Abstract
BackgroundIn China, unmarried female migrants are vulnerable to sexual and reproductive health risks. One effective protection strategy is promoting consistent condom use (CCU).MethodsWe conducted a cross-sectional study to apply the information-motivation-behavioral skills (IMB) model and modified it by addition of psychological and personal factors to examine the related factors of CCU and provide suggestions for intervention among unmarried female migrants.ResultsOf all 903 eligible participants, only 13.8% of participants reported CCU in the past six months. Both the IMB model and the modified IMB model provided acceptable fit to the data. In both models, information had no direct or indirect influence on CCU (p > 0.05). However, behavioral skills had a positive effect on CCU (β = 0.344, p < 0.001 and β = 0.330, p < 0.001). Moreover, motivation contributed to CCU indirectly by affecting behavioral skills (β = 0.800, p < 0.001) and had no direct influence (p > 0.05). In the modified model, psychological and personality factors influenced CCU directly (β = − 0.100, p = 0.005).ConclusionsOur results highlight the importance of conducting CCU promotion among unmarried female migrants. Future intervention strategies should focus on both the traditional IMB model constructs and the added psychological and personality factors.
Highlights
In China, unmarried female migrants are vulnerable to sexual and reproductive health risks
By using structural equation modeling (SEM), we examined the associations between condom use information, motivation, and condom use behavior skills
Participants and procedures A cross-sectional study was performed from June to December 2015 among unmarried rural-to-urban female migrants who worked at industrial factories in Shanghai
Summary
In China, unmarried female migrants are vulnerable to sexual and reproductive health risks. Vulnerability to ill-health is a big issue towards to both international and internal migrant populations [1]. Migrants are considered to be at elevated risk for sexual and reproductive health complications and diseases, such as unintended pregnancy, Shen et al BMC Public Health (2019) 19:223. In China, family planning services regarding reproductive health target married couples only, meaning that unmarried females are likely excluded. Previous studies have shown more than 15% of unmarried migrants have reportedly experienced unintended pregnancy [11, 12], most of which concluded in induced abortions [11,12,13]. Unmarried female migrants’ vulnerability to sexual and reproductive health risks requires special attention
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