Experiencing more categories of harms from others' drinking in the past 12 months was associated with feeling unsafe in all settings (tables 4 and 5).
Data are lacking on total numbers accessing unsafe abortions in these settings: while an estimated 19 million unsafe abortions are performed annually in sub-Saharan Africa [7], there is considerable uncertainty surrounding this estimate.
Women were more likely to feel unsafe in all nightlife settings, with 40.8% typically feeling unsafe on the way home.
In all settings, feeling unsafe increased with experiencing more categories of aggressive harm by a drunk person.
Although terminations after the first trimester constitute the minority of abortion cases, they account for the majority of serious abortion-related complications including death, particularly in settings where unsafe abortions are common [ 25- 27].
An estimated 20% of new HBV infections worldwide, or 8 16 million infections per year, arise from unsafe injections in medical care settings (32).
For example, during 2001 2011, there were >18 outbreaks of viral hepatitis associated with unsafe injection practices in outpatient settings, such as physician offices or ambulatory surgery centers (4 ).
Since obtaining a diagnosis of unsafe abortion is crucial in settings where reporting is deterred by legal, ethical and moral concerns, our study used a robust methodology to distinguish unsafe abortions from spontaneous abortions.
More interventional research on alcohol harm reduction among sex workers is required, examining, for example, the effects of 'brief interventions' on unsafe sex in sex work settings [ 26, 49, 55].
3. Changing their environments: Many girls spend too much time in toxic settings where they feel unsafe, judged and surrounded by relationship aggression and drama.
The study did find that plot lines showing abortions that took place outside of modern medical settings were seen as generally unsafe and often ineffective, while the providers were painted as unreliable, even deceptive.
