title: Determinants of unmet need for contraception among Chinese migrants: a worksite-based survey.
abstract: BACKGROUND
  Considerable sexual and reproductive health (SRH) challenges have been reported among rural-to-urban migrants in China. Predictors thereof are urgently needed to develop targeted interventions.
  
  
  METHODS
  A cross-sectional study assessed determinants of unmet need for contraception using semi-structured interviews in two cities in China: Guangzhou and Qingdao.
  
  
  RESULTS
  Between July and September 2008, 4867 female rural-to-urban migrants aged 18-29 years participated in the study. Of these, 2264 were married or cohabiting. Among sexually-active women (n = 2513), unmet need for contraception was reported by 36.8% and 51.2% of respondents in Qingdao and Guangzhou, respectively; it was associated with being unmarried, having no children, less schooling, poor SRH knowledge, working in non-food industry, and not being covered by health insurance. A substantial proportion of unmarried migrants reported they had sexual intercourse (16.6 % in Qingdao and 21.4% in Guangzhou) contrary to current sexual standards in China.
  
  
  CONCLUSIONS
  The study emphasises the importance of improving the response to the needs of rural-to-urban migrants and recommends strategies to address the unmet need for contraception. These should enhance open communication on sexuality, increase the availability of condoms, and improve health insurance coverage.
authors.affiliation: International Centre for Reproductive Health, Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Ghent University, Belgium. peter.decat@ugent.be
authors.forename: Peter
authors.initials: P
authors.lastname: Decat
authors.forename: Wei-Hong
authors.initials: WH
authors.lastname: Zhang
authors.forename: Eileen
authors.initials: E
authors.lastname: Moyer
authors.forename: Yimin
authors.initials: Y
authors.lastname: Cheng
authors.forename: Zhi-Jin
authors.initials: ZJ
authors.lastname: Wang
authors.forename: Ci-Yong
authors.initials: CY
authors.lastname: Lu
authors.forename: Shi-Zhong
authors.initials: SZ
authors.lastname: Wu
authors.forename: Ruta Jolanta
authors.initials: RJ
authors.lastname: Nadisauskiene
authors.forename: Stanley
authors.initials: S
authors.lastname: Luchters
authors.forename: Myriam
authors.initials: M
authors.lastname: Deveugele
authors.forename: Marleen
authors.initials: M
authors.lastname: Temmerman
mesh_terms: D000293:Adolescent; D000328:Adult; D016009:Chi-Square Distribution; D002681:China; D003267:Contraception / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020380:Needs Assessment; D012725:Sexual Behavior / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014171:Transients and Migrants / Q000523:psychology / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data; D017132:Workplace; D055815:Young Adult