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

Peter Decat UGent, Wei Hong Zhang UGent, Eileen Moyer, Yimin Cheng, Zhi-jin Wang, Ci-yong Lu, Shi-zong Wu, Ruta Jolanta Nadisauskiene, Stanley Lüchters UGent and Myriam Deveugele UGent, et al. (2011) EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE. 16(1). p.26-35
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.
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author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
PERCEPTIONS, PROVISION, POPULATION, HIV, WORKERS, SEXUAL-BEHAVIOR, Reproductive health, Health survey, Migrant workers, Needs assessment, Health services accessibility, Family planning services, Contraception behaviour, China, UNMARRIED YOUNG-PEOPLE, INDUCED-ABORTION, REPRODUCTIVE HEALTH, MIGRATION, Rural urban migration
journal title
EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE
Eur. J. Contracept. Reprod. Health Care
volume
16
issue
1
pages
26 - 35
Web of Science type
Article
Web of Science id
000287436900005
JCR category
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
JCR impact factor
1.456 (2011)
JCR rank
82/156 (2011)
JCR quartile
3 (2011)
ISSN
1362-5187
DOI
10.3109/13625187.2010.536920
project
YOLAMI, young labor migrants in Chinese Cities: a demonstration intervention project to address barriers to health care and promote their sexual and reproductive health
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1844623
handle
http://hdl.handle.net/1854/LU-1844623
date created
2011-06-28 17:58:36
date last changed
2012-06-06 09:20:02
@article{1844623,
  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.},
  author       = {Decat, Peter and Zhang, Wei Hong and Moyer, Eileen and Cheng, Yimin and Wang, Zhi-jin and Lu, Ci-yong and Wu, Shi-zong and Nadisauskiene, Ruta Jolanta and L{\"u}chters, Stanley and Deveugele, Myriam and Temmerman, Marleen},
  issn         = {1362-5187},
  journal      = {EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE},
  keyword      = {PERCEPTIONS,PROVISION,POPULATION,HIV,WORKERS,SEXUAL-BEHAVIOR,Reproductive health,Health survey,Migrant workers,Needs assessment,Health services accessibility,Family planning services,Contraception behaviour,China,UNMARRIED YOUNG-PEOPLE,INDUCED-ABORTION,REPRODUCTIVE HEALTH,MIGRATION,Rural urban migration},
  language     = {eng},
  number       = {1},
  pages        = {26--35},
  title        = {Determinants of unmet need for contraception among Chinese migrants: a worksite-based survey},
  url          = {http://dx.doi.org/10.3109/13625187.2010.536920},
  volume       = {16},
  year         = {2011},
}

Chicago
Decat, Peter, Wei Hong Zhang, Eileen Moyer, Yimin Cheng, Zhi-jin Wang, Ci-yong Lu, Shi-zong Wu, et al. 2011. “Determinants of Unmet Need for Contraception Among Chinese Migrants: a Worksite-based Survey.” European Journal of Contraception and Reproductive Health Care 16 (1): 26–35.
APA
Decat, P., Zhang, W. H., Moyer, E., Cheng, Y., Wang, Z., Lu, C., Wu, S., et al. (2011). Determinants of unmet need for contraception among Chinese migrants: a worksite-based survey. EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE, 16(1), 26–35.
Vancouver
1.
Decat P, Zhang WH, Moyer E, Cheng Y, Wang Z, Lu C, et al. Determinants of unmet need for contraception among Chinese migrants: a worksite-based survey. EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE. 2011;16(1):26–35.
MLA
Decat, Peter, Wei Hong Zhang, Eileen Moyer, et al. “Determinants of Unmet Need for Contraception Among Chinese Migrants: a Worksite-based Survey.” EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE 16.1 (2011): 26–35. Print.