Mothers who sell sex: a potential paradigm for integrated HIV, sexual, and reproductive health interventions among women at high risk of HIV in Burkina Faso

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Erin PapworthStefan Baral

Abstract

Antenatal care is a point of entry into the health system for women across Africa and may facilitate the uptake of HIV services among female sex workers (FSWs). This study aimed to evaluate the determinants of motherhood among FSWs, their sexual risks, and their engagement in health care. A cross-sectional study was conducted from January to July 2013 among FSWs in Ouagadougou and Bobo-Dioulasso, Burkina Faso. The study used respondent-driven sampling for HIV testing and behavioral data collection. Predictors of motherhood and the association of motherhood and sex work dynamics were assessed separately using logistic regression. Of the 696 women enrolled, the majority of participants (76.6%, n = 533) had at least 1 biological child. Mothers were more likely to have a nonpaying partner [adjusted odds ratio (aOR), 1.73; 95% confidence interval (CI): 1.20 to 2.49], and significantly less likely to currently desire to conceive (aOR, 0.21; 95% CI: 0.13 to 0.33). Motherhood was predictive of having reduced condomless vaginal or anal sex with a new client [age-adjusted odds ratio (aaOR), 0.80; 95% CI: 0.65 to 0.97] in the past 30 days, and increased condomless vaginal or anal sex with a nonpaying partner (aaOR, 1.49; 95% CI: 1.13 to 1...Continue Reading

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Citations

Jul 25, 2018·Women & Health·Polly H X MaAlice Yuen Loke
Apr 19, 2019·Studies in Family Planning·Lauren ParmleySheree Schwartz
Jun 5, 2019·Health Care for Women International·Eileen A YamSharif M I Hossain
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Feb 28, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tisha WheelerGina Dallabetta
Feb 28, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nicole FraserMarelize Görgens
Feb 18, 2020·Journal of the International AIDS Society·Anna L BowringMargaret Hellard
Jun 4, 2020·BMC Pregnancy and Childbirth·Donatien Twizelimana, Adamson S Muula
Aug 19, 2015·Reproductive Health Matters·Sheree R Schwartz, Stefan Baral
Nov 11, 2020·BMC Women's Health·Gentiane Perrault SullivanMichel Alary

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