title: Pregnancy intentions among female sex workers: recognising their rights and wants as mothers.
abstract: OBJECTIVE
  To better understand the prevalence and correlates of pregnancy intentions among female sex workers (FSWs).
  
  
  METHODS
  Cross-sectional analysis using data from an open prospective cohort of street and off-street FSWs in Vancouver, Canada, in partnership with local sex work and community agencies.
  
  
  METHODS
  FSWs were recruited through outreach to street and off-street locations (e.g. massage parlours, micro-brothels) and completed interviewer-administered questionnaires and HIV/sexually transmitted infection testing. Bivariable and multivariable logistic regression was used to evaluate correlates of pregnancy intention, based on a 'yes' or 'no' response to the question "Are you planning on have any (any more) children in the future?".
  
  
  RESULTS
  Of the 510 women, 394 (77.3%) reported prior pregnancy, with 140 (27.5%) of the entire sample reporting positive pregnancy intentions. Regarding ethnicity, 35.3% were Caucasian and 26.3% were Asian/visible minority, with no differences in pregnancy intention by ethnicity or HIV status; 38.4% reported Canadian Aboriginal ancestry. In our final multivariable model, servicing clients in formal indoor settings, inconsistent condom use by clients, younger age, and intimate partner violence (IPV) were associated with pregnancy intention.
  
  
  CONCLUSIONS
  FSWs may have pregnancy intention levels similar to that of women in other occupations. Policy changes are needed to improve FSWs' access to integrated HIV and reproductive health services and harm reduction services, particularly for FSWs experiencing IPV.
authors: Research Assistant and PhD Candidate, British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver and School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
authors: Putu
authors: P
authors: Duff
authors: Professor, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
authors: Jeannie
authors: J
authors: Shoveller
authors: Assistant Professor, School of Public Health, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
authors: Cindy
authors: C
authors: Feng
authors: Associate Director of the Division of STI/HIV Prevention, British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
authors: Gina
authors: G
authors: Ogilvie
authors: Director, British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver and Department of Medicine, University of British Columbia, St Paul's Hospital, Vancouver, British Columbia, Canada.
authors: Julio
authors: J
authors: Montaner
authors: Associate Professor and Director of the Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver; School of Population and Public Health, University of British Columbia, Vancouver; and Department of Medicine, University of British Columbia, St Paul's Hospital, Vancouver, British Columbia, Canada.
authors: Kate
authors: K
authors: Shannon
mesh_terms: D000293:Adolescent; D000328:Adult; D002170:Canada; D002961:Civil Rights; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000523:psychology; D006801:Humans; D033182:Intention; D016015:Logistic Models; D009035:Mothers / Q000523:psychology* / Q000706:statistics & numerical data; D011247:Pregnancy; D015995:Prevalence; D011446:Prospective Studies; D046269:Reproductive Rights / Q000639:trends*; D060386:Sex Workers / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires
keywords: HIV; contraception; fertility; pregnancy intentions; reproductive health; sex work