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Correlates of pregnancy among Female Sex Workers (FSWs) in semi urban Blantyre, Malawi

BACKGROUND: Little is known about female sex workers’ (FSWs) reproductive health apart from their being at higher than usual risk of sexually transmitted infections (STIs), including HIV. The aim of this study was therefore to investigate the correlates of pregnancy among FSWs in semi – urban Blanty...

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Autores principales: Twizelimana , Donatien, Muula , Adamson S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268236/
https://www.ncbi.nlm.nih.gov/pubmed/32487138
http://dx.doi.org/10.1186/s12884-020-03018-3
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author Twizelimana , Donatien
Muula , Adamson S.
author_facet Twizelimana , Donatien
Muula , Adamson S.
author_sort Twizelimana , Donatien
collection PubMed
description BACKGROUND: Little is known about female sex workers’ (FSWs) reproductive health apart from their being at higher than usual risk of sexually transmitted infections (STIs), including HIV. The aim of this study was therefore to investigate the correlates of pregnancy among FSWs in semi – urban Blantyre in Malawi. METHODS: We used systematic sampling to recruit a total of 200 FSWs in four different study sites in Blantyre. Data were collected through questionnaire interviews. We calculated the mean and standard deviation for continuous covariates and proportions for categorical variables to describe the data. Logistic regression analysis was used to examine the correlates between the outcome variable (pregnancy) and independent variables. RESULTS: Ninety one (45, 5%) FSWs were between 18 and 24 years. The prevalence of pregnancy was 61% for FSWs born in rural place as compared to 37% for those who were born in town. In multivariate analysis FSWs who reported to value being respected as mothers had 12 times the risk of pregnancy comparing to the ones who did not (AOR: 11.8, 95% CI: [4.56, 30.72] p-value < 0.001). FSWs who reported using condoms inconsistently had five times the risk of pregnancy compared to the ones who did not, (AOR: 5.26, 95% CI: [2.29, 12.08], p-value < 0.001). FSWs who had a request to bear children from steady partners had 5 times the risk of pregnancy comparing to the ones who did not (AOR: 5.07, 95% CI: [2.14, 11.99]). FSWs who reported forgetfulness of contraceptives’ use had 3 times more risk of pregnancy comparing to the ones who did not (AOR: 3.49 CI: [1.29, 9.37], p-value < 0.013). CONCLUSION: The study documents a wide range of correlates of pregnancies among FSWs in the study sites. It is important to recognize the child bearing desires and circumstances of FSWs in order to inform health programs responsive to their needs.
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spelling pubmed-72682362020-06-07 Correlates of pregnancy among Female Sex Workers (FSWs) in semi urban Blantyre, Malawi Twizelimana , Donatien Muula , Adamson S. BMC Pregnancy Childbirth Research Article BACKGROUND: Little is known about female sex workers’ (FSWs) reproductive health apart from their being at higher than usual risk of sexually transmitted infections (STIs), including HIV. The aim of this study was therefore to investigate the correlates of pregnancy among FSWs in semi – urban Blantyre in Malawi. METHODS: We used systematic sampling to recruit a total of 200 FSWs in four different study sites in Blantyre. Data were collected through questionnaire interviews. We calculated the mean and standard deviation for continuous covariates and proportions for categorical variables to describe the data. Logistic regression analysis was used to examine the correlates between the outcome variable (pregnancy) and independent variables. RESULTS: Ninety one (45, 5%) FSWs were between 18 and 24 years. The prevalence of pregnancy was 61% for FSWs born in rural place as compared to 37% for those who were born in town. In multivariate analysis FSWs who reported to value being respected as mothers had 12 times the risk of pregnancy comparing to the ones who did not (AOR: 11.8, 95% CI: [4.56, 30.72] p-value < 0.001). FSWs who reported using condoms inconsistently had five times the risk of pregnancy compared to the ones who did not, (AOR: 5.26, 95% CI: [2.29, 12.08], p-value < 0.001). FSWs who had a request to bear children from steady partners had 5 times the risk of pregnancy comparing to the ones who did not (AOR: 5.07, 95% CI: [2.14, 11.99]). FSWs who reported forgetfulness of contraceptives’ use had 3 times more risk of pregnancy comparing to the ones who did not (AOR: 3.49 CI: [1.29, 9.37], p-value < 0.013). CONCLUSION: The study documents a wide range of correlates of pregnancies among FSWs in the study sites. It is important to recognize the child bearing desires and circumstances of FSWs in order to inform health programs responsive to their needs. BioMed Central 2020-06-01 /pmc/articles/PMC7268236/ /pubmed/32487138 http://dx.doi.org/10.1186/s12884-020-03018-3 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Twizelimana , Donatien
Muula , Adamson S.
Correlates of pregnancy among Female Sex Workers (FSWs) in semi urban Blantyre, Malawi
title Correlates of pregnancy among Female Sex Workers (FSWs) in semi urban Blantyre, Malawi
title_full Correlates of pregnancy among Female Sex Workers (FSWs) in semi urban Blantyre, Malawi
title_fullStr Correlates of pregnancy among Female Sex Workers (FSWs) in semi urban Blantyre, Malawi
title_full_unstemmed Correlates of pregnancy among Female Sex Workers (FSWs) in semi urban Blantyre, Malawi
title_short Correlates of pregnancy among Female Sex Workers (FSWs) in semi urban Blantyre, Malawi
title_sort correlates of pregnancy among female sex workers (fsws) in semi urban blantyre, malawi
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268236/
https://www.ncbi.nlm.nih.gov/pubmed/32487138
http://dx.doi.org/10.1186/s12884-020-03018-3
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