Promoting contraceptive use among female rural-to-urban migrants in Qingdao, China: a comparative impact study of worksite based interventions




We conducted a comparative study in worksites to assess the impact of sexual health promoting interventions on contraceptive use among female rural-to-urban migrants.


In Qingdao ten manufacturing worksites were randomly allocated to a standard package of interventions (SPI) and an intensive package of interventions (IPI). The interventions ran from July 2008 to January 2009. Cross-sectional surveys at baseline and end line assessed the sexual behaviour of young female migrants. To evaluate the impact of the interventions we assessed pre- and post-time trends.


From the SPI group 721 (baseline) and 615 (end line) respondents were considered. Out of the IPI group we included 684 and 603 migrants. Among childless migrants, self-reported contraceptive use increased significantly after SPI and IPI (adjusted odds ratio [aOR] = 3.23; 95% confidence interval [CI] = 1.52-6.84; p < 0.01 and aOR = 5.81; 95% CI = 2.63-12.80; p < 0.001, respectively). Childless migrants older than 22 years reported a greater use after IPI than after SPI.


Implementing current Chinese sexual health promotion programmes at worksites is likely to have a positive impact on migrant women working in the manufacturing industry of Qingdao. More comprehensive interventions seem to have an added value if they are well targeted to specific groups.


Authors & affiliation: 
Decat P1, Zhang WH, Delva W, Moyer E, Cheng Y, Wang ZJ, Lu CY, Wu SZ, Nadisauskiene RJ, Temmerman M, Degomme O 1International Centre for Reproductive Health (ICRH), Ghent University, Belgium.
Published In: 
Eur J Contracept Reprod Health Care. 2012 Oct;17(5):363-72. doi: 10.3109/13625187.2012.696752. Epub 2012 Jul 30
Publication date: 
Monday, July 30, 2012