Incidence of unintended pregnancy among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis

BMJ Open
Frances H AmptMegan S C Lim

Abstract

To determine the incidence of unintended pregnancy among female sex workers (FSWs) in low-income and middle-income countries (LMICs). We searched MEDLINE, PsychInfo, Embase and Popline for papers published in English between January 2000 and January 2016, and Web of Science and Proquest for conference abstracts. Meta-analysis was performed on the primary outcomes using random effects models, with subgroup analysis used to explore heterogeneity. Eligible studies targeted FSWs aged 15-49 years living or working in an LMIC. Studies were eligible if they provided data on one of two primary outcomes: incidence of unintended pregnancy and incidence of pregnancy where intention is undefined. Secondary outcomes were also extracted when they were reported in included studies: incidence of induced abortion; incidence of birth; and correlates/predictors of pregnancy or unintended pregnancy. Twenty-five eligible studies were identified from 3866 articles. Methodological quality was low overall. Unintended pregnancy incidence showed high heterogeneity (I²>95%), ranging from 7.2 to 59.6 per 100 person-years across 10 studies. Study design and duration were found to account for heterogeneity. On subgroup analysis, the three cohort studies in ...Continue Reading

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Citations

May 28, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Jacobus van der VeldenGuus Fons
May 20, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Erica M LokkenRaymond Scott McClelland
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Jun 27, 2019·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Cheng XueZhi-Guo Mao
Feb 18, 2020·Journal of the International AIDS Society·Anna L BowringMargaret Hellard
Nov 11, 2020·BMC Women's Health·Gentiane Perrault SullivanMichel Alary
Jan 21, 2021·Reproductive Health·Donatien Twizelimana, Adamson S Muula
May 6, 2021·Sexual and Reproductive Health Matters·Euphemia SibandaVirginia Macdonald

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Methods Mentioned

BETA
contraception

Software Mentioned

Popline
Stata

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