Sexual Health
Volume 12, Issue 1, 2015, Pages 13-21

Effect of improving the knowledge, attitude and practice of reproductive health among female migrant workers: A worksite-based intervention in Guangzhou, China (Article)

Gao X. , Xu L. , Lu C.* , Wu J. , Wang Z. , Decat P. , Zhang W.-H. , Chen Y. , Moyer E. , Wu S. , Minkauskiene M. , Van Braeckel D. , Temmerman M.
  • a School of Public Health, Sun Yat-sen University, NO. 74, Zhongshan II Road, Guangzhou, Guangdong, Guangdong Province, 510080, China
  • b School of Public Health, Sun Yat-sen University, NO. 74, Zhongshan II Road, Guangzhou, Guangdong, Guangdong Province, 510080, China
  • c School of Public Health, Sun Yat-sen University, NO. 74, Zhongshan II Road, Guangzhou, Guangdong, Guangdong Province, 510080, China
  • d School of Public Health, Sun Yat-sen University, NO. 74, Zhongshan II Road, Guangzhou, Guangdong, Guangdong Province, 510080, China, Department of Epidemiology, School of Public Health, University of California, 640 Charles E Young Dr S, Los Angeles, CA 90024, United States
  • e School of Public Health, Sun Yat-sen University, NO. 74, Zhongshan II Road, Guangzhou, Guangdong, Guangdong Province, 510080, China
  • f International Centre for Reproductive Health (ICRH), Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185 UZ P114, Ghent, 9000, Belgium
  • g International Centre for Reproductive Health (ICRH), Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185 UZ P114, Ghent, 9000, Belgium, School of Public Health, Université Libre de Bruxelles, Route de Lennik, 808, CP 592, Brussels, 1070, Belgium
  • h National Research Institution for Family Planning, Haidian district, Beijing, 100081, China
  • i Department of Anthropology, Amsterdam School for Social Science Research, University of Amsterdam, Postbus 1001, NA Amsterdam, 15508, Netherlands
  • j Donghua Research Institute of Reproductive Health in Chengdu, NO.324, Yulindong XVI Road, Chengdu, Sichuan, 610000, China
  • k Kaunas University of Medicine, Eiveniu 2, Kaunas, LT-50009, Lithuania
  • l International Centre for Reproductive Health (ICRH), Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185 UZ P114, Ghent, 9000, Belgium
  • m International Centre for Reproductive Health (ICRH), Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185 UZ P114, Ghent, 9000, Belgium

Abstract

Background The sexual and reproductive health (SRH) knowledge and attitudes of female migrant workers are far from optimum in China. A worksite-based intervention program on SRH-related knowledge, attitude and practice (SRH KAP) modification may be an effective approach to improve the SRH status among migrant workers. This study aimed to identify better intervention approaches via the implementation and evaluation of two intervention packages. Methods: A worksite-based cluster-randomised intervention study was conducted from June to December 2008 in eight factories in Guangzhou, China. There were 1346 female migrant workers who participated in this study. Factories were randomly allocated to the standard package of interventions group (SPIG) or the intensive package of interventions group (IPIG). Questionnaires were administered to evaluate the effect of two interventions. Results: SRH knowledge scores were higher at follow up than at baseline for all participants of the SPIG; the knowledge scores increased from 6.50 (standard deviation (s.d.) 3.673) to 8.69 (s.d. 4.085), and from 5.98 (s.d. 3.581) to 11.14 (s.d. 3.855) for IPIG; SRH attitude scores increased among unmarried women: the attitude scores changed from 4.25 (s.d. 1.577) to 4.46 (s.d. 1.455) for SPIG, and from 3.99 (s.d. 1.620) to 4.64 (s.d. 1.690) for IPIG; most SRH-related practice was also modified (P<0.05). In addition, after intervention, the IPIG had a higher knowledge level than the SPIG; the scores were 11.14 (s.d. 3.855) versus 8.69 (s.d. 4.085), and unmarried women in the IPIG had higher condom use rate than the SPIG (86.4% versus 57.1%). Conclusions: The interventions had positive influences on improvements in SRH knowledge, attitudes and behaviours. Additionally, IPIs were more effective than SPIs, indicating that a comprehensive intervention may achieve better results. © 2015 CSIRO.

Author Keywords

China intervention worksite based Female migrant sexual and reproductive health

Index Keywords

controlled study female randomized controlled trial China standard Reproductive Health adult sexual health migrant worker randomization single woman Article knowledge condom use human intervention study attitude
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84924486058&doi=10.1071%2fSH14061&partnerID=40&md5=67f44c379f3a971f2d8d0f19a4491fa8
DOI: 10.1071/SH14061
ISSN: 14485028
Original Language: English