Injectable contraceptive continuation among female exotic dancers seeking mobile reproductive health services

Caitlin E. Martin, Jennifer J. Han, Chris Serio-Chapman, Patrick Chaulk, Mishka Terplan

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives. We describe depot medroxyprogesterone acetate (DMPA) continuation patterns among female exotic dancers receiving reproductive health services at a mobile syringe exchange. Methods. Clients initiating DMPA between November 2009 and August 2012 were identified retrospectively via chart review. Life table analysis measured continuation. Client characteristics were compared using chi-square tests. Results. Sixty nine clients were identified; 72% were African American and 63% were younger than 25. At three months, 36% of the study sample continued DMPA; those continuing were more likely to be White (p=0.01) and receive other services (p=.01). The 12-month cumulative continuation probability was 0.09. Considering those who had received an injection, continuation proportions were higher (46% at 6; 71% at 12 months). Conclusions. A subset of female exotic dancers may favor DMPA as a long term contraceptive. Integrating mobile reproductive health services into public health programs can help fulfill the unique health needs of this high-risk population.

Original languageEnglish (US)
Pages (from-to)1317-1327
Number of pages11
JournalJournal of health care for the poor and underserved
Volume25
Issue number3
DOIs
StatePublished - Aug 2014

Keywords

  • Contraception
  • Depot medroxyprogesterone acetate
  • Female exotic dancers
  • Harm reduction
  • Syringe exchange

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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