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Unmet need for contraception among sex workers in Madagascar
- Source :
-
Contraception . Mar2009, Vol. 79 Issue 3, p221-227. 7p. - Publication Year :
- 2009
-
Abstract
- Abstract: Background: The study was conducted to investigate past and future pregnancy preferences and contraceptive need among Malagasy sex workers. Study Design: We analyzed data on pregnancy and contraceptive use collected during the baseline visit of a randomized, prospective formative trial which assessed diaphragm and microbicide acceptability among sex workers. To be eligible, women could not be pregnant or planning pregnancy for the next 2 months. Results: Women (N=192) from four cities (Antananarivo, Antsiranana, Mahajanga and Toamasina) reported a median of 10 sex acts per week. Fifty-two percent reported a prior unwanted pregnancy, 45% at least one induced abortion and 86% that preventing future pregnancy was moderately to very important. During the last sex act, 24% used a hormonal method, 36% used a male condom, 2% used a traditional method and 38% used no method. Nearly 30% of participants reported that pregnancy prevention was moderately or very important but used no contraception at last sex; these women were categorized as having “unmet need” for contraception. In multivariable binomial regression analyses, factors associated with unmet need included low knowledge of contraceptive effectiveness [age- and site-adjusted prevalence ratio (PR): 2.1; 95% confidence interval (CI): 1.4–3.0] and low self-efficacy to negotiate condom use (age- and site-adjusted PR: 2.0; 95% CI: 1.4–3.0). Conclusions: Among these women, prior unwanted pregnancy and induced abortion were common and preventing future pregnancy was important, yet gaps in contraceptive use were substantial. Contraceptive knowledge and self-efficacy should be improved to promote contraceptive use by sex workers. [Copyright &y& Elsevier]
- Subjects :
- *CONTRACEPTION
*PREGNANCY
*SEX workers
Subjects
Details
- Language :
- English
- ISSN :
- 00107824
- Volume :
- 79
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Contraception
- Publication Type :
- Academic Journal
- Accession number :
- 36377499
- Full Text :
- https://doi.org/10.1016/j.contraception.2008.09.011