| Objectives1. To outline the status and demands of reproductive health among the female migrant workers of Shenzhen.2. To evaluate the status of knowledges, attitudes and behaviors regarding reproductive health among the female migrant workers of Shenzhen.3. To identify the influential factors relating to the knowledge about reproductive health and related illness among the female migrant workers of Shenzhen.4. Implement of the interventions on reproductive health and then evaluate the effect of the interventions.Methods1. Survey among the female migrant workers in Shenzhen on their status of Reproductive Health, Demands of Healthcare, Knowledge of the Reproductive Health and status of their attitudes and behavior.An overseas-Funded Enterprise of Baoan district in Shenzhen was selected as the investigation site. Cross-section self-filling survey was carried out anonymously in the study and multi-stage stratified cluster sampling was used as well, 3622 female migrant workers were included. Data was input into the database twice independently and confirmed by Epidata 3.0 and then transformed into a Statistical Package for Social Sciences (SPSS) 15.0. The collected data was analyzed by descriptive statistics.2. To identity the influential factors of the knowledge about reproductive health and its related diseases.The subjects were divided into illness group and control group, according to the presence of reproductive diseases. Single factor analysis was used in the study, such as Chi-square ( x 2), t-tests and one-way ANONA. No-conditional multi-Logistic regression analysis was used to analyze the influential factors of the diseases. Multiple Linear Regression was used to analyze the influential factors on their knowledge of reproductive health.3. Implement of the interventions on reproductive health among the female migrant workersOn the basis of baseline survey, the quasi-experimental design was used in the intervention pilot. We developed a package of comprehensive interventions which were then implemented among all the female migrant workers for six months. A variety of interventions were used including: handing out flyers, holding lectures, spot consultation, videotape show, setting up propaganda columns, telephone service, contraception service, reproductive health check-up and treatment etc.4. Evaluation methodology of evaluating the effect of the interventions.With the same questionaire, cross-section, self filling survey was carried out anonymously and multi-stage stratified cluster sampling was used after the intervention. A total number of 1924 female migrant workers were recruited. We compared the changes of various indexes and assessed the effect of the interventions. Data was also input into the database twice independently and confirmed by Epidata 3.0. The data was then transformed into a Statistical Package for the Social Sciences (SPSS) 15.0 and was analyzed by Chi-square ( x 2) and t-test.Results1. The status and the influential factors of the reproductive health among female migrant workersThe overall prevalence of the reproductive system diseases was 12.3% among the 3622 subjects, and the prevalence of vaginitis, irregular menstruation, cervicitis, dysmenorrheal, pelvic inflammatory disease were 112 (3.09%), 101(2.79%), 74(2.04%), 60(1.66%), and 38(1.05%), respectively. Results of unconditional Logistic analysis showed that the influential factors of reproductive system diseases were having a history of induced abortion (OR= 2.470), having sex within three months (OR=1.498), having been working more than 2 years (OR= 1.470) and old ages (OR= 1.377).2. The status and the influential factors of the knowledge on reproductive health The mean score of reproductive health knowledge among the baseline group was 17.17±8.07, with 48 as the highest and 1 as the lowest. Items listed from higher score to lower score were as follows, knowledge of sexually transmitted disease 51.7%, knowledge of pregnancy and artificial abortion 30.7%, knowledge of contraceptives 16.5%. Results of multiple linear regression showed that age ( B =0.465,P=0.000), education ( B =2.194,P=0.000), marital status ( B =4.630,P=0.000) were influential factors contributed to the knowledge score.3. Analysis of attitude, behavior and service demands of reproductive health The subjects were divided into illness group and control group according to the presence of reproductive disease. The result of Chi-square ( x 2) showed that the attitude accuracy of the illness group is higher than that of the control group in many aspects, such as, using contraceptives, premarital sex, using condoms, multiple sex partners and so on. The result of Chi-square ( x 2) also showed that the behavioral rate of illness group is higher than that of the control group on several actions. The majority (80.95%) of the people in the survey believed that it was necessary that the community organizations should provide reproductive health service. 3282 subjects thought that the most trusted trainer were experts of reproduce health and medical doctors. The needs for the knowledge of reproductive health of the interviewees, in turn, were maternity and child care (1983, 54.75%), prevention of sexually transmitted diseases (1838, 50.75%), detrimental effects of the sexually transmitted diseases (1696, 46.82%) etc.4. Comparisons of the knowledge and attitudes before and after the intervention The mean score of reproductive health knowledge among the baseline group was 17.17±8.07; but the mean score of reproductive health knowledge among the intervention group was 19.51±9.98. The scores of pregnancy, artificial abortion, contraceptives and sexually transmitted disease were improved by 0.49, 1.39, and 0.54, respectively. On the other hand, the accuracy of the knowledge were increased by 8.1%,5.8% and 2.1%. There were statistical differences between the baseline group and the intervention group(P<0.05). The attitude accuracy of contraceptives, premarital sex, condom usage, multiple sex partners had improved by 7.3%, 4.1%, 7.1% and 4.8%. There were statistical differences between the baseline group and the intervention group(P<0.05).5. Comparisons of the related diseases and behaviors of reproductive system that before and after the interventionThe prevalence and examination rate of reproductive system diseases of the baseline group were 12.3%,85.8%. The prevalence and examination rate of reproductive system diseases of the intervention group were 12.8%,82.3%. There was no statistical differences between the baseline group and the intervention group(P>0.05).Conclusion1. The female migrant workers had limited knowledge towards reproductive health, lack of right attitudes, safe sex and scientific guidance. The need of health services was still at high level.2. Age, education, marital status, seniority, having sex within three months and induced abortion were the key factors that affected the reproductive health of female migrant workers.3. With interventions, the knowledge of subjects was obviously improved, and then they had more right attitudes. But there was no statistical significance in the changes of behaviors and physical condition. |
PDF Full Text Request