Abstract

We compared sexual and reproductive health (SRH)-related knowledge, attitude and behavior among unmarried rural-urban female migrants in Shanghai coming from different regions of China. A total of 944 unmarried rural-urban female migrants were recruited from three districts of Shanghai. We used an interviewer-administered structured questionnaire to collect information from each participant and a multivariate logistic regression to examine the association between premarital sex and risk factors. We found the rates of premarital sex, pregnancy and abortion among unmarried rural-urban female migrants were 28.2%, 5.2% and 5.0%, respectively. Participants from the east of China were more likely to engage in premarital sex than those from the mid-west (p < 0.001). The analysis showed premarital sex was associated with age, hometown, education, current residential type, knowledge of sexual physiology and safe sex, attitude to SRH and safe sex, and permissive attitude to sex. Unmarried rural-urban female migrants lack SRH related knowledge and the data suggests high levels of occurrence of premarital sex. The results indicate that programs to promote safe sex, especially to those migrants coming from eastern China, should be a priority.

Highlights

  • China is one of the fastest growing economies in the World, and migration has contributed to its rapid economic development [1]

  • Individuals were eligible if they were unmarried female migrants aged over 16 years because it would be illegal for employers in China to hire any adolescents under 16 years old

  • Found that the reported prevalence of premarital sex among unmarried female migrants varied from 7.8% to 51.8%, average 29% [30]

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Summary

Introduction

China is one of the fastest growing economies in the World, and migration has contributed to its rapid economic development [1]. Rural-to-urban migrant population in China has been identified as one of the “tipping points” for the epidemic of acquired immunodeficiency syndrome (AIDS) [3,4,5,6,7,8]. This is a universal phenomenon [9,10,11]. Unmarried rural-urban female migrants are a vulnerable group and SRH has become a major concern confronting them. Investigates the SRH knowledge, attitude, and behavior of unmarried rural-urban female migrants to provide information for intervention methods

Study Setting
Sampling Procedure
Measures
SRH Related Information
SRH Related Attitude
SRH Related Behaviors
Data Analysis
Characteristics of Participants
Predictors Associated with Premarital Sexual Intercourse
Discussion
Conclusions

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