Evidence map›Paper›PMID 28711643›Full record

Trial reportContraception2017

Contraceptive use and unplanned pregnancy among female sex workers in Zambia.

Michael M Chanda, Katrina F Ortblad, Magdalene Mwale, Steven Chongo, Catherine Kanchele, Nyambe Kamungoma, Leah G Barresi, Guy Harling, Till Bärnighausen, Catherine E Oldenburg

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contraception, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
25.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Health inequities faced by sex workers.The Lancet. Public health · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 4 countries.

Michael M ChandaJohn Snow, Inc, Lusaka, Zambia.
Katrina F OrtbladDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Magdalene MwaleJohn Snow, Inc, Lusaka, Zambia.
Steven ChongoJohn Snow, Inc, Lusaka, Zambia.
Catherine KancheleJohn Snow, Inc, Lusaka, Zambia.
Nyambe KamungomaJohn Snow, Inc, Lusaka, Zambia.
Leah G BarresiDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Guy HarlingDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Research Department of Infection and Population Health, University College London, UK.
Till BärnighausenDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Africa Health Research Institute, Mtubatuba, South Africa; Institute of Public Health, Faculty of Medicine, University of Heidelberg, Heidelberg, Germany.
Catherine E OldenburgFrancis I. Proctor Foundation, University of California, San Francisco, CA, USA. Electronic address: catherine.oldenburg@ucsf.edu.
Harvard Global Health Institute · USHarvard University · USHeidelberg University · DEUniversity of California, San Francisco · US

Funding

HIV and Other Infectious Consequences of Substance UseT32DA013911 · NIDA · MIRIAM HOSPITAL · PI TRACI C GREEN, JOSIAH D RICH · 2001 to 2026
$9.6M
Epidemiology of Infectious Diseases and BiodefenseT32AI007535 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GRAD, YONATAN H, MURRAY, MEGAN B · 1998 to 2025
$4.8M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Training Tanzanian Researchers for HIV/AIDS Implementation ScienceD43TW009775 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, Christopher Sudfeld · 2015 to 2026
$3.0M
Causal Pathways to population health impact of HIV antiretroviral treatmentR01HD084233 · NICHD · UNIVERSITY OF KWAZULU-NATAL · PI BARNIGHAUSEN, TILL, TANSER, FRANK COURTENEY · 2015 to 2021
$2.3M
Can HIV Hot-Spots be eradicated? An intervention to decrease HIV transmission to young women in rural KwaZulu-Natal South AfricaR01AI124389 · NIAID · UNIVERSITY OF KWAZULU-NATAL · PI BARNIGHAUSEN, TILL, TANSER, FRANK COURTENEY · 2016 to 2020
$2.1M
FIC NIH HHS D43 TW009775NIAID NIH HHS R01 AI124389NIAID NIH HHS T32 AI007535NICHD NIH HHS R01 HD084233NIDA NIH HHS T32 DA013911NIMH NIH HHS R25 MH083620Wellcome Trust
6 · The paper itself

Abstract

objectivesAccess to reproductive healthcare, including contraceptive services, is an essential component of comprehensive healthcare for female sex workers (FSW). Here, we evaluated the prevalence of and factors associated with contraceptive use, unplanned pregnancy, and pregnancy termination among FSW in three transit towns in Zambia. STUDY

designData arose from the baseline quantitative survey from a randomized controlled trial of HIV self-testing among FSW. Eligible participants were 18 years of age or older, exchanged sex for money or goods at least once in the past month, and were HIV-uninfected or status unknown without recent HIV testing (<3 months). Logistic regression models were used to assess factors associated with contraceptive use and unplanned pregnancy.

resultsOf 946 women eligible for this analysis, 84.1% had been pregnant at least once, and among those 61.6% had an unplanned pregnancy, and 47.7% had a terminated pregnancy. Incarceration was associated with decreased odds of dual contraception use (aOR=0.46, 95% CI 0.32-0.67) and increased odds of unplanned pregnancy (aOR=1.75, 95% CI 1.56-1.97). Condom availability at work was associated with increased odds of using condoms only for contraception (aOR=1.74, 95% CI 1.21-2.51) and decreased odds of unplanned pregnancy (aOR=0.63, 95% CI 0.61-0.64).

conclusionsFSW in this setting have large unmet reproductive health needs. Structural interventions, such as increasing condom availability in workplaces, may be useful for reducing the burden of unplanned pregnancy.

Indexed as

Pregnancy, UnplannedAbortion, InducedAdolescentAdultCondomsContraceptionContraception BehaviorFemaleHumansPregnancySex WorkersYoung AdultZambiaAbortionFamily planningFemale sex workersSub-Saharan Africa

Identifiers

PMID28711643
PMCPMC5570912
OpenAlexW2735045183

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.