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

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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.

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Acknowledgements

The authors gratefully acknowledge the contributions of study participants and staff. We would also like to Vivian Dinh for assistance with table preparation.

Funding

This study was funded through NIDA grant R01DA032082. Dr. West is funded by NIDA grant K01DA041233.

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Authors and Affiliations

  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

    Brooke S. West & Anita Raj

  2. Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA

    Debbie M. Cheng

  3. Laboratory of Clinical Pharmacology of Addictions, First Pavlov State Medical University, St. Petersburg, Russia

    Olga Toussova & Elena Blokhina

  4. Department of Medicine, Section of General Internal Medicine, Clinical Addiction Research and Education Unit, Boston Medical Center, Boston, MA, USA

    Natalia Gnatienko

  5. Data Coordinating Center, Boston University School of Public Health, Boston, MA, USA

    Kan Liu

  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

    Jeffrey H. Samet

  7. Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA

    Jeffrey H. Samet

Authors
  1. Brooke S. West
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  2. Debbie M. Cheng
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  3. Olga Toussova
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  4. Elena Blokhina
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  5. Natalia Gnatienko
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  6. Kan Liu
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  7. Jeffrey H. Samet
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  8. Anita Raj
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Corresponding author

Correspondence to Brooke S. West.

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Conflict of interest

All authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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West, B.S., Cheng, D.M., Toussova, O. et al. Contraceptive Use Among HIV-Infected Females with History of Injection Drug Use in St. Petersburg, Russia. AIDS Behav 22, 1787–1791 (2018). https://doi.org/10.1007/s10461-017-1990-4

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  • DOI: https://doi.org/10.1007/s10461-017-1990-4

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