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RH knowledge and service utilization among unmarried rural-to-urban migrants in three major cities, China.
BMC Public Health. 2011 Feb 02; 11:74.BP

Abstract

BACKGROUND

Large numbers of unmarried migrants are on the continuous move from rural-to-urban areas within China mainland, meanwhile their Reproductive Health (RH) is underserved when it is compared with the present urban RH policies. The purpose of this study is to investigate the RH knowledge and the utilization of RH services among unmarried migrants.

METHODS

A cross-section survey was performed in three cities in China-Shenzhen, Guangzhou and Wuhan. A total of 3,450 rural-to-urban unmarried migrants were chosen according to a purposive sampling method. Around 3,412 (male: 1,680, female: 1,732) were qualified for this study. A face-to-face structured questionnaire survey was used, which focused on the knowledge concerning "fertility, contraception and STD/AIDS," as well as RH service utilization.

RESULTS

Among unmarried migrants the RH knowledge about pregnancy-fertilization (29.4%) and contraception (9.1%) was at its lowest level. Around 21% of unmarried migrants had pre-marital sexual experience and almost half (47.4%) never used condoms during sexual intercourse. The most obtained RH services was about STD/AIDS health education (female: 49.6%, male: 50.2%) and free prophylactic use of contraceptives and/or condoms (female: 42.5%, male: 48.3%). As for accessing RH checkup services it was at its lowest level among females (16.1%). Those who migrated to Shenzhen (OR = 0.64) and Guangzhou (OR = 0.53) obtained few RH consultations compared to those in Wuhan. The white collar workers received more RH consultations and checkup services than the blue collar workers (all group P < 0.01).

CONCLUSION

RH knowledge and the utilization of RH services amongst unmarried migrants remain insufficient in the three studied major cities. This study reveals the important gaps in the RH services' delivery, and highlights the requirements for tailored interventions, including further research, to address more effectively the demands and the needs of the unmarried migrant populations.

Authors+Show Affiliations

School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, NO, 13 Hangkong Road, Wuhan, 430030, Hubei, PR China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21284893

Citation

Liu, Zhiyong, et al. "RH Knowledge and Service Utilization Among Unmarried Rural-to-urban Migrants in Three Major Cities, China." BMC Public Health, vol. 11, 2011, p. 74.
Liu Z, Zhu M, Dib HH, et al. RH knowledge and service utilization among unmarried rural-to-urban migrants in three major cities, China. BMC Public Health. 2011;11:74.
Liu, Z., Zhu, M., Dib, H. H., Li, Z., Shi, S., & Wang, Z. (2011). RH knowledge and service utilization among unmarried rural-to-urban migrants in three major cities, China. BMC Public Health, 11, 74. https://doi.org/10.1186/1471-2458-11-74
Liu Z, et al. RH Knowledge and Service Utilization Among Unmarried Rural-to-urban Migrants in Three Major Cities, China. BMC Public Health. 2011 Feb 2;11:74. PubMed PMID: 21284893.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - RH knowledge and service utilization among unmarried rural-to-urban migrants in three major cities, China. AU - Liu,Zhiyong, AU - Zhu,Minmin, AU - Dib,Hassan H, AU - Li,Zi, AU - Shi,Shuhua, AU - Wang,Zengzhen, Y1 - 2011/02/02/ PY - 2010/05/12/received PY - 2011/02/02/accepted PY - 2011/2/3/entrez PY - 2011/2/3/pubmed PY - 2011/7/1/medline SP - 74 EP - 74 JF - BMC public health JO - BMC Public Health VL - 11 N2 - BACKGROUND: Large numbers of unmarried migrants are on the continuous move from rural-to-urban areas within China mainland, meanwhile their Reproductive Health (RH) is underserved when it is compared with the present urban RH policies. The purpose of this study is to investigate the RH knowledge and the utilization of RH services among unmarried migrants. METHODS: A cross-section survey was performed in three cities in China-Shenzhen, Guangzhou and Wuhan. A total of 3,450 rural-to-urban unmarried migrants were chosen according to a purposive sampling method. Around 3,412 (male: 1,680, female: 1,732) were qualified for this study. A face-to-face structured questionnaire survey was used, which focused on the knowledge concerning "fertility, contraception and STD/AIDS," as well as RH service utilization. RESULTS: Among unmarried migrants the RH knowledge about pregnancy-fertilization (29.4%) and contraception (9.1%) was at its lowest level. Around 21% of unmarried migrants had pre-marital sexual experience and almost half (47.4%) never used condoms during sexual intercourse. The most obtained RH services was about STD/AIDS health education (female: 49.6%, male: 50.2%) and free prophylactic use of contraceptives and/or condoms (female: 42.5%, male: 48.3%). As for accessing RH checkup services it was at its lowest level among females (16.1%). Those who migrated to Shenzhen (OR = 0.64) and Guangzhou (OR = 0.53) obtained few RH consultations compared to those in Wuhan. The white collar workers received more RH consultations and checkup services than the blue collar workers (all group P < 0.01). CONCLUSION: RH knowledge and the utilization of RH services amongst unmarried migrants remain insufficient in the three studied major cities. This study reveals the important gaps in the RH services' delivery, and highlights the requirements for tailored interventions, including further research, to address more effectively the demands and the needs of the unmarried migrant populations. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/21284893/RH_knowledge_and_service_utilization_among_unmarried_rural_to_urban_migrants_in_three_major_cities_China_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-74 DB - PRIME DP - Unbound Medicine ER -