title: A blind area of family planning services in China: unintended pregnancy among unmarried graduate students.
abstract: BACKGROUND
  Status of premarital sex, unintended pregnancy and associated factors among Chinese graduate students remain unclear. And unmarried graduate students' needs of family planning services seem to be ignored. In the present study, we ascertained the prevalence rate of premarital sex and unintended pregnancy, as well as estimated the possible factors associated with unintended pregnancy among unmarried Chinese graduate students, and evaluated their reproductive health needs.
  
  
  METHODS
  We obtained the representative sample of graduate students using a multistage, stratified, cluster design, and collected data using a questionnaire.
  
  
  RESULTS
  We obtained 11936 responders. Premarital sexual intercourse was acknowledged by 24.2% of responders; unintended pregnancy was acknowledged by 4.8% of responders (19.8% of students active in premarital sex); and abortion was acknowledged by 4.6% of responders (96.7% of pregnant students). In multivariate analysis, the identified risk factors for unintended pregnancy among both genders that were active in premarital sex were: (1) having no steady lover [for males: odds ratio (OR), 1.96, 95% confidence interval (CI), 1.41-2.70; for females: OR, 2.65; 95%CI, 1.56-4.84]; (2) younger age at the first sexual intercourse (for males: OR, 1.62, 95% CI, 1.22-2.15; for females: OR, 2.57; 95% CI, 1.64-4.02); (3) lack of condom use at the first sex (for males: OR, 1.13, 95% CI, 1.09-1.37; for females: OR, 2.81; 95% CI, 1.81-4.39); (4) unaware of the conditions of conception (for males: OR, 1.69, 95% CI, 1.31-2.19; for females: OR, 1.75; 95% CI, 1.16-2.65); and (5) unaware that abortion endangers women's future pregnancy (for males: OR, 2.98, 95% CI, 2.15-4.14; for females: OR, 2.34; 95% CI, 1.23-4.46). Medical graduates were not less likely to have unintended pregnancy than nonmedical graduates for both genders.
  
  
  CONCLUSIONS
  The avoidable risk of being unintended pregnancy among graduate students in China indicates that an urgent need to take action on how to delay the age of first sex, promote condom use at first sex, and acquire accurate contraceptive information, as well as improve skills to use reliable contraception among graduate students.
authors.affiliation: Institute of Family Planning, Tongji Medical College, Huazhong University of Science and Technology, Hangkong Road 13, Wuhan 430030, China. clxiong951@sina.com.
authors.forename: Yuanzhong
authors.initials: Y
authors.lastname: Zhou
authors.forename: Chengliang
authors.initials: C
authors.lastname: Xiong
authors.forename: Jinwen
authors.initials: J
authors.lastname: Xiong
authors.forename: Xuejun
authors.initials: X
authors.lastname: Shang
authors.forename: Guohui
authors.initials: G
authors.lastname: Liu
authors.forename: Meimei
authors.initials: M
authors.lastname: Zhang
authors.forename: Pin
authors.initials: P
authors.lastname: Yin
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004500:Education, Graduate; D005193:Family Planning Services; D005260:Female; D006801:Humans; D008297:Male; D020380:Needs Assessment; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D012307:Risk Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012847:Single Person / Q000523:psychology* / Q000706:statistics & numerical data; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014495:Universities