title: Effect of improving the knowledge, attitude and practice of reproductive health among female migrant workers: a worksite-based intervention in Guangzhou, China.
abstract: Background The sexual and reproductive health (SRH) knowledge and attitudes of female migrant workers are far from optimum in China. A worksite-based intervention program on SRH-related knowledge, attitude and practice (SRH KAP) modification may be an effective approach to improve the SRH status among migrant workers. This study aimed to identify better intervention approaches via the implementation and evaluation of two intervention packages.
  
  
  METHODS
  A worksite-based cluster-randomised intervention study was conducted from June to December 2008 in eight factories in Guangzhou, China. There were 1346 female migrant workers who participated in this study. Factories were randomly allocated to the standard package of interventions group (SPIG) or the intensive package of interventions group (IPIG). Questionnaires were administered to evaluate the effect of two interventions.
  
  
  RESULTS
  SRH knowledge scores were higher at follow up than at baseline for all participants of the SPIG; the knowledge scores increased from 6.50 (standard deviation (s.d.) 3.673) to 8.69 (s.d. 4.085), and from 5.98 (s.d. 3.581) to 11.14 (s.d. 3.855) for IPIG; SRH attitude scores increased among unmarried women: the attitude scores changed from 4.25 (s.d. 1.577) to 4.46 (s.d. 1.455) for SPIG, and from 3.99 (s.d. 1.620) to 4.64 (s.d. 1.690) for IPIG; most SRH-related practice was also modified (P<0.05). In addition, after intervention, the IPIG had a higher knowledge level than the SPIG; the scores were 11.14 (s.d. 3.855) versus 8.69 (s.d. 4.085), and unmarried women in the IPIG had higher condom use rate than the SPIG (86.4% versus 57.1%).
  
  
  CONCLUSIONS
  The interventions had positive influences on improvements in SRH knowledge, attitudes and behaviours. Additionally, IPIs were more effective than SPIs, indicating that a comprehensive intervention may achieve better results.
authors.affiliation: School of Public Health, Sun Yat-sen University, NO. 74, Zhongshan II Road, Guangzhou, Guangdong, 510080, Guangdong Province, China.
authors.forename: Xue
authors.initials: X
authors.lastname: Gao
authors.affiliation: School of Public Health, Sun Yat-sen University, NO. 74, Zhongshan II Road, Guangzhou, Guangdong, 510080, Guangdong Province, China.
authors.forename: Longchang
authors.initials: L
authors.lastname: Xu
authors.affiliation: School of Public Health, Sun Yat-sen University, NO. 74, Zhongshan II Road, Guangzhou, Guangdong, 510080, Guangdong Province, China.
authors.forename: Ciyong
authors.initials: C
authors.lastname: Lu
authors.affiliation: School of Public Health, Sun Yat-sen University, NO. 74, Zhongshan II Road, Guangzhou, Guangdong, 510080, Guangdong Province, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Wu
authors.affiliation: School of Public Health, Sun Yat-sen University, NO. 74, Zhongshan II Road, Guangzhou, Guangdong, 510080, Guangdong Province, China.
authors.forename: Zhijin
authors.initials: Z
authors.lastname: Wang
authors.affiliation: International Centre for Reproductive Health (ICRH), Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185 UZ P114, 9000 Ghent, VAT BE 248.015.142, Belgium.
authors.forename: Peter
authors.initials: P
authors.lastname: Decat
authors.affiliation: International Centre for Reproductive Health (ICRH), Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185 UZ P114, 9000 Ghent, VAT BE 248.015.142, Belgium.
authors.forename: Wei-Hong
authors.initials: WH
authors.lastname: Zhang
authors.affiliation: National Research Institution for Family Planning, NO. 12, Hui temple, Haidian district, Beijing, 100081, China.
authors.forename: Yimin
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Anthropology, Amsterdam School for Social Science Research, University of Amsterdam, 1001 NAAmsterdam, Postbus 15508, The Netherlands.
authors.forename: Eileen
authors.initials: E
authors.lastname: Moyer
authors.affiliation: Donghua Research Institute of Reproductive Health in Chengdu, NO.324, Yulindong XVI Road, Chengdu, Sichuan, 610000, China.
authors.forename: Shizhong
authors.initials: S
authors.lastname: Wu
authors.affiliation: Kaunas University of Medicine, Eiveniu 2, LT-50009, Kaunas, Lithuania.
authors.forename: Meile
authors.initials: M
authors.lastname: Minkauskiene
authors.affiliation: International Centre for Reproductive Health (ICRH), Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185 UZ P114, 9000 Ghent, VAT BE 248.015.142, Belgium.
authors.forename: Dirk
authors.initials: D
authors.lastname: Van Braeckel
authors.affiliation: International Centre for Reproductive Health (ICRH), Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185 UZ P114, 9000 Ghent, VAT BE 248.015.142, Belgium.
authors.forename: Marleen
authors.initials: M
authors.lastname: Temmerman