Trial reportContraception2009
Unmet need for contraception among sex workers in Madagascar.
Trial report in Contraception, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Pooled it
- Systematic review of facility-based sexual and reproductive health services for female sex workers in Africa.Globalization and health · 2014Pooled it
- Contraceptive use and unplanned pregnancy among female sex workers in Zambia.Contraception · 2017Trial
- Trial
- Prevalence of pregnancy, unintended pregnancy, poor pregnancy outcome and its associated factors among female sex workers in Cameroon.BMC public health · 2025Article
- Gynecological health care services utilization and violence among female sex workers in Togo in 2021.Reproductive health · 2024Article
- Longitudinal study of pregnancy intention and its association with pregnancy occurrence among female sex workers in Benin and Mali.Reproductive health · 2023Article
- Article
- Article
- Values and preferences of contraceptive methods: a mixed-methods study among sex workers from diverse settings.Sexual and reproductive health matters · 2021Article
- Future directions for HIV service delivery research: Research gaps identified through WHO guideline development.PLoS medicine · 2021Article
- Unmet contraceptive needs among female sex workers (FSWs) in semi urban Blantyre, Malawi.Reproductive health · 2021Article
- Integrating Sexual and Reproductive Health Services Within HIV Services: WHO Guidance.Frontiers in global women's health · 2021Article
- "I did not plan to have a baby. This is the outcome of our work": a qualitative study exploring unintended pregnancy among female sex workers.BMC women's health · 2020Article
- Overview and factors associated with pregnancies and abortions occurring in sex workers in Benin.BMC women's health · 2020Article
- A Mobile Phone-Based Sexual and Reproductive Health Intervention for Female Sex Workers in Kenya: Development and Qualitative Study.JMIR mHealth and uHealth · 2020Article
- Prevalence and predictors of unmet contraceptive need in HIV-positive female sex workers in Mombasa, Kenya.PloS one · 2019Article
- Article
- WOMEN'S EMPOWERMENT AND FAMILY PLANNING: A REVIEW OF THE LITERATURE.Journal of biosocial science · 2017Review
- Sexual and reproductive health services utilization by female sex workers is context-specific: results from a cross-sectional survey in India, Kenya, Mozambique and South Africa.Reproductive health · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe study was conducted to investigate past and future pregnancy preferences and contraceptive need among Malagasy sex workers. STUDY
designWe 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.
resultsWomen (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).
conclusionsAmong 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.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.