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Pregnancy Intentions and Safer Pregnancy Knowledge Among Female Sex Workers in Port Elizabeth, South Africa
- Source :
- Obstetrics & Gynecology. 128:15-21
- Publication Year :
- 2016
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2016.
-
Abstract
- OBJECTIVE To assess the association between human immunodeficiency virus (HIV) and pregnancy intentions and safer conception knowledge among female sex workers in Port Elizabeth, South Africa. METHODS This cross-sectional study recruited female sex workers in Port Elizabeth using respondent-driven sampling and completed an interviewer-administered questionnaire alongside HIV testing and counseling. In this secondary analysis, robust Poisson regression was used to model prevalence ratios for positive fertility intentions in this cross-sectional study. Knowledge of safer conception methods by HIV status was compared using Fisher exact tests. RESULTS Overall 391 women were represented in the analyses. More than 50% had a prior HIV diagnosis, and an additional 12% were diagnosed with HIV during the study. Approximately half (n=185) of the women reported future pregnancy intentions. In univariate analysis, a prior HIV diagnosis was negatively associated with pregnancy intentions as compared with HIV-negative women (prevalence ratio 0.68, 95% confidence interval 0.55-0.85). Only parity remained independently associated with future pregnancy intentions in multivariate regression after controlling for HIV status, age, race, relationship status, and years selling sex. Knowledge of safer conception methods such as timed sex without a condom, preexposure prophylaxis, or self-insemination was low and similar between those with and without future pregnancy plans. CONCLUSION Pregnancy intentions did not significantly vary according to HIV status. Fertility intentions were high, however, and knowledge of safer conception methods low, suggesting a need to provide female sex workers with advice around options to conceive safely in the context of high HIV prevalence.
- Subjects :
- Adult
Health Knowledge, Attitudes, Practice
medicine.medical_specialty
Cross-sectional study
Sexual Behavior
media_common.quotation_subject
HIV Infections
Reproductive Behavior
Fertility
Intention
law.invention
South Africa
03 medical and health sciences
symbols.namesake
0302 clinical medicine
Condom
Pregnancy
law
SAFER
Prevalence
Humans
Medicine
030212 general & internal medicine
Poisson regression
Pregnancy Complications, Infectious
media_common
Gynecology
Sex Workers
030505 public health
business.industry
Knowledge level
Obstetrics and Gynecology
medicine.disease
Confidence interval
Cross-Sectional Studies
symbols
Female
0305 other medical science
business
Demography
Subjects
Details
- ISSN :
- 00297844
- Volume :
- 128
- Database :
- OpenAIRE
- Journal :
- Obstetrics & Gynecology
- Accession number :
- edsair.doi.dedup.....46e35615443518fd0278e6daf50ea4ae