, USA.

Abstract

Limited research examines family planning for HIV-infected women with a history of injection drug use. We describe modern contraceptive use and its association with heavy drinking and recent injection for HIV-infected females in St. Petersburg, Russia (N = 49): 22.4% (n = 11) used traditional methods and 30.6% (n = 15) reported modern contraceptive use, which consisted primarily of condoms (26.5%, n = 13). Over 63% (n = 31) had an abortion. Observed associations for heavy alcohol use (AOR = 2.36, CI = 0.53, 12.41) and recent injection drug use (AOR = 2.88, CI = 0.60, 16.92) were clinically notable, but not statistically significant. Prioritizing family planning for HIV-infected women with a history of substance use is urgently needed.

KEYWORDS:

Females; HIV-infected; Injection drug use; Modern contraceptive use; Russia

PMID:
29170946
PMCID:
PMC5960422
DOI:
10.1007/s10461-017-1990-4
[Indexed for MEDLINE]
Free PMC Article

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