Contraceptive use and pregnancy intentions among transgender men presenting to a clinic for sex workers and their families in San Francisco

Contraception ◽  
2017 ◽  
Vol 95 (2) ◽  
pp. 186-189 ◽  
Author(s):  
Danielle Cipres ◽  
Dominika Seidman ◽  
Charles Cloniger ◽  
Cyd Nova ◽  
Anita O'Shea ◽  
...  
2018 ◽  
Vol 30 (1) ◽  
pp. 64-71 ◽  
Author(s):  
MA Carrasco ◽  
C Barrington ◽  
M Perez ◽  
Y Donastorg ◽  
D Kerrigan

This cross-sectional study examines the relationship between social cohesion with consistent condom use (CCU) and sexually transmitted infections (STIs) among the Abriendo Puertas (Opening Doors) cohort of female sex workers (FSWs) living with human immunodeficiency virus (HIV) in the Dominican Republic (n = 228). Using data from the follow-up survey of the cohort, we conducted multivariate logistic regression to explore these dynamics. Social cohesion was significantly associated with CCU between FSWs living with HIV and their clients in the last month (adjusted odds ratio [AOR] = 1.65, 95% confidence interval [CI]: 1.11–2.45) and STI prevalence among FSWs (AOR: 3.76, CI: 1.159–12.162). Social cohesion was not associated with CCU between FSWs living with HIV and their steady partners. However, both illicit drug use in the past six months (AOR = 0.11, CI: 0.023–0.57) and pregnancy intentions (AOR = 0.11; CI: 0.02–0.42) were significantly associated with CCU with steady partners. Findings highlight the differential role of social cohesion on condom use outcomes between FSWs living with HIV and their paying clients versus steady partners. Research on the pathways via which cohesion influences condom use among sex workers and their clients is merited, as is research regarding the role of drug use and pregnancy intentions on condom use with steady partners.


Author(s):  
Jessica N Coleman ◽  
Cecilia Milford ◽  
Nzwakie Mosery ◽  
Karmel W Choi ◽  
Letitia Rambally Greener ◽  
...  

2020 ◽  
pp. 1-16
Author(s):  
Colin Baynes ◽  
Erick Yegon ◽  
Grace Lusiola ◽  
Japhet Achola ◽  
Rehema Kahando

Abstract Post-abortion care (PAC) integrates elements of care that are vital for women’s survival after abortion complications with intervention components that aid women in controlling their fertility, and provides an optimal window of opportunity to help women meet their family planning goals. Yet, incorporating quality family planning services remains a shortcoming of PAC services, particularly in low- and middle-income countries. This paper presents evidence from a mixed method study conducted in Tanzania that aimed at explaining factors that contribute to this challenge. Analysis of data obtained through client exit interviews quantified the level of unmet need for contraception among PAC clients and isolated the factors associated with post-abortion contraceptive uptake. Qualitative data analysis of interviews with a subset of these women explored the multi-level context in which post-abortion pregnancy intentions and contraceptive behaviours are formed. Approximately 30% of women interviewed (N=412) could recall receiving counselling on post-abortion family planning. Nearly two-thirds reported a desire to either space or limit childbearing. Of those who desired to space or limited childbearing, approximately 20% received a contraceptive method before discharge from PAC. The factors significantly associated with post-abortion contraceptive acceptance were completion of primary school, prior use of contraception, receipt of PAC at lower level facilities and recall of post-abortion family planning counselling. Qualitative analysis revealed different layers of contextual influences that shaped women’s fertility desires and contraceptive decision-making during PAC: individual (PAC client), spousal/partner-related, health service-related and societal. While results lend support to the concept that there are opportunities for services to address unmet need for post-abortion family planning, they also attest to the synergistic influences of individual, spousal, organizational and societal factors that influence whether they can be realized during PAC. Several strategies to do so emerged saliently from this analysis. These emphasize customized counselling to enable client–provider communication about fertility preferences, structural intervention aimed at empowering women to assert those objectives in family and health care settings, availability of information and services on post-abortion fertility and contraceptive eligibility in PAC settings and interventions to facilitate constructive spousal communication on family planning and contraceptive use, after abortion and in general.


2012 ◽  
Vol 120 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Michele R. Decker ◽  
Eileen A. Yam ◽  
Andrea L. Wirtz ◽  
Stefan D. Baral ◽  
Alena Peryshkina ◽  
...  

2008 ◽  
Vol 35 (1) ◽  
pp. 31-50 ◽  
Author(s):  
Cymene Howe ◽  
Susanna Zaraysky ◽  
Lois Lorentzen
Keyword(s):  

2019 ◽  
Vol 3 ◽  
pp. 1505 ◽  
Author(s):  
Dismas Oketch ◽  
Eunice C. Kaguiri ◽  
Joseph O. Orinda ◽  
Grace Mboya ◽  
Phoebe Ogutu ◽  
...  

Background: Globally about 210 million women conceive annually and 38% of these pregnancies are unintended. Female sex workers (FSWs) are at increased risk of both unintended pregnancy and acquiring HIV, which could lead to adverse sexual and reproductive health (SRH) outcomes. We sought to assess contraceptive use or non-use, preferences and determinants among a cohort of FSWs screened for an HIV prevention clinical trial in Kisumu, Kenya. Methods: A cross sectional study of healthy FSWs referred for possible recruitment into the Antibody Mediated HIV Prevention (AMP) Study was conducted between December 2016 and September 2018. Potentially eligible participants were screened for HIV and data on social-demographic, contraceptive use and other SRH characteristics were collected. Those not on a method recorded their contraceptive preferences.   Results: Data on 210 FSWs with a median age of 24.5 years (interquartile range, IQR 22-26) are presented. Of these, 187 (89.1%) had two children or fewer; only 56 (26.7%) had completed secondary or higher education. At the time of the interview, 18 (8.6%) were HIV-infected and 181 (86.2%) were using a modern contraceptive. Implants (48.6%) and depot injections (37.6%) were the most commonly used methods. Most (41.4%) of those not on family planning preferred oral pills. Respondents who had two or more children were three times more likely than their primiparous and nulliparous counterparts to report use of a contraceptive. Use of modern contraception methods did not differ by respondent’s ownership of a medical insurance cover or other occupation. Conclusion: There is high use of modern contraception among FSWs in Kisumu with the majority using subdermal implants. Reproductive health programs should implement targeted SRH interventions for specific populations and risk groups. Effective contraceptive counselling and interventions among FSWs should consider the client’s parity and level of education.


2020 ◽  
Vol 49 (6) ◽  
pp. 537-548
Author(s):  
Jessica L. Zemlak ◽  
Anna P. Bryant ◽  
Noelene K. Jeffers

2015 ◽  
Vol 131 (2) ◽  
pp. 156-160 ◽  
Author(s):  
Caitlin E. Martin ◽  
Andrea L. Wirtz ◽  
Vladimir Mogilniy ◽  
Alena Peryshkina ◽  
Chris Beyrer ◽  
...  

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