School of Public Health, Sun Yat-sen University, Guangdong province, PR China.
Eur J Obstet Gynecol Reprod Biol. 2012 Jan;160(1):60-5. doi: 10.1016/j.ejogrb.2011.10.001. Epub 2011 Nov 8.
The objective of this study was to investigate the current sexual and reproductive health (SRH) status including SRH-related knowledge and associated factors, self-reported symptoms of reproductive tract infection (RTI), medical assistance seeking behavior, sexual experience and contraceptive use, reproductive information approach and reproductive service utilization among female migrant workers in Huangpu district, Guangzhou city, China.
A cross-sectional study was conducted in 2008 in eight factories, which were selected randomly from 32 eligible factories in the Huangpu district in Guangzhou. Descriptive statistics were used to describe the SRH status of migrant workers. Factors associated with the level of SRH knowledge were determined by a logistic regression model.
Of 1346 female migrant workers, 831(61.7%) were unmarried and 515 (38.3%) were married. 27.2% of the unmarried respondents and 40.2% of the married respondents had suffered self-reported RTI symptoms. Among unmarried respondents, the median knowledge score was 5 points, compared to 8 points for the married. For unmarried migrant workers, factors associated with the knowledge level were age, education level, access to SRH information and service, sexual experiences and RTI symptoms. For married migrant workers, factors associated with the knowledge level were age, education level, access to SRH services and RTI symptoms.
A high prevalence of self-reported RTI symptoms and a low knowledge level were found among young female migrant workers. Unmarried migrant workers are more vulnerable to SRH problems. Those findings demand more specific interventions targeting female migrants and in particular the unmarried.
本研究旨在调查广州市黄埔区女性外来务工人员的性与生殖健康（SRH）现状，包括 SRH 相关知识及相关因素、生殖道感染（RTI）自我报告症状、医疗求助行为、性经历和避孕措施使用情况、生殖信息获取途径和生殖服务利用情况。
2008 年，在广州市黄埔区随机选取的 32 家符合条件的工厂中，有 8 家工厂参与了此次横断面研究。采用描述性统计方法对流动人口的 SRH 状况进行描述。采用逻辑回归模型确定与 SRH 知识水平相关的因素。
在 1346 名女性外来务工人员中，831 名（61.7%）未婚，515 名（38.3%）已婚。27.2%的未婚受访者和 40.2%的已婚受访者自我报告有生殖道感染症状。在未婚受访者中，中位数知识得分为 5 分，已婚受访者得分为 8 分。对于未婚外来务工人员，知识水平相关的因素为年龄、受教育程度、获取 SRH 信息和服务的途径、性经历和 RTI 症状。对于已婚外来务工人员，知识水平相关的因素为年龄、受教育程度、获取 SRH 服务和 RTI 症状。
年轻女性外来务工人员中生殖道感染自我报告症状的患病率较高，知识水平较低。未婚外来务工人员更容易受到 SRH 问题的影响。这些发现需要针对女性移民，尤其是未婚移民，采取更有针对性的干预措施。
