Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2018 Nov 13;8(11):e020351.
doi: 10.1136/bmjopen-2017-020351.

Association between factors related to family planning/sexual and reproductive health and contraceptive use as well as consistent condom use among internal migrant population of reproductive ages in three cities in China, based on Heckprobit selection models

Shuang-Fei Xu  1   2   3 , Jun-Qing Wu  2 , Yu-Yan Li  2 , Chuan-Ning Yu  4 , Rui Zhao  2 , Ying Zhou  2 , Yi-Ran Li  2 , Jun-Guo Zhang  2   3 , Meng-Hua Jin  2   3
Affiliations
Multicenter Study

Association between factors related to family planning/sexual and reproductive health and contraceptive use as well as consistent condom use among internal migrant population of reproductive ages in three cities in China, based on Heckprobit selection models

Shuang-Fei Xu et al. BMJ Open. .

Abstract

Objective: With the increased population mobility and the transition in population policy, scholars are quite concerned about family planning/sexual and reproductive health (SRH) and related factors among internal migrant population of reproductive age. Therefore, the proposed study was designed to explore the association between factors related to family planning/SRH and contraceptive use as well as consistent condom use among the above-described population in China.

Design: Cross-sectional study.

Setting: Three municipalities in China, namely Beijing, Shanghai and Chongqing.

Participants: Among the 6545 participants, 2099, 2414 and 2031 subjects came from Beijing, Shanghai and Chongqing, respectively.

Results: A total of 6545 eligible participants were included as the full sample, 6188 of whom who had intercourse in the last 3 months were selected as the subsample. Among the subsample, 80.88% (5005/6188) adopted any form of contraceptive methods and 49.14% (3041/6188) consistently used condom in the last three sexual intercourses. Meanwhile, the involved participants had a better mastery of knowledge on SRH than on contraception (p<0.0001). The results of the Heckprobit models revealed that the factors associated with both contraceptive use and consistent condom use were relationship with the first intercourse partner, communication frequency with spouse/sexual partners on sex, actual number of children and knowledge on SRH, while knowledge on contraception and age at first intercourse were associated with contraceptive use and consistent condom use, respectively (p<0.05).

Conclusions: In the current study, we revealed a high-level contraceptive prevalence, a relatively low-level consistent condom use and a poor mastery of knowledge on contraception and SRH. The Heckprobit selection model specified the existence of selection bias, providing evidence on the association between the factors on family planning/SRH and contraceptive use as well as consistent condom use, respectively. Our findings indicated that health institutions should offer appropriate technology and high-quality family planning/SRH services for the internal migrant population in China.

Keywords: China; consistent condom-use; contraceptive-use; heckprobit selection model; internal migrant population.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Similar articles

See all similar articles

Cited by

References

    1. Feng L. The China’s Population Policy: Past, Present and Future. Population Research 2000;4:23–34.
    1. National Population and Family Planning Commission. The history of population and family planning in China. Beijing: China Population Publishing House, 2007.
    1. Wang C. History of the Chinese Family Planning program: 1970-2010. Contraception 2012;85:563–9. 10.1016/j.contraception.2011.10.013 - DOI - PubMed
    1. United Nations, Department of Economic and Social Affairs, Population Division. Trends in Contraceptive Use Worldwide 2015 (ST/ESA/SERA/349). 2015.
    1. Li Y, Zhao F, Hao M, 2017. Population Experts: The Effect of Universal Two-Child Policy was not Optimistic http://www.kankanews.com/a/2017-01-24/0037857470.shtml.

Publication types