Systematic Review of Contraceptive Use Among Sex Workers in North America.

摘要: Abstract Objective To systematically review the literature regarding contraceptive use by sex workers in North America and to understand factors that limit reproductive agency affect decision making. Data Sources We searched PubMed, CINAHL, Embase databases using search terms “sex work(ers),” “transactional sex,” “exchange “prostitution,” “contraception,” “contraceptive agents,” “birth control,” “female,” “women.” Study Selection Articles were eligible for inclusion this if they (a) reported quantitative or qualitative studies based America, (b) written English, (c) included (self-identified engaged work behavior) as primary secondary population of study, (d) a assigned female at birth, (e) outcomes workers, (f) published peer-reviewed journals. The initial yielded 2,455 articles, seven met criteria. Extraction Two authors independently reviewed articles organized data table capture study design, sample size population, aims, use. applied Connell’s theory gender power an analytic framework further identify limited agency. Synthesis Condoms most common method used across studies. contraceptives varied partner type (client vs. nonpaying intimate partners). Access highly effective contraception was perceived stigma, financial constraints, substance Reproductive harm reduction services co-located where women worked improved Contraceptive affected agency, including use, violence, condom coercion. Conclusion reliance on partner-dependent contraception, such condoms, combined with over making contribute high potential failure unintended pregnancy. More research is needed influence different sexual types, pregnancy intention, workers.