Sonali Wayal|Frances M. Cowan|Pamela Warner|Andrew Copas|David Mabey|Maryam Shahmanesh
Contraceptive practices, sexual and reproductive health needs of HIV-positive and negative female sex workers in Goa, India
Mortimer Market Centre|University College London|University of Edinburgh|University College London|London School of Hygiene & Tropical Medicine|Voluntary Health Association of Goa|University College London
h3objectivesh3 india female sex workers fsws suffer high hiv prevalence abortions contraceptive use among general population women well understood however fsws contraceptives practices reproductive health needs underresearched investigated contraceptive practices among hivpositive negative fsws goa india explored association sociodemographic sex work related factors h3methodsh3 crosssectional study using respondent driven sampling recruited 326 fsws completed intervieweradministered questionnaire screened stihiv multivariable logistic regression used explore factors associated sterilisation relative contraception h3resultsh3 hiv prevalence high 26 59 fsws planning pregnancy 33 hivpositive 57 igonorrhoeai ichlamydiai itrichomonasi 25 65 fsws screenedpositive isyphilisi iherpesi simplex virus type 2 antibodies respectively among 260 fsws analysed contraceptive use 39 use contraceptives 26 experienced abortion half fsws undergone sterilisation 5 used condoms contraception among hivpositive fsws 45 use contraceptives sterilisation independently associated older age illiteracy intimate nonpaying male partner children financial autonomy exposure national aids control organisation9s hivprevention interventions reported 34 fsws significantly associated contraceptive use adjusted odds ratio 14 95 ci 07 29 h3conclusionh3 hivprevention interventions promote contraception especially among young hivpositive fsws integrating hiv treatment care services hivprevention interventions vital avert hivpositive births