European Journal of Contraception and Reproductive Health Care
Volume 17, Issue 5, 2012, Pages 363-372

Promoting contraceptive use among female rural-to-urban migrants in Qingdao, China: A comparative impact study of worksite-based interventions (Article)

Decat P.* , Zhang W.-H. , Delva W. , Moyer E. , Cheng Y. , Wang Z.-J. , Lu C.-Y. , Wu S.-Z. , Nadisauskiene R.J. , Temmerman M. , Degomme O.
  • a International Centre for Reproductive Health (ICRH), Ghent University, De Pintelaan 185 P3, 9000 Gent, Belgium
  • b International Centre for Reproductive Health (ICRH), Ghent University, De Pintelaan 185 P3, 9000 Gent, Belgium
  • c International Centre for Reproductive Health (ICRH), Ghent University, De Pintelaan 185 P3, 9000 Gent, Belgium, Department of Science and Technology, National Research Foundation (DST/NRF), Stellenbosch University, South Africa
  • d Amsterdam School for Social Science Research, University of Amsterdam, Netherlands
  • e National Research Institute of Family Planning, Beijing, China
  • f School of Public Health, SUN-YAT University, Guangdong Province, China
  • g School of Public Health, SUN-YAT University, Guangdong Province, China
  • h Donghua Research Institute of Reproductive Health, Chengdu, Sichuan Province, China
  • i Lithuanian University of Health Sciences, Kaunas, Lithuania
  • j International Centre for Reproductive Health (ICRH), Ghent University, De Pintelaan 185 P3, 9000 Gent, Belgium
  • k International Centre for Reproductive Health (ICRH), Ghent University, De Pintelaan 185 P3, 9000 Gent, Belgium

Abstract

Background We conducted a comparative study in worksites to assess the impact of sexual health promoting interventions on contraceptive use among female rural-to-urban migrants. Study design In Qingdao ten manufacturing worksites were randomly allocated to a standard package of interventions (SPI) and an intensive package of interventions (IPI). The interventions ran from July 2008 to January 2009. Cross-sectional surveys at baseline and end line assessed the sexual behaviour of young female migrants. To evaluate the impact of the interventions we assessed pre- and post-time trends. Results From the SPI group 721 (baseline) and 615 (end line) respondents were considered. Out of the IPI group we included 684 and 603 migrants. Among childless migrants, self-reported contraceptive use increased significantly after SPI and IPI (adjusted odds ratio [aOR] 3.23; 95% confidence interval [CI] 1.52-6.84; p <0.01 and aOR 5.81; 95% CI 2.63-12.80; p <0.001, respectively). Childless migrants older than 22 years reported a greater use after IPI than after SPI. Conclusion Implementing current Chinese sexual health promotion programmes at worksites is likely to have a positive impact on migrant women working in the manufacturing industry of Qingdao. More comprehensive interventions seem to have an added value if they are well targeted to specific groups. © 2012 The European Society of Contraception and Reproductive Health.

Author Keywords

China family planning services Comparative effectiveness research Programme evaluation Contraception Workplace reproductive health labour migration Intervention study

Index Keywords

urban population urban area China rural area educational status Family Planning Services health promotion sexual behavior human Longitudinal Studies Self Report condom rural population priority journal comparative study Occupational Health Services Logistic Models oral contraception Cross-Sectional Studies cluster analysis female sterilization cross-sectional study workplace Humans Adolescent Emigrants and Immigrants female Contraception sexual health contraceptive agent Health Status Indicators Article Outcome Assessment (Health Care) Questionnaires intervention study adult migration Reproductive Health intrauterine contraceptive device Contraception Behavior gestagen
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866237371&doi=10.3109%2f13625187.2012.696752&partnerID=40&md5=0ee6a918c1bdc8be94e9e56aeef6df5a
DOI: 10.3109/13625187.2012.696752
ISSN: 13625187
Cited by: 1
Original Language: English