Center for Global Public Health, Chinese Center for Disease Control and Prevention, Room 211, 155 Changbai Road, Changping District, Beijing, People's Republic of China.
National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, 12 Dahuisi Road, Haidian District, Beijing, People's Republic of China.
BMC Public Health. 2020 May 24;20(1):747. doi: 10.1186/s12889-020-8313-9.
Youth friendly services (YFS) was established in pilot areas in China. This study aimed to explore the promoting level on the awareness and utilization of YFS after the implementing of a multi-sectoral cooperation mechanism (MSCM) supported by social network theory (SNT) among multiple sectors related to young people reproductive health (YRH) closely.
A cross-sectional study with two separate self-administered questionnaire surveys was conducted before and after the implementing of a MSCM supported by SNT in both in-school and out-school unmarried young people aged 12-24 year-old in pilot areas in China. Both pre- and post- implementation surveys were conducted between December, 2008 and January, 2009, and between October, 2010 and January, 2011 respectively. The collected categorical data about the awareness on YFS in young people was described in percentage (%). χ test was used to compare the differences between interventional and control areas, pre and after intervention, and changes in investigated areas after the intervention respectively. Binary logistic regression was used to analyze interventional effects after adjusting gender, in-school or out-school, and other factors. Significance level α was 0.05.
The percentages of young people in interventional areas who could receive YRH education including that about YFS in schools, working sites and communities increased (OR = 15.485, 6.166, 3.723; 95% CI: 2.9394.715, 4.0149.473, 11.42120.994 respectively) statistically significantly (P < 0.05). The percentages of young people in interventional areas who "have heard of YFS clinic" and "know that YFS clinic has been established in local area" (OR = 9.325, 11.244; 95% CI: 7.43311.699, 8.78014.399 respectively), and knowledge rates on YFS manner and contents also increased (OR = 14.830, 8.676; 95% CI: 9.72822.607, 5.17514.548 respectively) statistically significantly (P < 0.05). The increments of knowledge rates on YFS price, time, hotline number, contents on contraception, pregnancy and sexual harass/violence were statistically significant (P < 0.05). The satisfaction degree on this service has also increased (OR = 6.394, 95% CI: 2.78914.655) statistically significantly (P < 0.05).
SNT is a helpful tool to facilitate the construction of an effective multi-sectoral cooperation mechanism to promote the awareness and satisfactory degree of YRH services.
青年友好服务（YFS）已在中国试点地区建立。本研究旨在探讨在社会网络理论（SNT）支持下的多部门合作机制（MSCM）实施后，多个与青年生殖健康（YRH）密切相关的部门对 YFS 的意识和利用程度的提高情况。
采用横断面研究，在试点地区对 12-24 岁的在校和校外未婚青年进行了两次独立的自我管理问卷调查，一次在 MSCM 实施前，一次在实施后。两次调查分别于 2008 年 12 月至 2009 年 1 月和 2010 年 10 月至 2011 年 1 月进行。收集的关于青年对 YFS 的意识的分类数据以百分比（%）表示。采用 χ 2 检验比较干预组和对照组、干预前后以及干预后各调查地区的差异。采用二元逻辑回归分析调整性别、在校或校外以及其他因素后的干预效果。显著性水平 α 为 0.05。
干预组青年在学校、工作场所和社区接受 YRH 教育（包括 YFS 教育）的比例增加（OR=15.485、6.166、3.723；95%CI：2.9394.715、4.0149.473、11.42120.994），差异具有统计学意义（P<0.05）。干预组青年中“听说过 YFS 诊所”和“知道当地已建立 YFS 诊所”的比例增加（OR=9.325、11.244；95%CI：7.43311.699、8.78014.399），对 YFS 方式和内容的知晓率也有所提高（OR=14.830、8.676；95%CI：9.72822.607、5.17514.548），差异具有统计学意义（P<0.05）。对 YFS 价格、时间、热线号码、避孕、怀孕和性骚扰/暴力内容的知晓率的增加具有统计学意义（P<0.05）。对该服务的满意度也有所提高（OR=6.394，95%CI：2.78914.655），差异具有统计学意义（P<0.05）。
SNT 是促进多部门合作机制有效构建的有用工具，可提高青年生殖健康服务的意识和满意度。
