European Journal of Contraception and Reproductive Health Care
Volume 16, Issue 1, 2011, Pages 26-35

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

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.
  • a Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, Belgium
  • b Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, Belgium
  • c Amsterdam School for Social Science Research, University of Amsterdam, Netherlands
  • d National Research Institute of Family Planning, Beijing, China
  • e School of Public Health., Sun Yat-sen University, Guangdong province, China
  • f School of Public Health., Sun Yat-sen University, Guangdong province, China
  • g Donghua Research Institute of Reproductive Health in Chengdu, Sichuan province, China
  • h Kaunas University of Medicine, Lithuania, Lithuania
  • i Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, Belgium
  • j Department of Family Medicine and Primary Health Care, Ghent University, Belgium
  • k Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, Belgium

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. © 2011 The European Society of Contraception and Reproductive Health.

Author Keywords

China Health services accessibility Contraception behaviour family planning services rural urban migration Migrant workers reproductive health Needs assessment Health survey

Index Keywords

Needs Assessment urban population induced abortion urban area rural area educational status China emergency contraception sexual behavior health insurance human condom priority journal injectable contraceptive agent unplanned pregnancy oral contraception Cross-Sectional Studies marriage Young Adult migrant worker cross-sectional study Humans workplace Adolescent Chi-Square Distribution semi structured interview female Contraception patient satisfaction sexual health Health Knowledge, Attitudes, Practice Article Questionnaires adult migration sexual intercourse health care access Reproductive Health normal human Transients and Migrants intrauterine contraceptive device health care need health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-78751488456&doi=10.3109%2f13625187.2010.536920&partnerID=40&md5=19b8117609235854e5ec5427f237036d
DOI: 10.3109/13625187.2010.536920
ISSN: 13625187
Cited by: 13
Original Language: English