Researchers conducted this research to explore the prevalence and correlation of pregnancy intentions among FSWs. The present study was a cross-sectional analysis using data from an open prospective cohort of the street and off-street FSWs, in partnership with local sex work and community agencies. Researchers recruited FSWs through outreach to the street and off-street locations and completed interviewer-administered questionnaires and sexually transmitted infection testing.
Of the five hundred and ten women, three hundred and ninety-four reported prior pregnancy, with 140 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 IPV were associated with pregnancy intention.
The study concluded that the 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.