Sexual and reproductive health among unmarried rural-urban female migrants in Shanghai China: a comparative analysis.
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.
School of Public Health Affiliated with School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China. yingwangxun@163.com
Ying
Y
Wang
Wen
W
Yao
Meili
M
Shang
Yong
Y
Cai
Rong
R
Shi
Jin
J
Ma
Jin
J
Wang
Huijiang
H
Song
D000293:Adolescent; D000328:Adult; D002681:China; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017533:Marital Status / Q000706:statistics & numerical data*; D011247:Pregnancy; D012098:Reproduction; D060728:Reproductive Health; D012424:Rural Population; D012725:Sexual Behavior; D012847:Single Person; D011795:Surveys and Questionnaires; D014171:Transients and Migrants; D014505:Urban Population; D055815:Young Adult