Promoting contraceptive use among female rural-to-urban migrants in Qingdao, China: A comparative impact study of worksite-based interventions
October 2012, Vol. 17, No. 5
,
Pages 363-372
(doi:10.3109/13625187.2012.696752)
Peter Decat, Wei-Hong Zhang, Wim Delva, Eileen Moyer, Yimin Cheng, Zhi-jin Wang, Ci-yong Lu, Shi-zhong Wu, Ruta Jolanta Nadisauskiene, Marleen Temmerman, and Olivier Degomme
*International Centre for Reproductive Health (ICRH), Ghent University, Belgium,
†Department of Science and Technology/National Research Foundation (DST/NRF) Centre of Excellence in Epidemiological Modeling and Analysis (SACEMA), Stellenbosch University, South Africa,
†Amsterdam School for Social Science Research, University of Amsterdam, The Netherlands,
§National Research Institute of Family Planning,
Beijing
, P. R. of China,#School of Public Health, SUN-YAT University,
Guangdong province
, P.R. of China,+Donghua Research Institute of Reproductive Health in Chengdu,
Sichuan province
, P.R. of China,ˆThe Lithuanian University of Health Sciences,
Kaunas
, LithuaniaABSTRACT
Background We conducted a comparative study in worksites to assess the impact of sexual health promoting interventions on contraceptive use among female rural-to-urban migrants.
Study design In Qingdao ten manufacturing worksites were randomly allocated to a standard package of interventions (SPI) and an intensive package of interventions (IPI). The interventions ran from July 2008 to January 2009. Cross-sectional surveys at baseline and end line assessed the sexual behaviour of young female migrants. To evaluate the impact of the interventions we assessed pre- and post-time trends.
Results From the SPI group 721 (baseline) and 615 (end line) respondents were considered. Out of the IPI group we included 684 and 603 migrants. Among childless migrants, self-reported contraceptive use increased significantly after SPI and IPI (adjusted odds ratio [aOR] = 3.23; 95% confidence interval [CI] = 1.52−6.84; p < 0.01 and aOR = 5.81; 95% CI = 2.63−12.80; p < 0.001, respectively). Childless migrants older than 22 years reported a greater use after IPI than after SPI.
Conclusion Implementing current Chinese sexual health promotion programmes at worksites is likely to have a positive impact on migrant women working in the manufacturing industry of Qingdao. More comprehensive interventions seem to have an added value if they are well targeted to specific groups.
