Promoting Contraceptive Use More Effectively Among Unmarried Male Migrants in Construction Sites in China
A Pilot Intervention Trial
- Dian He, PhD1,2
- Yi-Min Cheng, MD1,2
- Shi-Zhong Wu, PhD3
- Peter Decat, MD4
- Zhi-Jin Wang, PhD5
- Meile Minkauskiene, PhD6
- Eileen Moyer, PhD7
- 1Graduate School of Peking Union Medical College, Beijing, People’s Republic of China
- 2National Research Institute for Family Planning, Beijing, People’s Republic of China
- 3Donghua Research Institute of Reproductive Health, Chengdu, Sichuan Province, People’s Republic of China
- 4Department of Obstetrics and Gynaecology, International Centre for Reproductive Health (ICRH), Faculty of Medicine and Health Sciences, Ghent University, Belgium
- 5School of Public Health, Sun Yat-sen University, Guangdong province, P.R. of China
- 6Kaunas University of Medicine, Lithuania
- 7Amsterdam School for Social Science Research, University of Amsterdam, The Netherlands
- Yi-Min Cheng, National Research Institute for Family Planning, No. 12, Dahuisi Road, Haidian District, Beijing 100081, People’s Republic of China Email: chengym55{at}yahoo.com.cn
Abstract
Poor sexual and reproductive health status has been reported among rural-to-urban migrants in China. Therefore, some effective and feasible interventions are urgently needed. The authors developed a workplace-based intervention to compare 2 young labor migrant service packages (A and B) on the knowledge, attitude related to contraception, and contraceptive use among unmarried male migrants in Chengdu. Fourteen construction sites were randomly assigned to either of the 2 intervention packages. Interventions were completed in 3 months, and data were collected in 2 rounds independently (before and after interventions). After the intervention, the median scores for knowledge and attitude in migrants in package B were significantly higher than in migrants in package A. Although migrants in both packages increased use of condom, the increase was pronounced in migrants in package B, with odds ratio (OR) = 9.65 (95% confidence interval [CI] = 1.41-66.28). The rate of unwanted pregnancies was reduced more significantly in migrants in package B than in migrants in package A (OR = 0.16; 95%CI = 0.03-0.45). Unmarried male migrants who received the comprehensive intervention (package B) were more willing to use condoms and avoid unwanted pregnancies effectively.
Article Notes
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Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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Funding This document is an output from the project “Young Labour Migrants in Chinese cities: A demonstration-intervention project to address barriers to health care and promote their sexual and reproductive health (INCO 032522)”, funded by the European Commission FP 6 Programme. Ghent University, Belgium, coordinated the research consortium.
- © 2012 APJPH












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