Study on sexual and reproductive health behaviors of unmarried female migrants in China

He, Dongyi; Zhou, You; Ji, Ning; Wu, Shi-Zhong; Wang, Zhijin; Decat, Peter; Moyer, Eileen; Minkauskienė, Meilė; Pang, Cheng; Chen, Yimin

doi:10.1111/j.1447-0756.2011.01753.x

Cited by 28 publications

(24 citation statements)

References 17 publications

(45 reference statements)

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“…Research indicates that most female migrants migrate to metropolitan cities before marriage, when they are between 15–34 years old [5,12,17,18,19]. In China the Hukou system, which isolates rural from urban citizens, makes it difficult for rural-urban female migrants to access SRH services in the cities [5,7,17,18]. According to family planning agencies in China, the SRH service mainly targets married females and unmarried females are excluded.…”

Section: Introductionmentioning

confidence: 99%

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Sexual and Reproductive Health among Unmarried Rural-Urban Female Migrants in Shanghai China: A Comparative Analysis

Ying

Yao

Shang³

et al. 2013

IJERPH

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We compared sexual and reproductive health (SRH)-related knowledge, attitude and behavior among unmarried rural-urban female migrants in Shanghai coming from different regions of China. A total of 944 unmarried rural-urban female migrants were recruited from three districts of Shanghai. We used an interviewer-administered structured questionnaire to collect information from each participant and a multivariate logistic regression to examine the association between premarital sex and risk factors. We found the rates of premarital sex, pregnancy and abortion among unmarried rural-urban female migrants were 28.2%, 5.2% and 5.0%, respectively. Participants from the east of China were more likely to engage in premarital sex than those from the mid-west (p < 0.001). The analysis showed premarital sex was associated with age, hometown, education, current residential type, knowledge of sexual physiology and safe sex, attitude to SRH and safe sex, and permissive attitude to sex. Unmarried rural-urban female migrants lack SRH related knowledge and the data suggests high levels of occurrence of premarital sex. The results indicate that programs to promote safe sex, especially to those migrants coming from eastern China, should be a priority.

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Section: Introductionmentioning

confidence: 99%

“…However, female migrants often hold open attitudes to premarital sex [3,15,19,20,21,22]. Unsafe sex leads to unintended pregnancy, abortions, pregnancy-related syndromes, and infectious diseases [17,23]. One study of 1,600 females in China undergoing abortion found 72.9% were migrants and 77.4% were unmarried [24].…”

Section: Introductionmentioning

confidence: 99%

Sexual and Reproductive Health among Unmarried Rural-Urban Female Migrants in Shanghai China: A Comparative Analysis

Ying

Yao

Shang³

et al. 2013

IJERPH

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“…Migrants are recognized as a high risk population for HIV and other STIs in China, and studies have shown that migrants are more likely to engage in health risk behaviors compared with non-migrants in urban China (Anderson, Qingsi, Hua, & Jianfeng, 2003; Chen, Peeling, Yin, & Mabey, 2011; He et al, 2012; Yang, Derlega, & Luo, 2007). Of the 5,635 HIV/AIDS cases reported in Beijing in 2008, 75% were internal migrants, 21% were city residents, and 4% were foreigners (Kaiser Health News, 2008).…”

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confidence: 99%

HIV-Related Risk Among Female Migrants Working in Entertainment Venues in China

et al. 2013

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China has experienced a surge in internal migration during the past decade and migrant populations have been identified as a high-risk group for HIV and other sexually transmitted infections (STIs). Young female migrants often find employment in entertainment venues (bars, karaoke parlors, massage parlors) located in metropolitan cities, and sex work transactions frequently occur in these venues. We examined factors associated with risk for HIV, other STIs, and reproductive health challenges in a cross-sectional study of 358 young female migrants, ages 18-29, working in entertainment venues in a rapidly growing urban city in China. Results indicate high levels of behavioral risk for HIV and other STIs, low rates of HIV testing, and high prevalence of problem drinking and mental health problems, including recent depression symptoms and suicidal ideation. Factors associated with increased STIs and genitourinary tract infections included commercial sex work, early sexual debut, abortion history, illicit drug use, and anxiety. Factors associated with increased HIV testing included employment in an affluent entertainment venue, education level, knowledge about where to obtain free HIV tests, condom use, and general HIV/AIDS knowledge. Findings of this study highlight the insufficient coverage of current public health services to female migrants working in entertainment venues, and call for more assertive prevention interventions to mitigate risk for sexual, reproductive, behavioral and mental health problems in this mobile population.

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“…Previous literature has suggested that young female migrants face high risk for HIV due to a lack of knowledge related to sexual health, limited skills for practicing safer sex and low awareness and use of reproductive health services in their native rural settings (Tu et al, 2004;Liu et al, 2011aLiu et al, , 2011bMantell et al, 2011;He et al, 2012;Lu et al, 2012). Furthermore, compared with their male counterparts and urban citizens, female rural-to-urban migrants face greater social and cultural vulnerability and gender-related inequalities, such as unequal work opportunities, low socioeconomic status and lack of social support (Mou et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, female migrants in China are frequently undereducated and underprepared for the increased opportunities to engage in sexual behavior that are available to them in urban settings (Huang et al, 2014). In the absence of skills, knowledge and services to promote sexual health, female migrants who relocate to large urban centers may experience risk for a range of health consequences, including unwanted pregnancy, unsafe termination of pregnancy and sexually transmitted infections (STIs) Yi et al, 2010;He et al, 2012). Some research has contrasted the more permissive norms related to premarital sex in large urban contexts versus norms in rural settings, which might also contribute to health risk behaviors among rural-to-urban migrants .…”

Section: Introductionmentioning

confidence: 99%

HIV risk and sexual health among female migrants in China

Huang

Dong

Chen

et al. 2015

Health Promot. Int.

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SummarySexual behavior is the dominant mode of HIV transmission in China, and young female migrants are among the populations at highest risk. This article examines how HIV-related risk behaviors among female migrants might vary according to workplace settings. Participants were young female migrants recruited from three workplace settings-factories, restaurants and entertainment venues. In a crosssectional survey, we assessed 457 participants' sociodemographic characteristics, HIV/AIDS-related knowledge, condom use knowledge, sexual behaviors, condom use behavior and reproductive health factors. Participants working in entertainment venues were significantly more likely than those working in factories and restaurants to report sexual behavior, unprotected sex, multiple pregnancy terminations and sexually transmitted infections (STI). However, participants working in factories and restaurants reported significantly lower levels of HIV/AIDS knowledge, condom use knowledge, condom use self-efficacy and history of HIV/AIDS counseling and testing. Independent correlates of unprotected sex included employment in an entertainment venue, abortion history and sexual self-efficacy. Independent correlates of STI or genitourinary tract infection included employment in an entertainment venue, abortion history, recent migration and recent unprotected sex. These findings indicate a need for sexual and reproductive health interventions prioritizing young female migrants, and call for programs that can be incorporated into different workplace settings.

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Study on sexual and reproductive health behaviors of unmarried female migrants in China

Abstract: This study revealed that the unmarried female migrant was one of the most vulnerable groups concerning SRH. In some policy reforms, appropriate and cost-effective SRH services should be provided for these migrants.

Cited by 28 publications

References 17 publications

Sexual and Reproductive Health among Unmarried Rural-Urban Female Migrants in Shanghai China: A Comparative Analysis

Sexual and Reproductive Health among Unmarried Rural-Urban Female Migrants in Shanghai China: A Comparative Analysis

HIV-Related Risk Among Female Migrants Working in Entertainment Venues in China

HIV risk and sexual health among female migrants in China

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