دورية أكاديمية
أعرض في EDS

Incidence of unintended pregnancy among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Incidence of unintended pregnancy among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis.
المؤلفون: Ampt FH; Burnet Institute, Melbourne, Victoria, Australia.; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Willenberg L; Burnet Institute, Melbourne, Victoria, Australia., Agius PA; Burnet Institute, Melbourne, Victoria, Australia.; Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia., Chersich M; Faculty of Health Sciences, Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg, South Africa., Luchters S; Burnet Institute, Melbourne, Victoria, Australia.; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.; Department of Obstetrics and Gynaecology, International Centre for Reproductive Health, Universiteit Gent, Ghent, Belgium., Lim MSC; Burnet Institute, Melbourne, Victoria, Australia.; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.; Melbourne School of Global and Population Health, University of Melbourne, Melbourne, Victoria, Australia.
المصدر: BMJ open [BMJ Open] 2018 Sep 17; Vol. 8 (9), pp. e021779. Date of Electronic Publication: 2018 Sep 17.
نوع المنشور: Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Systematic Review
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Pregnancy, Unplanned*, Developing Countries/*statistics & numerical data , Sex Workers/*statistics & numerical data, Female ; Humans ; Incidence ; Intention ; Pregnancy
مستخلص: Objectives: To determine the incidence of unintended pregnancy among female sex workers (FSWs) in low-income and middle-income countries (LMICs).
Design: We searched MEDLINE, PsychInfo, Embase and Popline for papers published in English between January 2000 and January 2016, and Web of Science and Proquest for conference abstracts. Meta-analysis was performed on the primary outcomes using random effects models, with subgroup analysis used to explore heterogeneity.
Participants: Eligible studies targeted FSWs aged 15-49 years living or working in an LMIC.
Outcome Measures: Studies were eligible if they provided data on one of two primary outcomes: incidence of unintended pregnancy and incidence of pregnancy where intention is undefined. Secondary outcomes were also extracted when they were reported in included studies: incidence of induced abortion; incidence of birth; and correlates/predictors of pregnancy or unintended pregnancy.
Results: Twenty-five eligible studies were identified from 3866 articles. Methodological quality was low overall. Unintended pregnancy incidence showed high heterogeneity (I²>95%), ranging from 7.2 to 59.6 per 100 person-years across 10 studies. Study design and duration were found to account for heterogeneity. On subgroup analysis, the three cohort studies in which no intervention was introduced had a pooled incidence of 27.1 per 100 person-years (95% CI 24.4 to 29.8; I 2 =0%). Incidence of pregnancy (intention undefined) was also highly heterogeneous, ranging from 2.0 to 23.4 per 100 person-years (15 studies).
Conclusions: Of the many studies examining FSWs' sexual and reproductive health in LMICs, very few measured pregnancy and fewer assessed pregnancy intention. Incidence varied widely, likely due to differences in study design, duration and baseline population risk, but was high in most studies, representing a considerable concern for this key population. Evidence-based approaches that place greater importance on unintended pregnancy prevention need to be incorporated into existing sexual and reproductive health programmes for FSWs.
Prospero Registration Number: CRD42016029185.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: epidemiology; preventive medicine; public health; reproductive medicine; sexual medicine
تواريخ الأحداث: Date Created: 20180919 Date Completed: 20191025 Latest Revision: 20191025
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC6144321
DOI: 10.1136/bmjopen-2018-021779
PMID: 30224388
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2018-021779