Determinants of unmet need for contraception among Chinese migrants: A worksite-based survey
Authors: Decat, Peter1; Zhang, Wei-Hong1; Moyer, Eileen2; Cheng, Yimin3; Wang, Zhi-jin4; Lu, Ci-yong4; Wu, Shi-zhong5; Nadisauskiene, Ruta Jolanta6; Luchters, Stanley1; Deveugele, Myriam7; Temmerman, Marleen1
Source: The European Journal of Contraception and Reproductive Health Care, Volume 16, Number 1, February 2011 , pp. 26-35(10)
Publisher: Informa Healthcare
Abstract:Background Considerable 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 design A 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 18–29 years participated in the study. Of these, 2264 were married or cohabiting. Among sexually-active women (n = 2513), 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.
Document Type: Research Article
Affiliations: 1: *Department of Obstetrics and Gynaecology, International Centre for Reproductive Health (ICRH), Faculty of Medicine and Health Sciences, Ghent University, Belgium 2: †Amsterdam School for Social Science Research, University of Amsterdam, The Netherlands 3: ‡National Research Institute of Family Planning, Beijing, P. R. of China 4: §School of Public Health, Sun Yat-sen University, Guangdong province, P.R. of China 5: #Donghua Research Institute of Reproductive Health in Chengdu, Sichuan province, P.R. of China 6: ⁁Kaunas University of Medicine, Lithuania 7: $Department of Family Medicine and Primary Health Care, Ghent University, Belgium
Publication date: 2011-02-01
- In this: publication
- By this: publisher
- In this Subject: Obstetrics & Gynecology , Families & Communities
- By this author: Decat, Peter ; Zhang, Wei-Hong ; Moyer, Eileen ; Cheng, Yimin ; Wang, Zhi-jin ; Lu, Ci-yong ; Wu, Shi-zhong ; Nadisauskiene, Ruta Jolanta ; Luchters, Stanley ; Deveugele, Myriam ; Temmerman, Marleen