PT  - JOURNAL ARTICLE
AU  - Eileen A Yam
AU  - Zandile Mnisi
AU  - Sibusiso Maziya
AU  - Caitlin Kennedy
AU  - Stefan Baral
TI  - Use of emergency contraceptive pills among female sex workers in Swaziland
AID  - 10.1136/jfprhc-2012-100527
DP  - 2013 Jun 20
TA  - Journal of Family Planning and Reproductive Health Care
PG  - jfprhc-2012-100527
4099  - http://jfprhc.bmj.com/content/early/2013/06/20/jfprhc-2012-100527.short
4100  - http://jfprhc.bmj.com/content/early/2013/06/20/jfprhc-2012-100527.full
AB  - Objectives Female sex workers (FSW) often have unprotected sex. Emergency contraceptive pills (ECP) are an important back-up method to prevent unwanted pregnancy among FSW. We examine ECP use among FSW in Swaziland. Methods Using data from a 2011 respondent-driven sampling survey of 325 Swazi FSW, we explored the association between individual characteristics and ever having used ECP. Results In weighted analyses, 27.5% of FSW had ever used ECP. Most (77.8%) had ever been pregnant, among whom 48.7% had had an unwanted pregnancy and 11.7% had had an abortion. Nearly half (47.5%) had experienced condom failure in the past month. Significant independent correlates of ECP use were younger age, higher education, higher income, having two or more children, and never having been married. Conclusions FSW who are older or of lower socioeconomic status may not have adequate access to ECP. By better addressing these women's family planning needs, the dual goals of preventing unwanted pregnancy and preventing vertical transmission of HIV can be achieved.