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Randomized Controlled Trial
. 2020 Mar 21;17(6):2093.
doi: 10.3390/ijerph17062093.

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

Shuang-Fei Xu  1 , Jun-Qing Wu  2 , Chuan-Ning Yu  3 , Yu-Yan Li  2 , Rui Zhao  2 , Yi-Ran Li  2 , Ying Zhou  2
Affiliations
Randomized Controlled Trial

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

Shuang-Fei Xu et al. Int J Environ Res Public Health. .

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.

Keywords: China; domestic migrant population; family planning; intervention; sexual and reproductive health.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Implementation of the comprehensive intervention in the two cities.
Figure 2
Figure 2
Flow of participants through each study stage in the two cities. a The primary reason was that the participants were absent in these sites. b Lost to follow-up was calculated as the total number allocated to the control and intervention groups, respectively, minus the number that received a follow-up at one year.
See this image and copyright information in PMC

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