School of Public Health, Fudan University, Shanghai 200035, China.
NHC Key Lab. of Reproduction Regulation (Shanghai Institute of Planned Parenthood Research), Fudan University, Shanghai 200035, China.
Int J Environ Res Public Health. 2020 Mar 21;17(6):2093. doi: 10.3390/ijerph17062093.
: Domestic migrant populations are highly mobilized at a sexually active age, and often fail to meet their needs for contraception. Moreover, they assume sexual and reproductive health (SRH) risks and utilize fewer family planning services. : A quasi-experimental trial (community intervention) was adopted. Two-stage stratified cluster sampling was applied to recruit participants in Beijing and Chongqing. A comprehensive SRH/family planning intervention was implemented from August 4 2014 to August 3 2015. Propensity score matching (PSM) and multivariate probit models were adopted. Results: In total, 2100 and 2024 eligible participants were involved, and 815 and 629 pairs were matched by PSM in Beijing and Chongqing, respectively. The knowledge and attitudes of the participants regarding SRH and contraception were significantly improved through the comprehensive intervention. Reversible contraceptive methods were the most prevalent; couples largely decided to utilize condoms and family planning services. : The comprehensive intervention had positive effects on knowledge, attitudes, and practices (KAP) for SRH/family planning among the domestic migrant population. The results acquired can be extrapolated to some extent, and the pattern of this intervention is well geared toward other similar settings in China.
国内流动人口在生育活跃期高度流动，往往无法满足其避孕需求。此外，他们还面临性健康和生殖健康（SRH）风险，利用计划生育服务的情况较少。
采用了准实验性试验（社区干预）。采用两阶段分层聚类抽样方法在北京和重庆招募参与者。从 2014 年 8 月 4 日至 2015 年 8 月 3 日实施了综合 SRH/计划生育干预。采用倾向评分匹配（PSM）和多变量概率模型。结果：共纳入 2100 名和 2024 名符合条件的参与者，在北京和重庆分别通过 PSM 匹配了 815 对和 629 对。综合干预显著提高了参与者对 SRH 和避孕的知识和态度。可逆避孕方法最为普遍；夫妇主要决定使用避孕套和计划生育服务。
综合干预对国内流动人口的 SRH/计划生育知识、态度和实践（KAP）产生了积极影响。研究结果在一定程度上具有外推性，这种干预模式非常适合中国其他类似环境。
