Dong Yanyan, Zhang Hongbo, Wang Yongyang, Tao Haidong, Xu Song, Xia Junrui, Huang Wen, He Huan, Zaller Nickolas, Operario Don
a Department of Adolescent Health and Maternal and Child Health, School of Public Health , Anhui Medical University , Hefei , Anhui Province , China.
Women Health. 2015;55(5):580-94. doi: 10.1080/03630242.2015.1022811. Epub 2015 Apr 22.
We conducted a survey of 358 young migrant women working in entertainment venues in China to explore the prevalence of and factors associated with two indicators of sexual and reproductive health: (1) multiple abortions and (2) the dual risk of sexually transmitted infections (STI) and abortion history. One quarter (25.4 percent) of the women in this sample had multiple abortions during their lifetime and, of those with any abortion history, 18.3 percent had had an abortion outside of a regulated health clinic. One-third (33.0 percent) of the sample had had an STI during the past year, and approximately one-fourth (23.7 percent) of those women did not receive STI treatment in a public hospital. Approximately one-fourth (23.5 percent) of the sample reported both a history of abortion and an STI during the past year. Women with a history of multiple abortions had significantly lower income levels, were more likely to have sex with clients and with husbands, and tended more to use alcohol before sex. Women who experienced both abortion and STI risks were more likely to report having had unprotected sex, genitourinary tract infections symptoms, anxiety, illicit drug use, and suicidal ideation. Enhanced efforts are needed to improve reproductive and sexual health for female migrants in urban China, particularly those working in entertainment venues.
我们对在中国娱乐场所工作的358名年轻流动女性进行了一项调查,以探究性与生殖健康的两个指标的患病率及其相关因素:(1)多次流产;(2)性传播感染(STI)和流产史的双重风险。该样本中有四分之一(25.4%)的女性一生中经历过多次流产,在有流产史的女性中,18.3%的人曾在非正规医疗机构进行过流产。样本中有三分之一(33.0%)的女性在过去一年感染过性传播感染,其中约四分之一(23.7%)的女性未在公立医院接受性传播感染治疗。样本中约四分之一(23.5%)的女性报告在过去一年既有流产史又有性传播感染史。有多次流产史的女性收入水平显著较低,更有可能与客户及丈夫发生性行为,且在性行为前更倾向于饮酒。同时面临流产和性传播感染风险的女性更有可能报告有未采取保护措施的性行为、泌尿生殖道感染症状、焦虑、使用非法药物以及有自杀念头。需要加大力度改善中国城市流动女性的生殖健康和性健康,尤其是那些在娱乐场所工作的女性。