P703 Pregnancy intention and prevalence according to HIV status among female sex workers in mali

Background Women living in Sub-Saharan Africa have the world’s highest rates of new HIV infections and unintended pregnancies. These two risks are magnified in the female sex worker’s (FSW) population where HIV prevalence is 12 times higher than in the general population. Yet, no information is available concerning FSW’s pregnancy intentions, which could help prevent HIV mother-to-child transmission and unintended pregnancies. This study investigated whether pregnancy intention and pregnancy prevalence varied according to FSWs’ HIV status. We hypothesized that FSWs living with HIV (FSWLHIV) were less likely to intent carrying a pregnancy and to be pregnant. Methods We analysed baseline data from a prospective observational cohort study. Three hundreds and twenty-five FSWs were recruited in Bamako, Mali (November 2017 - February 2018). Participants completed a questionnaire. We assessed pregnancy frequencies among women according to HIV status and compared those using chi-square. Age-adjusted odds ratios were estimated using logistic regression. Results Mean age was 25 years (N=303), 20.8% of the participants were HIV positive and 16.2% had the intention of becoming pregnant during the next six months. The proportion of FSWs reporting having been pregnant prior to entering in sex work were 72.1% (44/61) for the FSWLHIV and 60.8% (142/240) the other FSWs (p-value=0.2452). The occurrence of pregnancies since engagement in sex work was reported much less often (FSWLHIV = 36.1% and others = 28.8%) with still no significant difference between the two groups (p-value=0.3494). FSWLHIV reported more frequently to have wanted a pregnancy in the last 6 months compared to other FSWs (aOR = 2.57, 95%CI: [1.3, 2.2]). Conclusion With FSWLHIV being more likely to desire children during sex work practice, while less than half of them currently receive ART, a specific attention should be given to support them in that decision in order to prevent mother-to-child transmission. Disclosure No significant relationships.