Determinants of unmet need for contraception among Chinese migrants: A worksite-based survey
Determinants of unmet need for contraception among Chinese migrants: A worksite-based survey
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DOI：
10.3109/13625187.2010.536920
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发表时间：
2011-02-01
影响因子：
1.7
通讯作者：
Temmerman, Marleen
中科院分区：
文献类型：
--
作者：
Decat, Peter;Zhang, Wei-Hong;Temmerman, Marleen
研究背景中国农村流动人口面临着相当大的性健康和生殖健康挑战。预测其迫切需要制定有针对性的interventions.Study设计一个横断面研究评估的决定因素未得到满足的避孕需求使用半结构化的访谈在两个城市在中国：广州和青岛。其中，2264人已婚或同居。在2513名性活跃女性中，青岛和广州分别有36.8%和51.2%的受访者表示避孕需求未得到满足，这与未婚、无子女、受教育程度低、性健康和生殖健康知识缺乏、从事非食品行业和未参加医疗保险有关。相当大比例的未婚流动人口报告说，他们发生性行为（16.6%，在青岛和21.4%，在广州）违反目前的性standardsinChina.Conclusion研究强调的重要性，提高农村到城市的流动人口的需求，并建议采取策略，以解决未满足的避孕需求。这些措施应能加强关于性问题的公开交流，增加避孕套的供应，并扩大医疗保险的覆盖面。
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 1829 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.