Metrics details. Female sex workers are vulnerable to HIV, sexually transmitted diseases, and unintended pregnancies; however, the literature on female sex workers FSW focuses primarily on HIV and is limited regarding these other health issues. Data were analyzed using RDS-Analyst. Survey logistic regression was used in SAS. We enrolled 1, FSW with a median age of 27 years. Almost all FSW had been pregnant at least once. An estimated Among those using FP methods, injectable contraception was the most common form of FP used HIV prevalence was Using at least a moderately effective method of FP was associated with accessing sexually transmitted disease treatment in a stigma-free environment in the last six months aOR: 1.
It is plausible that those living with HIV are also less likely than those without it to be using a moderately effective method of FP aOR: 0. The provision of integrated HIV and sexual and reproductive health services in a non-stigmatizing environment has the potential to facilitate increased health service uptake by FSW and decrease missed opportunities for service provision. Peer Review reports. FSW are Lower educational level, poverty, and mobility among FSW also may impact HIV acquisition or reduce health service uptake [ 6 , 7 , 8 , 9 ].
Missing, however, is an understanding of the sexual and reproductive lives of FSW, lives that are intricately connected with HIV risk and service uptake, but which are not integrated and instead addressed separately or not at all, both in the literature and in service delivery [ 10 , 11 , 12 , 13 ].
These behaviors and low use of modern methods of family planning FP also make them vulnerable to unintended pregnancies [ 5 , 14 ]. Research has shown that most FSW have had at least one pregnancy in their lifetime and more than half of FSW are estimated to have a curable STD at a given time [ 13 , 15 , 16 , 17 ].
Pregnancy during sex work has also been associated with fewer live births and more terminated pregnancies [ 18 ]. Discontinuation occurred most frequently due to health concerns or side effects. The survey estimated HIV prevalence at Syphilis prevalence was 6.
