Mothers Who Sell Sex

Papworth, Erin; Schwartz, Sheree; Ky-Zerbo, Odette; Leistman, Benjamin; Ouédraogo, Gautier H.; Samadoulougou, Césaire; Grosso, Ashley; Dramé, Fatou Maria; Diouf, Daouda; Ketende, Sosthenes; Baral, Stefan

doi:10.1097/qai.0000000000000454

Cited by 38 publications

(13 citation statements)

References 55 publications

(81 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have reported high HIV and STIs prevalence, physical and sexual violence, and limited access to healthcare services among FSWs; all of which have adverse effects on their pregnancy outcomes [1–4]. Not often recognized as mothers, health risks associated with pregnancy outcomes in FSWs remain overlooked [2, 5]. …”

Section: Introductionmentioning

confidence: 99%

“…Recent research, however, suggests that despite complex reasons for pregnancy among FSWs, most desire to have or have children [3, 5, 6]. While some FSWs may consider having children as a way to solidify their relationship with a sex partner or leave sex work, others may be forced into sex work to provide for their children [1, 5, 7].…”

Section: Introductionmentioning

confidence: 99%

“…While some FSWs may consider having children as a way to solidify their relationship with a sex partner or leave sex work, others may be forced into sex work to provide for their children [1, 5, 7]. On the other hand, unintended pregnancies–as an occupational hazard–are very frequent among FSWs across different settings and often lead to abortion [1, 2].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lifetime Abortion of Female Sex Workers in Iran: Findings of a National Bio-Behavioural Survey In 2010

et al. 2016

View full text Add to dashboard Cite

IntroductionUnintended pregnancies and abortion may be considered as occupational hazards for female sex workers (FSWs). As our understanding of contraceptive and abortion practices of Iranian FSWs is very limited, this study tries to assess the dynamics of contraception and abortion among this sub-population.MethodsThis survey was conducted in 2010, by recruiting 872 FSWs through facility-based sampling from 21 sites in 14 cities in Iran. Data were collected through face-to-face interviews using a pilot-tested standardized risk assessment questionnaire. We applied the logistic regression model to investigate the correlates of induced abortion among FSWs.ResultsOf the 863 participants with valid responses to the abortion variable, 35.3% (95% CI: 32.1–38.6) acknowledged ever induced abortion and the annual rate of abortion was estimated at 20.7 per 1000 women. Around 31.2% of FSWs reported no usual contraceptive use, 32.6% barrier method, 23.6% non-barrier modern contraception methods, and 12.5% dual protection. In our multivariable model, older age (Adjusted Odds Ratio (AOR) = 1.74, 95% Confidence Interval (CI): 1.02, 2.96), group sex (AOR = 1.92, 95% CI: 1.10, 3.35), history of travel for sex work (AOR = 1.55, 95% CI: 1.09, 2.20), sexual violence (AOR = 1.77, 95% CI: 1.25, 2.50), STIs in last year (AOR = 1.53, 95% CI: 1.09, 2.14), and accessing family planning services (AOR = 1.76, 95% CI: 1.24, 2.49) were significant predictors of lifetime abortion.ConclusionsThe reproductive health needs of Iranian FSWs are unmet and around one-third of FSWs reported induced abortion. Scaling-up comprehensive family planning services and empowering FSWs to have safer sex practices may help them to prevent unintended pregnancies and further risk of HIV transmission.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Lifetime Abortion of Female Sex Workers in Iran: Findings of a National Bio-Behavioural Survey In 2010

et al. 2016

View full text Add to dashboard Cite

show abstract

“…15,18 Many FSW become aware of their HIV infection as a result of opt out testing during pregnancy. 14,20,21 FSW commonly undergo voluntary HIV testing for frequent illness or deterioration of health. 14 To improve uptake of HIV care and treatment and prevent ongoing transmission, the barriers to HIV testing for FSW in sub-Saharan Africa must be delineated.…”

Section: Introductionmentioning

confidence: 99%

Substance use and HIV infection awareness among HIV-infected female sex workers in Lilongwe, Malawi

Lancaster

Lungu

et al. 2016

International Journal of Drug Policy

View full text Add to dashboard Cite

Background HIV diagnosis, the first step in HIV care and treatment engagement, may be inhibited by substance use among female sex workers (FSW). We assessed the relationship between alcohol and marijuana use and lack of HIV infection awareness among HIV-infected FSW in Lilongwe, Malawi. Methods From July to September, 2014, 200 FSW aged ≥18 years were enrolled using venue-based sampling to examine substance use, HIV testing history, and serostatus ascertained by HIV rapid test. We used Poisson regression with robust variance estimates to estimate the associations of alcohol and marijuana use and lack of HIV infection awareness. Results Of the 138 HIV-infected FSW, 20% were unaware of their HIV infection, with 70% not testing within 6 months prior. According to the Alcohol Use Disorder Identification Tests (AUDIT), 55% of FSW unaware of their HIV infection reported hazardous, harmful, or dependent alcohol consumption. We observed a dose-response relationship between alcohol use and lack of HIV infection awareness, with alcohol dependency significantly associated with lack of HIV infection awareness (adjusted prevalence ratio: 3.0, 95% CI: 1.3, 6.8). Current marijuana use was uncommon (26%) among unaware HIV-infected FSW and weakly associated with lack of HIV infection awareness adjusted prevalence ratio: 1.1, 95% CI: 0.5, 2.5). Conclusion Increased levels of alcohol use is associated with lack of HIV infection awareness among HIV-infected FSW in Malawi. Frequent, consistent HIV testing integrated with alcohol reduction strategies could improve the health and infection awareness of substance-using FSW.

show abstract

“…7 Characterization of the needs of these women is important, given their unique occupational risks, fertility-related concerns, child-care needs and potential barriers to accessing support services and health care emanating from social stigma and discrimination. 8,9 …”

Section: Introductionmentioning

confidence: 99%

Motherhood and Risk for Human Immunodeficiency Virus/Sexually Transmitted Infections Among Female Sex Workers in the Mexico-US Border Region

Servin¹,

Reed

Brouwer³

et al. 2017

Sexual Trans Dis

View full text Add to dashboard Cite

Background Globally, female sex workers (FSWs) have been identified as a high-risk group for HIV and sexually transmitted infections (STIs). However, as women of reproductive age, FSWs also have children. Few studies have investigated if financial responsibilities associated with motherhood increase women’s vulnerability to HIV and STIs among FSWs. Methods From March 2013 to March 2014, 603 FSWs ≥18 years of age were recruited from Tijuana and Ciudad Juarez (Mexico) to participate in a study assessing HIV/STI risk environments. Results Findings from logistic regression models indicate that FSWs who reported motherhood were more likely to report (in the past 30 days): a higher client volume (>30 clients) (adjusted odds ratio [AOR]= 1.91; 95% confidence interval (CI) 1.27–2.87) and always using alcohol right before or during sex with clients in the past 30 days (AOR=1.77; 95%CI 1.19–2.61). In contrast, they were more likely to report consistent condom use for vaginal or anal sex with clients (AOR-1.68; 95% CI 1.10–2.55), less likely to report using drugs right before or during sex with clients (AOR=0.38; 95%CI 0.26–0.56) and less likely to have tested positive for STIs at baseline (AOR=0.63; 95% CI: 0.43–0.91). Conclusions These results provide a glimpse of the complex relationship between motherhood and women who are sex workers. Understanding the convergence of motherhood and sex work and how this can influence a woman’s decision when engaging in sex work and affect her health, is essential to designing effective programs addressing reduce risk for HIV and STIs among FSWs in this region and elsewhere.

show abstract

Mothers Who Sell Sex

Abstract: Motherhood is common among FSWs. The results indicate that FSWs who are mothers may have more exposure to health care because of seeking antenatal/perinatal services, presenting important opportunities for inclusion in the HIV continuum of care and to prevent vertical transmission.

Cited by 38 publications

References 55 publications

Lifetime Abortion of Female Sex Workers in Iran: Findings of a National Bio-Behavioural Survey In 2010

Lifetime Abortion of Female Sex Workers in Iran: Findings of a National Bio-Behavioural Survey In 2010

Substance use and HIV infection awareness among HIV-infected female sex workers in Lilongwe, Malawi

Motherhood and Risk for Human Immunodeficiency Virus/Sexually Transmitted Infections Among Female Sex Workers in the Mexico-US Border Region

Contact Info

Product

Resources

About