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Qian, Xu; Smith, Helen; Huang, Wenyuan; Zhang, Jie; Huang, Ying; Garner, Paul (2007)
Publisher: BioMed Central
Journal: BMC Health Services Research
Languages: English
Types: Article
Subjects: Research Article, RA1-1270, Public aspects of medicine, wa_108, wa_550, wp_630

Abstract

Background

In urban China, more single women are becoming pregnant and resorting to induced abortion, despite the wide availability of temporary methods of contraception. We developed and piloted a workplace-based intervention to promote contraceptive use in unmarried female migrants working in privately owned factories.

Methods

Quasi-experimental design. In consultation with clients, we developed a workplace based intervention to promote contraception use in unmarried female migrants in a privately owned factory. We then implemented this in one factory, using a controlled before-and-after design. The intervention included lectures, bespoke information leaflets, and support to the factory doctors in providing a contraceptive service.

Results

598 women participated: most were under 25, migrants to the city, with high school education. Twenty percent were lost when staff were made redundant, and implementation was logistically complicated. All women attended the initial lecture, and just over half the second lecture. Most reported reading the educational material provided (73%), but very few women reported using the free family planning services offered at the factory clinic (5%) or the Family Planning Institute (3%). At baseline, 90% (N = 539) stated that contraceptives were required if having sex before marriage; of those reporting sex in the last three months, the majority reporting using contraceptives (78%, 62/79) but condom use was low (44%, 35/79).

Qualitative data showed that the reading material seemed to be popular and young women expressed a need for more specific reproductive health information, particularly on HIV/AIDS. Women wanted services with some privacy and anonymity, and views on the factory service were mixed.

Conclusion

Implementing a complex intervention with a hard to reach population through a factory in China, using a quasi-experimental design, is not easy. Further research should focus on the specific needs and service preferences of this population and these should be considered in any policy reform so that contraceptive use may be encouraged among young urban migrant workers.

  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Qian X, Tan H, Cheng H, Liang H: Sexual and reproductive health of adolescents and youths in China: a review of literature and projects from 1995-2002. World Health Organization Western Pacific Region 2005.
    • 2. Qian X, Tang SL, Garner P: Unintended pregnancy and induced abortion among unmarried women in China: a systematic review. BMC Health Services Research 2004, 4:1.
    • 3. A survey of abortion surprised doctors: Unmarried women account for 40% of abortion in 2001 [http://www.peo ple.com.cn/GB/shenghuo/76/123/20010312/414665.html]. (in Chinese)
    • 4. Tong CL, Wu Y, Zhu HB, et al.: Monitoring induced abortion in Shanghai childbearing women. Shanghai Medicine 2002, 25(8):451-454.
    • 5. Zhao DX, Zheng ZZ, Zhang LW, et al: Status and needs of sexual health among women migrant workers in Taiyuan. In Status, perspective and strategy of reproductive health among adolescents and unmarried youth Edited by: Gao ES, Lou CH, Tu XW, Iqbal S. Shanghai: The second Military Medical University Press; 2002:231-243.
    • 6. Tong CL, Chen JL, Cheng LN: Survey on causes of induced abortion in Shanghai. Shanghai Medical Journal 1999, 22(6):345-353.
    • 7. Lou CH, Shen Y, Gao ES, et al: Sex related behaviour among unmarried floating population. Reproduction and Contraception 2004, 24(1):34-38.
    • 8. Tu XW, Lou CH, Gao ES, et al: Analysis on reproductive health knowledge status among unmarried female youths in Shanghai. Modern Prevention Medicine 1999, 26(3):284-287.
    • 9. Zhang XS, Zhao GL, Wang LH, et al: Study on reproductive health knowledge, attitude, behavior and reproductive healthcare demands among unmarried female youths seeking for abortion services. Maternal and Child Health Care of China 2005, 20(7):817-819.
    • 10. Wang B, Lou CH, Sheng Y, et al: Status on sexual behavior and contraception among unmarried youths in suburb of Shanghai. Reproduction and Contraception 2002, 22(2):99-105.
    • 11. Ritchie J, Spencer L, O'Connor W: Carrying out qualitative analysis. In Qualitative research practice Edited by: Ritchie J, Lewis J. London: Sage Publications; 2004:219-262.
    • 12. Liang G, Shao C: Status and trends of STI's epidemic in China. Chinese Journal of Prevention and Control of STDs and AIDS 2001. (supplement)
  • No related research data.
  • No similar publications.

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