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Eur J Contracept Reprod Health Care. 2011 Feb;16(1):26-35. doi: 10.3109/13625187.2010.536920. Epub 2010 Dec 15.

Determinants of unmet need for contraception among Chinese migrants: a worksite-based survey.

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1
International Centre for Reproductive Health, Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, Belgium. peter.decat@ugent.be

Abstract

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 18-29 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.

PMID:
21158522
DOI:
10.3109/13625187.2010.536920
[Indexed for MEDLINE]
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