ArticleBMC women's health2020
Overview and factors associated with pregnancies and abortions occurring in sex workers in Benin.
Article in BMC women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Health inequities faced by sex workers.The Lancet. Public health · 2026Review
- Maternal health service utilization and birth outcomes among female sex workers in the Democratic Republic of the Congo, Kenya, and Nigeria: results from a cross-sectional survey.BMC public health · 2026Article
- Maternal Health of Female Sex Workers in Six Low- and Middle-Income Countries.International journal of women's health · 2026Article
- Prevalence and determinants of unintended pregnancy among female sex workers (FSW) in Jashore, Bangladesh.PloS one · 2026Article
- 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
- The prevalence and correlates of unintended pregnancy among female sex workers in South China: a cross-sectional study.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
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11 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundBehavioural and structural factors related to sex work, place female sex workers (FSWs) at high risk of maternal mortality and morbidity (MMM), with a large portion due to unintended pregnancies and abortions. In the African context where MMM is the highest in the world, understanding the frequency and determinants of pregnancy and abortion among FSWs is important in order to meet their sexual and reproductive health needs.
methodsData from two Beninese cross-sectional surveys among FSWs aged 18+ (2013, N = 450; 2016, N = 504) were merged. We first performed exploratory univariate analyses to identify factors associated with pregnancy and abortion (p < 0.20) using Generalized Estimating Equations with Poisson regression and robust variance. Multivariate analyses first included all variables identified in the univariate models and backward selection (p ≤ 0.05) was used to generate the final models.
resultsMedian age was 39 years (N = 866). The proportion of FSWs reporting at least one pregnancy during sex work practice was 16.4%, of whom 42.3% had more than one. Most pregnancies ended with an abortion (67.6%). In multivariate analyses, younger age, longer duration in sex work, previous HIV testing, having a boyfriend and not using condoms with him were significantly (p < 0.05) associated with more pregnancies.
conclusionOne FSW out of five had at least one pregnancy during her sex work practice. Most of those pregnancies, regardless of their origin, ended with an abortion. Improving access to various forms of contraception and safe abortion is the key to reducing unintended pregnancies and consequently, MMM among FSWs in Benin.
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