1. The Effects of Comprehensive Sexual and Reproductive Health/Family Planning Intervention Based on Knowledge, Attitudes, and Practices Among the Domestic Migrant Population of Reproductive Age in China: A Randomized Community Study
- Author
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Junqing Wu, Shuang-Fei Xu, Chuanning Yu, Ying Zhou, Yuyan Li, Rui Zhao, and Yi-Ran Li
- Subjects
Adult ,Male ,China ,Health Knowledge, Attitudes, Practice ,Health, Toxicology and Mutagenesis ,Sexual Behavior ,lcsh:Medicine ,family planning ,Article ,sexual and reproductive health ,03 medical and health sciences ,Multivariate probit model ,Young Adult ,0302 clinical medicine ,Beijing ,Intervention (counseling) ,Humans ,030212 general & internal medicine ,intervention ,Reproductive health ,030219 obstetrics & reproductive medicine ,business.industry ,lcsh:R ,Public Health, Environmental and Occupational Health ,Contraception ,Reproductive Health ,Family planning ,Family Planning Services ,Propensity score matching ,domestic migrant population ,Cluster sampling ,Female ,business ,Psychology ,Demography - Abstract
Background: Domestic migrant populations are highly mobilized at a sexually active age, and often fail to meet their needs for contraception. Moreover, they assume sexual and reproductive health (SRH) risks and utilize fewer family planning services. Method: A quasi-experimental trial (community intervention) was adopted. Two-stage stratified cluster sampling was applied to recruit participants in Beijing and Chongqing. A comprehensive SRH/family planning intervention was implemented from August 4 2014 to August 3 2015. Propensity score matching (PSM) and multivariate probit models were adopted. Results: In total, 2100 and 2024 eligible participants were involved, and 815 and 629 pairs were matched by PSM in Beijing and Chongqing, respectively. The knowledge and attitudes of the participants regarding SRH and contraception were significantly improved through the comprehensive intervention. Reversible contraceptive methods were the most prevalent, couples largely decided to utilize condoms and family planning services. Conclusions: The comprehensive intervention had positive effects on knowledge, attitudes, and practices (KAP) for SRH/family planning among the domestic migrant population. The results acquired can be extrapolated to some extent, and the pattern of this intervention is well geared toward other similar settings in China.
- Published
- 2020