Objective: Female sex workers (FSWs) are at risk of unintended pregnancies and induced abortions (IAs).
This study aimed to describe attitudes towards and experiences of IA among FSWs in Laos.
Methods: 258 FSWs were interviewed in Kaysone Phomvihan, Laos. Descriptive statistics and logistic regression
were used to analyse the data.
Results: Overall, 24% of the respondents reported experience of IA. Fifteen percent reported experience
of unintended pregnancy after entering sex work, whereof all had ended in IA. Thirty-six percent had
self-induced the last IA and 64% were carried out in private clinics. The main reasons for having IAs were
paternity denial and lack of financial and social support. A majority agreed or strongly agreed that IA should
not be legal in Laos and that women who undergo IA are immoral, but also that IA is the only option a
FSW has when experiencing an unintended pregnancy. A positive attitude towards IA was associated with
longer duration of sex work and being unmarried.
Conclusion: IAs were common. Respondents’ attitudes and practices reflected limited options when experiencing
an unintended pregnancy, and were influenced by negative social perceptions. Interventions
targeting FSWs should raise awareness of IA and post-abortion care, and promote dual contraceptive use
with highly effective contraceptives.