Evidence map›Paper›PMID 29506538›Full record

ArticleHarm reduction journal2018

Another frontier for harm reduction: contraceptive needs of females who inject drugs in Estonia, a cross-sectional study.

Anneli Uusküla, Mait Raag, Sigrid Vorobjov, Don Des Jarlais

Abstract read
In one paragraph

Article in Harm reduction journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Anneli UuskülaDepartment of Family medicine and Public Health, University of Tartu, Ravila 19, 50411, Tartu, Estonia. anneli.uuskula@ut.ee.ORCID 0000-0002-4036-3856
Mait RaagDepartment of Family medicine and Public Health, University of Tartu, Ravila 19, 50411, Tartu, Estonia.
Sigrid VorobjovInfectious Diseases and Drug Monitoring Department, National Institute for Health Development, Tallinn, Estonia.
Don Des JarlaisDepartment of Psychiatry, The Baron Edmond de Rothschild Chemical Dependency Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Funding

Transdisciplinary Theoretical Svnthesis and Development CoreP30DA011041 · NIDA · NEW YORK UNIVERSITY · PI LINDA M COLLINS · 1998 to 2026
$38.9M
Combined prevention to reduce initiation into injecting drug useDP1DA039542 · NIDA · NEW YORK UNIVERSITY · PI DES JARLAIS, DON C · 2015 to 2019
$4.1M
Estonian Ministry of Education and Research IUT34-17NIDA NIH HHS 1DP1DA039542NIDA NIH HHS DP1 DA039542NIDA NIH HHS P30 DA011041
6 · The paper itself

Abstract

backgroundDespite increasing contraceptive availability, unintended pregnancy remains a global problem. Developing strategies to reverse this trend and increasing occurrence of withdrawal syndrome among newborn children of females currently injecting drugs warrants special attention. The knowledge base on the uptake of effective contraception among females who inject drugs (FWID) is scant. We aimed to examine the prevalence of and factors associated with the use of non-condom contraceptives among sexually active FWID with the focus on effective contraception.

methodsIn a series of cross-sectional studies (2007-2013), 265 current FWID were recruited through respondent-driven sampling (RDS), interviewed, and tested for HIV. RDS weights were used to estimate the prevalence of effective contraception (hormonal contraception, intrauterine device, sterilization) use in the last 6 months.

resultsOf the sexually active women with main partners (n = 196) 4.8% (95% CI 2.3-9.7) were using effective contraception, 52.7% (95% CI 42.5-62.7) less-effective or no contraception. 42.5% (95% CI 32.7-52.9) relied on condoms for contraception. The odds for using effective contraception were higher among women with > 10 years of education (OR 7.29, 95% CI 1.4-38.8). None of the women lacking health insurance (n = 84) were using effective contraception.

conclusionsThe very low coverage with effective contraception highlights the need to improve contraceptive services for FWID. Reproductive health service including contraception should be considered essential components of harm reduction and of comprehensive prevention and care for HIV among persons who use drugs.

Indexed as

Harm ReductionAdolescentAdultContraceptionCross-Sectional StudiesEstoniaFemaleHealth Services AccessibilityHealth Services Needs and DemandHumansMiddle AgedPregnancySubstance Abuse, IntravenousYoung AdultContraceptionEstoniaFemales who use drugsHIVPeople who inject drugsWomen

Identifiers

PMID29506538
PMCPMC5838942

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.