Assessing Barriers and Utilization of Sexual and Reproductive Health Services among Female Migrant Workers in Vietnam.
Assessing Barriers and Utilization of Sexual and Reproductive Health Services among Female Migrant Workers in Vietnam.
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DOI：
10.3390/ijerph20146368
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发表时间：
2023-07-15
影响因子：
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通讯作者：
Schensul, Stephen L
中科院分区：
文献类型：
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作者：
Ha, Toan;Givens, David;Shi, Hui;Nguyen, Trang;Nguyen, Nam;Shrestha, Roman;Frank, Linda;Schensul, Stephen L
年轻的移徙女工在获得包括性健康和生殖健康(SRH)服务在内的保健服务方面经常遇到差距，特别是在城市环境中。这项研究评估了在越南工业区工作的年轻女性外来务工人员对SRH服务的障碍和利用情况，并探索了与利用这些服务有关的因素。一项横断面调查在越南河内对1061名在IZ工作的年轻女性农民工进行。使用多变量Logistic回归分析确定与SRH服务利用相关的因素。近35%的参与者报告说，自从在IZ工作以来，至少使用过一次SRH服务。此外，约78%的参与者报告在他们最后一次性行为中使用了避孕方法。研究还发现，年龄较大的参与者(25-29岁)使用SRH服务的可能性是年轻参与者(18-24岁)的近两倍(OR=1.91，95%CI：1.19-3.06)。已婚参与者使用SRH服务的几率是单身参与者的近6倍(OR=5.98，95%CI：3.71~9.63)，收入较高的参与者更倾向于使用SRH服务(OR=1.02，95%CI：1.01~1.04)。最常报告的获得SRH服务的障碍是服务操作时间不方便(26.2%)，其次是距离服务地点较远(9.2%)和服务费用高(5.2%)。这项研究发现SRH服务利用率较低，并在研究参与者中发现了获得这些服务的几个障碍。研究结果为政策制定者和项目管理者提供了重要的证据见解，以帮助制定和实施政策，帮助减少壁垒，并加强SRH服务的提供，以满足在快速发展和城市化的国家，如越南和其他具有类似背景的低收入和中等收入国家的IZ中已婚和未婚女性移徙工人的需求。
Young migrant women workers frequently experience disparities in accessing health services, including sexual and reproductive health (SRH) services, especially in urban settings. This study assesses the barriers and utilization of SRH services and explores factors associated with the utilization of these services among young female migrant workers working in the industrial zone (IZ) in Vietnam. A cross-sectional survey was conducted among 1061 young women migrant workers working in an IZ in Hanoi, Vietnam. Multivariable logistic regression analysis was used to identify factors associated with utilization of SRH services. Nearly 35% of the participants reported using SRH services at least once since working in the IZ. Additionally, around 78% of the participants reported using a contraceptive method during their last sexual encounter. The study also found that older participants (25–29 years old) were nearly two times more likely to use SRH services than younger participants (18–24 years old) (OR = 1.91, 95% CI: 1.19–3.06). Married participants had nearly six times higher odds of using SRH services compared to single participants (OR = 5.98, 95% CI: 3.71–9.63), and participants with higher incomes were more likely to use SRH services (OR = 1.02, 95% CI: 1.01–1.04). The most commonly reported barriers to access SRH services were inconvenient hours of service operation (26.2%), followed by long distance from the service location (9.2%) and high service cost (5.2%). This study found a low level of SRH service utilization and identified several barriers to accessing these services among the study participants. The study findings provide important evidence insights for policymakers and program managers to develop and implement policies that help reduce barriers and enhance the provision of SRH services tailored to the needs of IZ married and unmarried women migrant workers in the IZ in rapidly developing and urbanizing countries like Vietnam and other low- and middle-income countries with similar contexts.