Determinants of unmet need for contraception among Chinese migrants: A worksite-based survey

Peter Decat; Wei Hong Zhang; Eileen Moyer; Yimin Cheng; Zhi Jin Wang; Ci Yong Lu; Shi Zhong Wu; Ruta Jolanta Nadisauskiene; Stanley Luchters; Myriam Deveugele; Marleen Temmerman

doi:10.3109/13625187.2010.536920

Determinants of unmet need for contraception among Chinese migrants: A worksite-based survey

Peter Decat, Wei Hong Zhang, Eileen Moyer, Yimin Cheng, Zhi Jin Wang, Ci Yong Lu, Shi Zhong Wu, Ruta Jolanta Nadisauskiene, Stanley Luchters, Myriam Deveugele, Marleen Temmerman

Research output: Contribution to journal › Article › peer-review

19 Citations (Scopus)

Abstract

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.

Original language	English (UK)
Pages (from-to)	26-35
Number of pages	10
Journal	European Journal of Contraception and Reproductive Health Care
Volume	16
Issue number	1
DOIs	https://doi.org/10.3109/13625187.2010.536920
Publication status	Published - Feb 2011
Externally published	Yes

Keywords

China
Contraception behaviour
Family planning services
Health services accessibility
Health survey
Migrant workers
Needs assessment
Reproductive health
Rural urban migration

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10.3109/13625187.2010.536920

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Decat, P., Zhang, W. H., Moyer, E., Cheng, Y., Wang, Z. J., Lu, C. Y., Wu, S. Z., Nadisauskiene, R. J., Luchters, S., Deveugele, M., & Temmerman, M. (2011). Determinants of unmet need for contraception among Chinese migrants: A worksite-based survey. European Journal of Contraception and Reproductive Health Care, 16(1), 26-35. https://doi.org/10.3109/13625187.2010.536920

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title = "Determinants of unmet need for contraception among Chinese migrants: A worksite-based survey",

abstract = "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.",

keywords = "China, Contraception behaviour, Family planning services, Health services accessibility, Health survey, Migrant workers, Needs assessment, Reproductive health, Rural urban migration",

author = "Peter Decat and Zhang, \{Wei Hong\} and Eileen Moyer and Yimin Cheng and Wang, \{Zhi Jin\} and Lu, \{Ci Yong\} and Wu, \{Shi Zhong\} and Nadisauskiene, \{Ruta Jolanta\} and Stanley Luchters and Myriam Deveugele and Marleen Temmerman",

note = "Funding Information: This document is an output from the project {\textquoteleft}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){\textquoteright}, funded by the European Commission FP 6 Programme. Ghent University, Belgium, coordinated the research consortium.",

year = "2011",

month = feb,

doi = "10.3109/13625187.2010.536920",

language = "English (UK)",

volume = "16",

pages = "26--35",

journal = "European Journal of Contraception and Reproductive Health Care",

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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

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DO - 10.3109/13625187.2010.536920

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C2 - 21158522

AN - SCOPUS:78751488456

SN - 1362-5187

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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 -

Determinants of unmet need for contraception among Chinese migrants: A worksite-based survey

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Keywords

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