中国常州年轻未婚女性移民的迁移经历和报告性行为。

Migration Experiences and Reported Sexual Behavior Among Young, Unmarried Female Migrants in Changzhou, China.

机构信息

Institute of Public Administration, Hohai University, Nanjing, China.

School of Economics, Nanjing University of Posts and Telecommunications, Nanjing, China.

出版信息

Glob Health Sci Pract. 2017 Sep 28;5(3):516-524. doi: 10.9745/GHSP-D-17-00068. Print 2017 Sep 27.

DOI:10.9745/GHSP-D-17-00068

PMID:28899871

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5620347/

Abstract

BACKGROUND

China has a large migrant population, including many young unmarried women. Little is known about their sexual behavior, contraceptive use, and risk of unintended pregnancy.

METHODS

475 unmarried female migrants aged 15-24, working in 1 of 6 factories in 2 districts of Changzhou city, completed an anonymous self-administered questionnaire in May 2012 on demographic characteristics, work and living situation, and health. We examined demographic and migration experience predictors of sexual and contraceptive behavior using bivariate and multivariate regressions.

RESULTS

30.1% of the respondents were sexually experienced, with the average age at first sex of 19 years (standard deviation=3). 37.8% reported using contraception at first sex, 58.0% reported using consistent contraception during the past year, and 28.0% reported having at least 1 unintended pregnancy with all unintended pregnancies resulting in abortion. Those who had had at least 1 abortion reported having on average 1.6 abortions [SD=1] in total. Migrating with a boyfriend and changing jobs fewer times were associated with being sexually experienced. Younger age, less education, and changing jobs more times were associated with inconsistent contraceptive use.

CONCLUSION

These findings demonstrate there is an unmet need for reproductive health education and services where these women work as well as in their hometown communities. This education must begin early to reach young women before they migrate.

摘要

背景

中国有大量的流动人口，其中包括许多未婚的年轻女性。对于她们的性行为、避孕措施使用情况以及意外怀孕的风险，人们知之甚少。

方法

2012 年 5 月，我们对来自常州市 2 个区 6 家工厂的 475 名 15-24 岁未婚外来女性进行了一项匿名自填式问卷调查，内容包括人口统计学特征、工作和生活状况以及健康状况。我们使用单变量和多变量回归分析，研究了人口统计学和迁移经历因素与性行为和避孕措施使用之间的关系。

结果

30.1%的受访者有过性行为，首次性行为的平均年龄为 19 岁（标准差=3）。37.8%的人在首次性行为时使用了避孕措施，58.0%的人在过去一年中一直使用避孕措施，28.0%的人曾有过至少一次意外怀孕，所有意外怀孕均以堕胎告终。有过堕胎经历的人报告平均总共堕胎 1.6 次（标准差=1）。有过男朋友并较少换工作与有过性行为有关。年龄较小、受教育程度较低以及换工作次数较多与避孕措施使用不一致有关。