title: Factors Related to Pregnancy Among Female Sex Workers Living with HIV in the Dominican Republic.
abstract: Female sex workers (FSWs) living with HIV are a vulnerable population for multiple health concerns and have been vastly understudied in public health literature. This study analyzes factors related to pregnancy among 268 FSWs living with HIV in the Dominican Republic. Results indicate that 34 % of participants had been pregnant since HIV diagnosis. Multivariate analysis revealed significant associations between pregnancy after HIV diagnosis and ART interruption (AOR 2.41; 95 % CI 1.19, 4.94), knowledge of mother-to-child transmission (AOR 2.12; 95 % CI 0.99, 4.55), serostatus disclosure to a sex partner (AOR 2.46; 95 % CI 1.31, 4.62), older age (AOR 0.91; 95 % CI 0.87, 0.95) and a more negative perception of their health provider (AOR 0.56; 95 % CI 0.34, 0.93). Results indicate noteworthy associations between having been pregnant and the health provider experience and ART interruption, indicating a significant need for further research on this population to ensure both maternal and child health.
authors.affiliation: Department of Health, Behavior and Society, The Johns Hopkins Bloomberg School of Public Health, HH287, 624 N. Broadway St., Baltimore, MD, 21205, USA. danacern@gmail.com.
authors.forename: Dana
authors.initials: D
authors.lastname: Cernigliaro
authors.affiliation: The Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Clare
authors.initials: C
authors.lastname: Barrington
authors.affiliation: HIV Vaccine Research Unit, Instituto Dermatalógico y Cirugia de Piel Dr. Humberto Bogart Diaz, Santo Domingo, Dominican Republic.
authors.forename: Martha
authors.initials: M
authors.lastname: Perez
authors.affiliation: HIV Vaccine Research Unit, Instituto Dermatalógico y Cirugia de Piel Dr. Humberto Bogart Diaz, Santo Domingo, Dominican Republic.
authors.forename: Yeycy
authors.initials: Y
authors.lastname: Donastorg
authors.affiliation: Department of Health, Behavior and Society, The Johns Hopkins Bloomberg School of Public Health, HH287, 624 N. Broadway St., Baltimore, MD, 21205, USA.
authors.forename: Deanna
authors.initials: D
authors.lastname: Kerrigan
mesh_terms: D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D004293:Dominican Republic / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D055118:Medication Adherence; D008875:Middle Aged; D015999:Multivariate Analysis; D011247:Pregnancy; D060386:Sex Workers / Q000706:statistics & numerical data*; D012747:Sexual Partners; D057545:Social Stigma; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
chemical_list: D019380:Anti-HIV Agents
keywords: Dominican Republic; HIV; Pregnancy; Sex work