Risky Sexual Behaviours and Knowledge on Contraceptive Use and Family Planning Among Women Who Use Drugs (WWUDs) in Malaysia

IF 18 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-03-28 DOI:10.1177/00220426241238963

Asnina Anandan, Nur Aizati Athirah Daud, Darshan Singh, B. Vicknasingam

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Abstract

Women who use drugs (WWUDs) face elevated risk of intimate partner violence (IPV) and unsafe sexual behaviours. This prevalence study, involving 200 WWUDs in a mandated drug rehabilitation program, examined risky sexual behaviours, family planning knowledge among IPV victims, and barriers to contraceptives or condoms use. The majority were Malays (86%, n = 171/200), averaging 32.3 years of age (SD = 8.61). Over half had experienced IPV in their lifetime (53%, n = 105/200). IPV victims had higher odds of unwanted pregnancies, prior abortions, concurrent drug use with partners, drug use before sex, and cohabitation with male partners who used drugs. Sixty percent were uninformed of female condoms, and most disliked using male condoms due to performance concerns. Despite better family planning knowledge among IPV victims, WWUDs had limited awareness of contraceptive use. Interventions should prioritize empowering and educating WWUDs, particularly IPV victims, on IPV prevention and the risks associated with unsafe sexual behaviour during rehabilitation.

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马来西亚吸毒妇女（WWUDs）的危险性行为及避孕和计划生育知识

吸毒妇女（WWUDs）面临着亲密伴侣暴力（IPV）和不安全性行为的高风险。这项流行病学研究涉及一个强制戒毒计划中的 200 名吸毒妇女，研究了她们的危险性行为、IPV 受害者的计划生育知识以及使用避孕药具或安全套的障碍。大部分受害者为马来人（86%，n = 171/200），平均年龄为 32.3 岁（SD = 8.61）。半数以上的人一生中经历过 IPV（53%，n = 105/200）。IPV 受害者意外怀孕、堕胎、与伴侣同时使用毒品、性生活前使用毒品以及与使用毒品的男性伴侣同居的几率较高。60%的人不了解女用安全套，大多数人因担心性能问题而不喜欢使用男用安全套。尽管 IPV 受害者对计划生育有更多的了解，但妇女暴力受害者对使用避孕药具的认识有限。干预措施应优先增强妇女和城市妇女（尤其是 IPV 受害者）的能力，并教育她们如何预防 IPV 以及与康复期间不安全性行为相关的风险。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.