The Other Side: How does Informed Choice Affect Induced Abortions among Reproductive-Age Immigrant Women in China—A Cross-Sectional Study

Abstract

This study attempted to explore how informed choice on contraceptive methods influenced induced abortions among reproductive-age immigrant women in China. A total of 3230 participants were recruited in Beijing, Shanghai, and Chongqing. Information on informed choice was collected by questionnaires. The annual incidence rate (spells) of induced abortions was 0.46 (1500/3230) among the participants. The sequence from the highest score to the lowest was long-term, short-term and natural contraceptive methods (p < 0.0001). Significant differences of rates in induced abortions were found in region, occupation, length of the first immigration up to now (year), purpose for immigration, number of children, marital status, sex preference, contraceptive methods, deciders of contraceptive methods and side effects. In the zero-inflated negative binomial model, the joint impacts showed when a participant with one child employed condoms or family planning service providers as the deciders of contraceptive methods introduced intrauterine devices, the occurrence of induced abortions was more likely to be reduced. Women who underwent side effects using pills were more likely to have had induced abortions.

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

“…Hence, it was implied that long-term living in big cities, benefits of abundant information, convenient access to contraceptives and advanced concept of gender equality might influence migrants’ sexual health awareness and fertility rate. 45–47 Meanwhile, living in rented or self-owned house and staying with their spouse/partner for longer than 7 months per year were associated with contraceptive use. It was supposed that those participants were more likely to freely have sexual intimacy but were unable to afford the risk of unintended pregnancy.…”

“…Someone might feel insulted or suspicious if they thought their spouse used condom for disease prevention. Married people would like to choose effective and convenient long-term contraceptive methods for contraception 45 rather than short-term methods, such as condom.…”

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

“…However, this population is highly mobilized at a sexually active age and often fails to meet its needs for contraception. Additionally, migrants know less about reproduction and contraception than the general population and infrequently utilize family planning services: 17%~56% of the domestic migrant population aged above 18 years practice pre-marital sex [3][4][5][6], most of the participants scored under 30 on their knowledge of contraception, and over 50% of the participants could not answer how to correctly prevent Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) [7][8][9]. Another study indicated that, compared to local residents, AIDS-related knowledge among the floating population was lower (63.1% vs. 57.9%) [10].…”