title: Promoting contraceptive use more effectively among unmarried male migrants in construction sites in China: a pilot intervention trial.
abstract: Poor sexual and reproductive health status has been reported among rural-to-urban migrants in China. Therefore, some effective and feasible interventions are urgently needed. The authors developed a workplace-based intervention to compare 2 young labor migrant service packages (A and B) on the knowledge, attitude related to contraception, and contraceptive use among unmarried male migrants in Chengdu. Fourteen construction sites were randomly assigned to either of the 2 intervention packages. Interventions were completed in 3 months, and data were collected in 2 rounds independently (before and after interventions). After the intervention, the median scores for knowledge and attitude in migrants in package B were significantly higher than in migrants in package A. Although migrants in both packages increased use of condom, the increase was pronounced in migrants in package B, with odds ratio (OR) = 9.65 (95% confidence interval [CI] = 1.41-66.28). The rate of unwanted pregnancies was reduced more significantly in migrants in package B than in migrants in package A (OR = 0.16; 95%CI = 0.03-0.45). Unmarried male migrants who received the comprehensive intervention (package B) were more willing to use condoms and avoid unwanted pregnancies effectively.
authors.affiliation: Graduate School of Peking Union Medical College, Beijing, People's Republic of China.
authors.forename: Dian
authors.initials: D
authors.lastname: He
authors.forename: Yi-Min
authors.initials: YM
authors.lastname: Cheng
authors.forename: Shi-Zhong
authors.initials: SZ
authors.lastname: Wu
authors.forename: Peter
authors.initials: P
authors.lastname: Decat
authors.forename: Zhi-Jin
authors.initials: ZJ
authors.lastname: Wang
authors.forename: Meile
authors.initials: M
authors.lastname: Minkauskiene
authors.forename: Eileen
authors.initials: E
authors.lastname: Moyer
mesh_terms: D002681:China; D017280:Condoms / Q000706:statistics & numerical data*; D060389:Construction Industry; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D009786:Occupational Health Services / Q000379:methods*; D010865:Pilot Projects; D015397:Program Evaluation; D012847:Single Person / Q000523:psychology*; D014171:Transients and Migrants / Q000523:psychology* / Q000706:statistics & numerical data; D017132:Workplace