| Background:Unmarried migrant youth migrated from rural area to the urban area. With the attitude and behavior being open and lacking of sexual and reproductive health knowledge, the proportion of having premarital sexual intercourse among the population was high and that of using contraceptives was low. Common unprotected sex led to a high rate of some adverse reproductive health outcomes, such as unexpected pregnancy and abortion. The provision of sexual and reproductive health education and service for unmarried migrant youth become urgent. Status of sexual and reproductive health and use of service among unmarried migrant youth working in different industries was different. But, so far there were no comparative study results of sexual and reproductive health service use among unmarried migrant youth working in different industries.Objective:To evaluate the effect of the workplace-based sexual and reproductive health intervention conducted among unmarried migrant youth in service industries and factories, and to explore a suitable way of the provision of reproductive health service for unmarried migrant youth working in different industries.Methods:It was a workplace-based intervention study by cluster sampling. Unmarried migrant youth aged15-24in16service industries in Hongkou District, including restaurants, hair salons and foot massage stores and2electronic factories in Qingpu District were sampled. Among the service industries, four restaurants were selected as an intervention group and others as a control group. Among the2electronic factories, one factory was selected as an intervention group and the other as a control group. The duration of the intervention was half a year and the content consisted of life skills training, sex education promotional materials, reproductive health counseling service and provision of contraceptives. The effect of intervention was evaluated by comparing the subjects’sexual and reproductive health knowledge, attitude and behavior both between the intervention group and control group and between the baseline survey and post-intervention survey.Results: In the baseline survey,432subjects in service industries were investigated, among which218were in the intervention group and214were in the control group;530subjects in factories were investigated, among which267were in the intervention group and263were in the control group. In the post-intervention survey,491subjects in service industries were investigated, among which245were in the intervention group and246were in the control group;567subjects in factories were investigated, among which303were in the intervention group and264were in the control group.The mean score of the subjects reproductive health knowledge in the baseline survey was about50points (100points full mark). Their attitude toward premarital sexual behavior was open and the score for premarital sexual permissiveness (PSP) was about5points (7points full mark). Proportion of the subjects who were willing to contact with HIV-infected persons (including Shaking hands/embracing, eating, working and using telephones/cell phones) was low. About a quarter of the subjects have had premarital sexual intercourse, among which40%subjects reported that the duration of time between knowing the partners and having the first sexual intercourse was less than six months. Less than50%of the subjects used contraceptives every time at the last three times. Though most of the subjects expected to have access to sexual and reproductive health education and services, but there were obstacles for them to get services, including feeling embarrassed (71%), not knowing the education and service locations (60%), having no time (51%) and worrying about the attitude of service providers (30%).During the period of intervention, proportion of the subjects in service industries and factories who have took part in reproductive health life skills training was86%and71%respectively, and that of receiving sex education materials was98%and80%respectively. About a quarter of the subjects sought for reproductive health counseling. The questions asked in counseling between the subjects in service industries and factories were different. Among the subjects who have had sexual intercourse in service industries and factories, proportion of seeking for contraceptives service from the work places was22%and23%respectively. The subjects gave a high evaluation to the intervention activities and almost no one thought that the intervention was useless. More than60%of subjects in service industries and about half of subjects in factories thought the life skills training were very useful. The proportion of the subjects who were satisfied with the counseling and contraceptives service very much in service industries was more than85%, while that in factories was less than30%.In the post-intervention survey, score of reproductive health knowledge of the subjects in both intervention and control group was increased, and the score of the subjects in intervention group was much higher than that of the subjects in the control group. Multi-factor analysis also indicated that intervention significantly increased the subjects’ score of reproductive health knowledge (service industries:P=0.52, factories: P=0.26, P<0.01). Proportion of the subjects in both service industries and factories in intervention group who were willing to contact with HIV-infected persons has increased, while that in control group has not changed. After intervention, proportion of the subjects in service industries in intervention group who used contraceptives every time in the intervention group was rising from33.33%to60.47%, and that in factories was rising from28.57%to34.38%. Multi-factor analysis showed a tendency that intervention increased the contraceptive use among subjects in service industries (OR=3.21, P=0.05). However, intervention has not increased the contraceptive use among the subjects in factories. Besides, proportion of the subjects in service industries in intervention group who used Emergency contraception in the intervention group frequently was decreasing from25.58%to2.33%.Conclusion:1. The status of unmarried migrant youth’ sexual and reproductive health was not optimistic.2. Workplace-based provision of reproductive health education and service for unmarried migrant youth can improve their reproductive health knowledge, attitude and behavior to some extent, and improve feasibility and increase their use of sexual and reproductive health education and service.3. Among unmarried migrant youth working in different industries, patterns of reproductive health education, time and place of the provision of reproductive health service and patterns of the provision of contraceptives should not be the same。... |
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