Sexual and Reproductive Health Service Needs Associated with Underage Initiation of Selling Sex among Adult Female Sex Workers in Guinea-Bissau.
Guinea-Bissau
adolescents
female sex workers
minors
reproductive health
sexual health
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
05 10 2022
05 10 2022
Historique:
received:
26
08
2022
revised:
21
09
2022
accepted:
27
09
2022
entrez:
14
10
2022
pubmed:
15
10
2022
medline:
18
10
2022
Statut:
epublish
Résumé
To assess the prevalence and predictors of underage initiation of selling sex among female sex workers (FSW) in Guinea-Bissau. 505 adult FSW recruited using respondent-driven sampling were surveyed in 2017. Multivariable logistic regression was used to identify demographic, behavioral, and psychosocial characteristics associated with initiation of selling sex while underage (<18 years). A total of 26.3% (133/505) of FSW started selling sex before age 18. Underage initiation of selling sex was associated with experiencing forced sex before age 18 (adjusted odds ratio (aOR): 6.74; 95% confidence interval (CI): 2.05-22.13), and never being tested for HIV (aOR: 0.43; 95% CI: 0.20-0.91). Despite having lower odds of wanting to have children or more children (aOR: 0.31; 95% CI: 0.17-0.56), FSW who started selling sex while underage had lower odds of using highly effective contraception such as implants (aOR: 0.43; 95% CI: 0.24-0.77). Among those who were ever pregnant, a lower percentage of FSW who started selling sex while underage accessed antenatal care (56.6% vs. 74.7%, These data suggest that early initiation of selling sex among adult FSW in Guinea-Bissau is common. Social services for youth and integrated HIV and reproductive health services are critical to address the persisting sexual and reproductive health needs of FSW who started selling sex while underage.
Identifiants
pubmed: 36232014
pii: ijerph191912715
doi: 10.3390/ijerph191912715
pmc: PMC9566000
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NIMH NIH HHS
ID : K01 MH129226
Pays : United States
Organisme : NIAID NIH HHS
ID : R01 AI170249
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD105684
Pays : United States
Références
J Acquir Immune Defic Syndr. 2015 Mar 1;68 Suppl 2:S162-70
pubmed: 25723981
J Acquir Immune Defic Syndr. 2014 Jan 1;65(1):122-8
pubmed: 23982660
JAMA. 2015 Aug 4;314(5):516-8
pubmed: 26241604
Violence Against Women. 2010 Nov;16(11):1252-69
pubmed: 21097962
BMJ Glob Health. 2021 Feb;6(2):
pubmed: 33568395
BMC Public Health. 2023 Sep 25;23(1):1856
pubmed: 37749506
Nat Commun. 2020 Feb 18;11(1):773
pubmed: 32071298
BMC Public Health. 2013 May 17;13:482
pubmed: 23679953
Int J Gynaecol Obstet. 2015 Feb;128(2):169-73
pubmed: 25458416
AIDS Behav. 2023 Oct 16;:
pubmed: 37843686
Int J Environ Res Public Health. 2019 Nov 07;16(22):
pubmed: 31703331
Int J Gynaecol Obstet. 2019 Jan;144(1):2-8
pubmed: 30343503
Sex Transm Infect. 2016 Dec;92(8):593-598
pubmed: 27217378
J Adolesc Health. 1991 Nov;12(7):528-33
pubmed: 1772890
J Int AIDS Soc. 2018 Jul;21 Suppl 5:e25132
pubmed: 30033589
J Urban Health. 2020 Jun;97(3):406-417
pubmed: 32034655
AIDS Care. 2014;26(12):1586-91
pubmed: 25068199
J Epidemiol Community Health. 2011 Apr;65(4):334-9
pubmed: 20515895
Lancet. 2015 Sep 19;386(9999):1111-2
pubmed: 26461889
Subst Use Misuse. 2019;54(5):868-871
pubmed: 30595074
J Int AIDS Soc. 2018 Feb;21 Suppl 1:
pubmed: 29485709
Int J Gynaecol Obstet. 2015 Oct;131(1):91-5
pubmed: 26118326
Child Abuse Negl. 2021 Jan;111:104802
pubmed: 33218712
Violence Against Women. 2012 May;18(5):562-79
pubmed: 22790558
J Urban Health. 2016 Dec;93(6):1010-1026
pubmed: 27714491
AIDS Behav. 2015 Dec;19(12):2184-93
pubmed: 25931241
AIDS Behav. 2014 Mar;18(3):555-61
pubmed: 23955657
Glob Public Health. 2015;10(2):189-221
pubmed: 25554828
AIDS Res Treat. 2012;2012:812635
pubmed: 22848800
Int J Gynaecol Obstet. 2013 Feb;120(2):119-23
pubmed: 23182801
PLoS One. 2015 Apr 08;10(4):e0120922
pubmed: 25853423
Sex Transm Infect. 2021 Feb;97(1):51-55
pubmed: 32345631
AIDS Res Ther. 2020 Jun 12;17(1):33
pubmed: 32532294
Am J Public Health. 2018 Aug;108(8):1049-1054
pubmed: 29927652
J Adolesc Health. 2010 Jan;46(1):37-44
pubmed: 20123256
Arch Dis Child. 2011 May;96(5):478-81
pubmed: 21357241