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

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.

Promoting Sexual Health Knowledge through a Social Workers’ Mentorship Programme: A Study of Gay Young Adults

“…Although many parents discourage online dating, it is not possible to entirely prevent young people from forming relationships over the internet [ 38 ]. Therefore, the health and social care professionals focused on teaching young people methods of staying safe [ 8 ] (e.g., always using a condom).…”

“…First, this study contributes to the understanding of how the Mentor Modelling Programme could influence the sexual health and attention of sexual promotion plans for sexual minorities, particularly gay youths in the East Asian context and environment [ 8 ]. Although Taiwan is the first place for sexual minorities to establish the relationship, it is not hard to believe that discriminations and social biases existed in different parts of society and communities [ 27 , 28 , 29 , 50 ].…”

“…The programme was undertaken in coordination with a group of health and social care professionals who work with sexual health promotion for sexual minority individuals and youths in Taiwan [ 27 , 29 ], where members of the public are influenced by traditional East Asian traditions and practices [ 8 ]. The Mentor Modelling Programme [ 24 ] is intended to provide mentor-level relationship(s), sharing, and mentor-level modelling partnership(s) to the target participants (i.e., gay youths).…”

“…Currently, most of the sexual health materials used in East Asian countries [ 8 ] tend to focus on heterosexual issues [ 9 ]. For example, most sexual health materials used in secondary schools are focused on the problems of underage pregnancy, STDs, HIV, and AIDS.…”

“…Although there has been increasing advocacy for the rights of individuals in sexual minorities in recent years, there remain many people in East Asian countries [ 8 ] who do not accept the legitimacy of homosexual relationships and behaviours [ 27 ]. Recently, in mid-2019, legislation was passed in Taiwan that allows same-sex marriage between homosexual couples [ 28 ].…”