Table 5. Factors associated with current unmet need for modern contraception 1 among adolescent female sex workers (N = 310).
| Factors | Unmet need 1 | Crude OR | p value | Adjusted OR | p value |
|---|---|---|---|---|---|
| % (n/N) | (95% CI) | (95% CI) | |||
| TOTAL | 35 (110) | ||||
| Age, years | |||||
| 15–17 | 38 (20/53) | 1.0 | 0.71 | ||
| 18–20 | 35 (90/257) | 0.89 (0.48–1.64) | |||
| Education level | |||||
| No school or primary school only | 33 (9/27) | 0.95 (0.36–2.51) | 0.95 | ||
| Middle school | 36 (82/228) | 1.06 (0.57–1.97) | |||
| High school | 35 (19/55) | 1.0 | |||
| Current non-paying partner | |||||
| No | 19 (19/99) | 1.0 | <0.001 | 1.0 | <0.001 |
| Yes | 43 (91/211) | 3.19 (1.81–5.64) | 3.41 (1.87–6.24) | ||
| Experienced physical or sexual violence from any sexual partner (past year) | |||||
| No | 33 (64/192) | 1.0 | 0.31 | ||
| Yes | 39 (46/118) | 1.28 (0.79–2.06) | |||
| Average monthly income from sex work | |||||
| <633 Euro | 37 (52/141) | 1.0 | 0.63 | ||
| > = 633 Euro | 34 (58/169) | 0.89 (0.56–1.42) | |||
| Average number of paying partners per week (past month) | |||||
| 1–2 | 34 (65/189) | 1.0 | 0.62 | ||
| 3 or more | 37 (45/121) | 1.13 (0.70–1.82) | |||
| Time in sex work | |||||
| <1 month | 35 (13/37) | 1.12 (0.44–2.84) | 0.97 | ||
| 1–6 months | 36 (56/154) | 1.18 (0.58–2.43) | |||
| 7–12 months | 36 (27/76) | 1.41 (0.52–2.52) | |||
| >12 months | 33 (14/43) | 1.0 | |||
| Alcohol use, past year | |||||
| Abstainer or casual-drinker | 17 (9/53) | 1.0 | <0.001 | 1.0 | 0.004 |
| Daily or usual-drinker (more than twice a week) | 39 (101/257) | 3.17 (1.48–6.76) | 3.19 (1.44–7.06) | ||
| Abortion ever | 0.86 | ||||
| No | 35 (61/174) | 1.0 | |||
| Yes | 36 (49/136) | 1.04 (0.65–1.67) | |||
| Any self-reported STI symptom of (past year) | 0.02 | 0.30 | |||
| No | 27 (28/105) | 1.0 | 1.0 | ||
| Yes | 40 (82/205) | 1.83 (1.10–3.07) | 1.34 (0.76–2.35) | ||
| Received any SRH services 2 in the past year | 0.10 | 0.08 | |||
| No | 15 (2/13) | 0.32 (0.07–1.46) | 0.24 (0.49–1.20) | ||
| Yes | 36 (108/297) | 1.0 | 1.0 | ||
| Non-paying partners’ attitude towards contraception | 0.93 | ||||
| Non supportive | 42 (35/83) | 1.0 | |||
| Supportive | 43 (53/124) | 0.98 (0.56–1.71) | |||
| SRH knowledge 3 | 0.09 | 0.02 | |||
| Low score | 40 (67/169) | 1.50 (0.93–2.40) | 1.89 (1.13–3.15) | ||
| High score | 30 (43/141) | 1.0 | 1.0 |
1 Unmet need for modern contraception was defined as not currently intending to get pregnant and not using any modern contraception (sterilisation, oral contraceptive pill, intra-uterine device (IUD), diaphragm, injection, emergency contraception, or implant)
2 SRH services including family planning, HIV/STI testing, free condoms
3 Knowledge of sexual reproductive health was derived from a set of seven true/false questions plus one point for having heard of each of eight modern methods of contraception. Scores were split at the median (< = 7/15 vs>7/15)