Determinants of unmet need for contraception among Chinese migrants: a worksite-based survey
Auteurs & affiliatie
Peter Decat, Wei Hong Zhang, Eileen Moyer, Yimin Cheng, Zhi-jin Wang, Ci-yong Lu, Shi-zong Wu, Ruta Jolanta Nadisauskiene, Stanley Lüchters, Myriam Deveugele, Marleen Temmerman
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 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.
Publicatiedatum:
2011
Teamleden:
Wei-Hong Zhang
Stanley Luchters
Marleen Temmerman
Link naar publicatie
Bijlages
Determinants_of_unmet_need_for_contraception_among_Chinese_migrants.pdf (restricted)Gerelateerde publicaties
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