Overview and factors associated with pregnancies and abortions occurring in sex workers in Benin
| Autor: | Lisa Avery, Gentiane Perrault Sullivan, Adolphe C. Kpatchavi, Emmanuelle Bédard, Georges Batona, Djimon Marcel Zannou, Michel Alary, Fernand Guédou, Luc Béhanzin, Marie-Pierre Gagnon, Frédéric Kintin |
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| Přispěvatelé: | University of Manitoba |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Multivariate analysis Epidemiology Sex workers Reproductive medicine Context (language use) Abortion lcsh:Gynecology and obstetrics 03 medical and health sciences symbols.namesake Young Adult 0302 clinical medicine 5. Gender equality Risk Factors Pregnancy medicine Benin Humans 030212 general & internal medicine Poisson regression lcsh:RG1-991 Reproductive health Sex work 030219 obstetrics & reproductive medicine business.industry lcsh:Public aspects of medicine Obstetrics and Gynecology Pregnancy Unplanned Abortion Induced lcsh:RA1-1270 General Medicine medicine.disease Cross-Sectional Studies Reproductive Medicine Sub-Saharan Arica symbols Female business Demography Research Article |
| Zdroj: | BMC Women's Health, Vol 20, Iss 1, Pp 1-14 (2020) BMC Women's Health |
| DOI: | 10.1186/s12905-020-01091-6 |
| Popis: | Background Behavioural and structural factors related to sex work, place female sex workers (FSWs) at high risk of maternal mortality and morbidity (MMM), with a large portion due to unintended pregnancies and abortions. In the African context where MMM is the highest in the world, understanding the frequency and determinants of pregnancy and abortion among FSWs is important in order to meet their sexual and reproductive health needs. Methods Data from two Beninese cross-sectional surveys among FSWs aged 18+ (2013, N = 450; 2016, N = 504) were merged. We first performed exploratory univariate analyses to identify factors associated with pregnancy and abortion (p p ≤ 0.05) was used to generate the final models. Results Median age was 39 years (N = 866). The proportion of FSWs reporting at least one pregnancy during sex work practice was 16.4%, of whom 42.3% had more than one. Most pregnancies ended with an abortion (67.6%). In multivariate analyses, younger age, longer duration in sex work, previous HIV testing, having a boyfriend and not using condoms with him were significantly (p Conclusion One FSW out of five had at least one pregnancy during her sex work practice. Most of those pregnancies, regardless of their origin, ended with an abortion. Improving access to various forms of contraception and safe abortion is the key to reducing unintended pregnancies and consequently, MMM among FSWs in Benin. |
| Databáze: | OpenAIRE |
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