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To diminish the potential impact of sensitive questions, the interviewers were trained on ethical issues. Tounkara FK, et al. Int Perspect Sex Reprod Health.

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La Maison Fleurie - Order flowers for same day delivery to Rimouski, QC, was worshipped (and where prostitutes were said to be readily available.). L'enfer de la prostitution (Ottawa, L'Interligne, ), 50– Hypersexualisation et violences sexuelles (Rimouski, CALACS de Rimouski, ).

In Benin, the abortion law allows women to access that procedure only if the life of the mother is in danger, in cases Prostitutes Rimouski rape, incest or malformations of the foetus [ 48 ]. Abortion in Cotonou seems to be fairly accessible in small private health centers but its cost between With the information available, we did not know in what kind of settings the FSWs accessed abortion. We do know that FSWs have limited economic options, Prostitutes Rimouski education and many dependents [ 50 ] and those factors place them at higher risk of unsafe abortion [ 515253 ].

The high abortion rate observed here might be explained by the fact that the vast majority of FSWs already had their children prior to their involvement in sex work and the Prostitutes Rimouski of children is a determining factor for abortion [ 5455 ].

Prostitutes Rimouski we could observe in our sample, FSWs who had more dependents had more chance of having an abortion. Financial vulnerabilities often lead women to become sex workers [ 56 ] and having a child increases that financial burden [ Prostitutes Rimouski ].

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However, FSWs who have more children have fewer abortions. This surprising result can Prostitutes Rimouski explained by the type of study we used.

A cross-sectional survey does not enable us to Prostitutes Rimouski the temporality of the events, meaning that maybe the non-use of abortion caused the FSWs to have more children and that fact can explain why the number of children appeared as a protective factor. Older age is usually a factor associated with abortion [ 19555758 ]. In our analysis, we could not observe a clear Prostitutes Rimouski as we did for the association between age and pregnancy occurrence.

We could only use the subsample of women who reported at least one pregnancy during sex work to identify the factors associated with abortion. This relatively small sample size could explain the difficulty to identify clear trends.

In our population, as in many countries and populations, abortion was Prostitutes Rimouski with age, marital status and Prostitutes Rimouski factors [ 45 ]. We decided to merge the two databases to enhance our statistical power. To do so, we made sure that the data collection followed the identical process and the same tools. Prostitutes Rimouski verified that the outcomes of interest had almost Prostitutes Rimouski prevalence.

However, a study carried out in Cotonou data not publishedshowed that FSWs stayed on average 1 year in that city. Knowing that, we could deduce that after 3 years The possibility that we could not identify potential Prostitutes Rimouski who would have answered our survey in and could affect our estimates. Indeed, without changing the number of observations, the presence of duplicate cases would reduce the effective sample size and the precision of the estimates [ 59 ].

To reduce this risk, we compared the two samples to identify possible duplicates and found only two, thus suggesting this would concern only a few Prostitutes Rimouski and would thus have minimal impact on the validity of our analyses.

In addition, we could have underestimated the frequency of Prostitutes Rimouski outcomes since pregnancy and abortion are sensitive topics. There is a high probability that some women did not disclose some pregnancies or abortions.

Consequently, the frequency of pregnancies and abortions that we observed are Prostitutes Rimouski to be underestimated. Because we used a cross-sectional design, we cannot asses the temporality of the factors associated with pregnancy and abortion. Moreover, it is not possible to establish a causal link between these factors versus pregnancy and abortion and we do not know if the pregnancies were wanted or not. In the future, a longitudinal study could address those limits.

Usually the studies assessing pregnancy are only from urban settings [ 57 ]. The scale of the survey allowed a good representativeness of the FSW population. Furthermore, this is Prostitutes Rimouski first study to assess pregnancy and abortion over the sex work practice period. Lastly, the Prostitutes Rimouski sample size gave us the opportunity to consider several potential factors associated with the occurrence Prostitutes Rimouski pregnancies during sex work.

To conclude, one FSW out of five had at least one pregnancy during her sex work practice. Our results suggest that prevention services need to continue to promote condom use and that dual protection is the key to reduce unintended pregnancies in the FSW population.

With the available data, this study was not able to specify whether those pregnancies were wanted or not and in which conditions women underwent abortion. More research Prostitutes Rimouski needed to find answers to these questions. The datasets used and analysed during the current study are available from the corresponding author an reasonable request.

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Structural determinants of health: a qualitative study on female sex workers in Benin

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