TY - JOUR
T1 - Determinants of unmet need for contraception among Chinese migrants
T2 - A worksite-based survey
AU - Decat, Peter
AU - Zhang, Wei Hong
AU - Moyer, Eileen
AU - Cheng, Yimin
AU - Wang, Zhi Jin
AU - Lu, Ci Yong
AU - Wu, Shi Zhong
AU - Nadisauskiene, Ruta Jolanta
AU - Luchters, Stanley
AU - Deveugele, Myriam
AU - Temmerman, Marleen
N1 - Funding Information:
This document is an output from the project ‘Young Labour Migrants in Chinese cities: A demonstration-intervention project to address barriers to health care and promote their sexual and reproductive health (INCO 032522)’, funded by the European Commission FP 6 Programme. Ghent University, Belgium, coordinated the research consortium.
PY - 2011/2
Y1 - 2011/2
N2 - BackgroundConsiderable sexual and reproductive health (SRH) challenges have been reported among rural-to-urban migrants in China. Predictors thereof are urgently needed to develop targeted interventions. Study designA cross-sectional study assessed determinants of unmet need for contraception using semi-structured interviews in two cities in China: Guangzhou and Qingdao. Results Between July and September 2008, 4867 female rural-to-urban migrants aged 1829 years participated in the study. Of these, 2264 were married or cohabiting. Among sexually-active women (n2513), unmet need for contraception was reported by 36.8 and 51.2 of respondents in Qingdao and Guangzhou, respectively; it was associated with being unmarried, having no children, less schooling, poor SRH knowledge, working in non-food industry, and not being covered by health insurance. A substantial proportion of unmarried migrants reported they had sexual intercourse (16.6 in Qingdao and 21.4 in Guangzhou) contrary to current sexual standards in China. Conclusion The study emphasises the importance of improving the response to the needs of rural-to-urban migrants and recommends strategies to address the unmet need for contraception. These should enhance open communication on sexuality, increase the availability of condoms, and improve health insurance coverage.
AB - BackgroundConsiderable sexual and reproductive health (SRH) challenges have been reported among rural-to-urban migrants in China. Predictors thereof are urgently needed to develop targeted interventions. Study designA cross-sectional study assessed determinants of unmet need for contraception using semi-structured interviews in two cities in China: Guangzhou and Qingdao. Results Between July and September 2008, 4867 female rural-to-urban migrants aged 1829 years participated in the study. Of these, 2264 were married or cohabiting. Among sexually-active women (n2513), unmet need for contraception was reported by 36.8 and 51.2 of respondents in Qingdao and Guangzhou, respectively; it was associated with being unmarried, having no children, less schooling, poor SRH knowledge, working in non-food industry, and not being covered by health insurance. A substantial proportion of unmarried migrants reported they had sexual intercourse (16.6 in Qingdao and 21.4 in Guangzhou) contrary to current sexual standards in China. Conclusion The study emphasises the importance of improving the response to the needs of rural-to-urban migrants and recommends strategies to address the unmet need for contraception. These should enhance open communication on sexuality, increase the availability of condoms, and improve health insurance coverage.
KW - China
KW - Contraception behaviour
KW - Family planning services
KW - Health services accessibility
KW - Health survey
KW - Migrant workers
KW - Needs assessment
KW - Reproductive health
KW - Rural urban migration
UR - http://www.scopus.com/inward/record.url?scp=78751488456&partnerID=8YFLogxK
U2 - 10.3109/13625187.2010.536920
DO - 10.3109/13625187.2010.536920
M3 - Article
C2 - 21158522
AN - SCOPUS:78751488456
SN - 1362-5187
VL - 16
SP - 26
EP - 35
JO - European Journal of Contraception and Reproductive Health Care
JF - European Journal of Contraception and Reproductive Health Care
IS - 1
ER -