Erin Papworth1, Sheree Schwartz, Odette Ky-Zerbo, Benjamin Leistman, Gautier Ouedraogo, Cesaire Samadoulougou, Ashley Grosso, Fatou Drame, Daouda Diouf, Sosthenes C Ketende, Stefan Baral. 1. *Department of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins School of Public Health, Baltimore, MD; †Programme d'Appui au Monde Associatif Communautaire de Lutte Contre le VIH/SIDA (PAMAC), Ouagadougou, Burkina Faso; ‡Institut de Recherche en Sciences de la Santé (IRSS), Bobo Dioulasso, Burkina Faso; §Enda Santé, Dakar, Senegal; and ‖Section de Géographie dans l'Unité de Formation et de Recherche (UFR) Lettres et Sciences Humaines, Université Gaston Berger, Saint-Louis, Senegal.
Abstract
BACKGROUND: Antenatal care is a point of entry into the health system for women across Africa and may facilitate the uptake of HIV services among female sex workers (FSWs). This study aimed to evaluate the determinants of motherhood among FSWs, their sexual risks, and their engagement in health care. METHODS: A cross-sectional study was conducted from January to July 2013 among FSWs in Ouagadougou and Bobo-Dioulasso, Burkina Faso. The study used respondent-driven sampling for HIV testing and behavioral data collection. Predictors of motherhood and the association of motherhood and sex work dynamics were assessed separately using logistic regression. RESULTS: Of the 696 women enrolled, the majority of participants (76.6%, n = 533) had at least 1 biological child. Mothers were more likely to have a nonpaying partner [adjusted odds ratio (aOR), 1.73; 95% confidence interval (CI): 1.20 to 2.49], and significantly less likely to currently desire to conceive (aOR, 0.21; 95% CI: 0.13 to 0.33). Motherhood was predictive of having reduced condomless vaginal or anal sex with a new client [age-adjusted odds ratio (aaOR), 0.80; 95% CI: 0.65 to 0.97] in the past 30 days, and increased condomless vaginal or anal sex with a nonpaying partner (aaOR, 1.49; 95% CI: 1.13 to 1.96). Motherhood was prognostic of a higher likelihood of ever being tested for HIV (aaOR, 1.89; 95% CI: 1.55 to 2.31). Motherhood was predictive of reporting limited difficulty when accessing health services (aaOR, 0.15; 95% CI: 0.67 to 0.34). CONCLUSIONS: 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.
BACKGROUND: Antenatal care is a point of entry into the health system for women across Africa and may facilitate the uptake of HIV services among female sex workers (FSWs). This study aimed to evaluate the determinants of motherhood among FSWs, their sexual risks, and their engagement in health care. METHODS: A cross-sectional study was conducted from January to July 2013 among FSWs in Ouagadougou and Bobo-Dioulasso, Burkina Faso. The study used respondent-driven sampling for HIV testing and behavioral data collection. Predictors of motherhood and the association of motherhood and sex work dynamics were assessed separately using logistic regression. RESULTS: Of the 696 women enrolled, the majority of participants (76.6%, n = 533) had at least 1 biological child. Mothers were more likely to have a nonpaying partner [adjusted odds ratio (aOR), 1.73; 95% confidence interval (CI): 1.20 to 2.49], and significantly less likely to currently desire to conceive (aOR, 0.21; 95% CI: 0.13 to 0.33). Motherhood was predictive of having reduced condomless vaginal or anal sex with a new client [age-adjusted odds ratio (aaOR), 0.80; 95% CI: 0.65 to 0.97] in the past 30 days, and increased condomless vaginal or anal sex with a nonpaying partner (aaOR, 1.49; 95% CI: 1.13 to 1.96). Motherhood was prognostic of a higher likelihood of ever being tested for HIV (aaOR, 1.89; 95% CI: 1.55 to 2.31). Motherhood was predictive of reporting limited difficulty when accessing health services (aaOR, 0.15; 95% CI: 0.67 to 0.34). CONCLUSIONS: 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.
Authors: Argentina E Servin; Elizabeth Reed; Kimberly C Brouwer; Carlos Magis-Rodriguez; Sabrina Boyce; Steffanie A Strathdee; Jay G Silverman Journal: Sex Transm Dis Date: 2017-08 Impact factor: 2.830
Authors: Shirley J Semple; Heather A Pines; Alicia Harvey Vera; Eileen V Pitpitan; Gustavo Martinez; M Gudelia Rangel; Steffanie A Strathdee; Thomas L Patterson Journal: Women Health Date: 2019-06-14
Authors: Kathryn E Lancaster; Vivian F Go; Thandie Lungu; Pearson Mmodzi; Mina C Hosseinipour; Katy Chadwick; Kimberly A Powers; Brian W Pence; Irving F Hoffman; William C Miller Journal: Int J Drug Policy Date: 2016-02-26
Authors: Mohammad Karamouzian; Ali Mirzazadeh; Mostafa Shokoohi; Razieh Khajehkazemi; Abbas Sedaghat; Ali Akbar Haghdoost; Hamid Sharifi Journal: PLoS One Date: 2016-11-18 Impact factor: 3.240