Journal article
Unmet need for contraception among sex workers in Madagascar
Contraception (Stoneham), Vol.79(3), pp.221-227
03/01/2009
DOI: 10.1016/j.contraception.2008.09.011
PMCID: PMC5817995
PMID: 19185677
Abstract
The study was conducted to investigate past and future pregnancy preferences and contraceptive need among Malagasy sex workers.
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.
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).
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.
Details
- Title: Subtitle
- Unmet need for contraception among sex workers in Madagascar
- Creators
- Maria R. Khan - University of North Carolina at Chapel HillAbigail Norris Turner - University of North Carolina at Chapel HillAudrey Pettifor - University of North Carolina at Chapel HillKathleen Van Damme - University of North Carolina at Chapel HillNy Lovaniaina Rabenja - University of North Carolina, Madagascar, Antananarivo 101, MadagascarNoro Ravelomanana - University of North Carolina, Madagascar, Antananarivo 101, MadagascarTeresa Swezey - University of North Carolina at Chapel HillD'Nyce Williams - Centers for Disease Control and PreventionDenise Jamieson - Centers for Disease Control and PreventionFrieda Behets - University of North Carolina at Chapel HillMad STI Prevention Group
- Resource Type
- Journal article
- Publication Details
- Contraception (Stoneham), Vol.79(3), pp.221-227
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.contraception.2008.09.011
- PMID
- 19185677
- PMCID
- PMC5817995
- ISSN
- 0010-7824
- eISSN
- 1879-0518
- Language
- English
- Date published
- 03/01/2009
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446274402771
Metrics
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