An urgent need for integration of family planning services into HIV care: the high burden of unplanned pregnancy, termination of pregnancy, and limited contraception use among female sex workers in Côte d'Ivoire

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Sheree SchwartzStefan Baral

Abstract

HIV infection and unintended pregnancy are occupational risks of commercial female sex work (FSW). The burden of unintended pregnancy among FSW including maternal and infant outcomes in the context of HIV is largely unknown. FSW ≥18 years were recruited through respondent driven sampling into a cross-sectional study in Abidjan, Côte d'Ivoire. Participants completed a sociobehavioral questionnaire and HIV counseling and testing. Pregnancy history by HIV status and contraceptive use were described, and Poisson regression used to estimate correlates of termination of pregnancy (TOP). From March to July 2014, 466 FSW were enrolled. Unintended pregnancy was common, and 64% of participants had ≥1 TOP. Half of FSW experiencing TOPs did so without a medical professional, resulting in frequent complications. Contraceptive use was lowest among younger FSW, and 37% of 20-24 year olds reported multiple TOPs. FSW with a TOP history reported 19% less consistent condom use with clients than women who never had a TOP (adjusted-prevalence ratio, 0.81; 95% confidence interval: 0.74 to 0.88), whereas use of reliable nonbarrier contraceptive methods was comparable between the groups. Although FSW were engaged in HIV testing and prevention services...Continue Reading

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Citations

Sep 21, 2016·BMC Health Services Research·Gideon Rutaremwa, Allen Kabagenyi
May 18, 2016·The Lancet Global Health·Brian WillisSaki Onda
Jul 18, 2017·Contraception·Michael M ChandaCatherine E Oldenburg
Jul 21, 2017·PloS One·Kate SaltersUNKNOWN CHIWOS Research Team
Mar 16, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Kate S WilsonRaymond S McClelland
Apr 19, 2019·Studies in Family Planning·Lauren ParmleySheree Schwartz
Jun 5, 2019·Health Care for Women International·Eileen A YamSharif M I Hossain
Jun 18, 2019·AIDS Research and Human Retroviruses·William KilembeSusan Allen
Sep 20, 2019·Sexual and Reproductive Health Matters·Catriona A TowrissLandon Myer
Feb 28, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nicole FraserMarelize Görgens
May 20, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Erica M LokkenRaymond Scott McClelland
Sep 18, 2020·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Mehrdad KhezriHamid Sharifi
Dec 5, 2017·Contraception and Reproductive Medicine·Mark Kwame AnangaKwaku Oppong Asante
Aug 19, 2015·Reproductive Health Matters·Sheree R Schwartz, Stefan Baral
Jun 4, 2020·BMC Pregnancy and Childbirth·Donatien Twizelimana, Adamson S Muula
Feb 18, 2020·Journal of the International AIDS Society·Anna L BowringMargaret Hellard
Jun 6, 2017·AIDS Patient Care and STDs·Michael M ChandaCatherine E Oldenburg
Nov 11, 2020·BMC Women's Health·Gentiane Perrault SullivanMichel Alary
Jan 21, 2021·Reproductive Health·Donatien Twizelimana, Adamson S Muula
Feb 28, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tisha WheelerGina Dallabetta

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