Unmet Needs for Reproductive Health Knowledge among Unmarried Migrant Youth

Zhao, Shuang ling; Gao, Er Sheng; Zabin, Laurie Schwab

doi:10.1016/s1001-7844(08)60025-5

Cited by 6 publications

(6 citation statements)

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“…Studies conducted in China highlight a lack of knowledge about family planning and contraception,19 20 in particular among the unmarried, migrant youth 33. Health professionals need to recognise that younger Chinese women typically come to the UK with very little family planning knowledge and may be at risk of unwanted pregnancy.…”

Section: Discussionmentioning

confidence: 99%

The experiences and perceptions of family planning of female Chinese asylum seekers living in the UK

Verran

Evans

Lin

et al. 2014

J Fam Plann Reprod Health Care

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IntroductionChinese family planning policy is unique. There is limited sex education and the state is highly influential. This has resulted in extremely wide coverage of contraception with long-acting methods being favoured. The Chinese constitute a large proportion of asylum applicants to the UK. This study examines how their experiences and decisions about family planning in the UK are shaped by their cultural background.MethodsData were drawn from 10 semi-structured qualitative interviews with female Chinese asylum seekers recruited through a family planning clinic in the UK.ResultsThe increased autonomy provided by the UK system was appreciated by the participants. Choice of contraceptive method was influenced by traditional cultural beliefs and values, and the effect of hormonal contraception on menstruation was particularly concerning. Women arrived from China with little knowledge of contraception. Friends from a similar background were the most trusted source of advice. When transitioning from China to the UK unwanted pregnancies had occurred amongst unmarried women who had missed out on sex education while living in China.ConclusionsChinese societal and cultural practices continue to influence family planning decisions made within the UK. Culturally competent health strategies are needed to ensure Chinese immigrant women fully benefit from family planning within the UK.

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Section: Discussionmentioning

confidence: 99%

The experiences and perceptions of family planning of female Chinese asylum seekers living in the UK

Verran

Evans

Lin

et al. 2014

J Fam Plann Reprod Health Care

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“…Migrant youth were less likely to report consistent contraceptive use compared to non-migrants. Other qualitative studies have suggested that lack of sexual knowledge and sex education explain the low condom use among migrant populations [28]. Young men who migrate from rural areas to urban areas showed greater sexual risk behaviors.…”

Section: Discussionmentioning

confidence: 99%

Migration and Unprotected Sex in Shanghai, China: Correlates of Condom Use and Contraceptive Consistency Across Migrant and Nonmigrant Youth

Sudhinaraset

Astone

Blum

2012

Journal of Adolescent Health

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Purpose Despite the exceptionally large population of young migrants in China, as well as increasing rates of HIV and STIs in recent years, condom use and contraceptive consistency among this population remains critically under studied. This study examines the association between migration and condom use and contraceptive consistency. Methods A cross-sectional survey of 959 youth aged 15–24 was conducted in rural and urban Shanghai. Logistic regression was conducted to examine the association between migration status and condom use and consistent contraceptive use. Analyses are stratified by gender. Results Overall, only 32% reported condom use at first sex and less than 10% reported consistent contraceptive use. Compared to 63.6% of urban non-migrants, 83.1% of rural-to-urban migrants reported not using a condom at first sex. Multivariate logistic regression models indicate that patterns of migration and gender clearly impact condom use and contraceptive consistency. After adjusting for background characteristics, rural-to-urban migrant males were significantly less likely to report condom use at first sex and consistent contraceptive use with first partner compared to non-migrants and urban-to-urban migrants. Females living in rural areas who never migrate, on the other hand, are least likely to report condom use and consistent contraceptive use compared to other females. Conclusion Because rural men who migrate to urban areas and rural non-migrant young women are at particular risk, programs should target rural areas for both of these group that would give support to young men before they leave their hometowns, as well as focusing on females who might not have the opportunity to migrate.

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“…53 Many migrant workers are young, single and are largely excluded from sexual health education and its associated services. In Shanghai, Zhao et al (2008) found that migrant youth had a poor understanding of sex, few had ever received any formal sex education at school, and most had not benefited from ongoing sex-related education programmes available in cities due to their long working hours. 54 Similar findings have also been reported by others.…”

Section: Comprehensive Sex Education Programmesmentioning

confidence: 99%

“…In Shanghai, Zhao et al (2008) found that migrant youth had a poor understanding of sex, few had ever received any formal sex education at school, and most had not benefited from ongoing sex-related education programmes available in cities due to their long working hours. 54 Similar findings have also been reported by others. [55][56] Workplace-based interventions would be useful to target young migrants and have been shown to be feasible and welcomed by young female migrants in Shanghai.…”

Section: Comprehensive Sex Education Programmesmentioning

confidence: 99%

“…66 Additionally, the wider societal environment also helps young people decide the time when they wish to initiate sexual intercourse, with whom to have sex and how to protect themselves from unsafe sexual practices. The media is seen by most Chinese young people as their main source of information about reproductive issues and STIs 11,54,59 and therefore plays a key role in equipping them with relevant information, when consideration is taken of the lack of information on sexual issues that young people receive at home and at school. More importantly, the media reaches all young people, be they at school, at university, at work or unemployed.…”

Section: Comprehensive Sex Education Programmesmentioning

confidence: 99%

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An Overview of the Sexual Behaviour of Adolescents and Young People in contemporary china

Yu¹

2010

AMJ

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Traditional Chinese sexual values and morality are mainly based on the Confucian and Taoist traditions, which overwhelmingly stress the reproductive function of sex and its role in cementing family and societal structures. In recent years, attitudes towards sex, love and marriage have changed dramatically since China's open-door policy and the economic reforms of the 1980s. Sexual attitudes become more open, while the negative consequences of early sexual initiation increasingly become issues of social and health concern. In this paper, the author provides an overview of the current literature relating to the sexual behaviour of adolescents and young people in contemporary China and suggests ways forward to positively promote the sexual health of its population. The results show that teenage sex and premarital sex are no longer disapproved of by the young. Some young people lost their virginity while still at high school and the rate of sexual initiation was generally higher among those who had left school and those at university. The take up of contraceptives was found to be low and multiple sexual partners, casual sex, pregnancies, sexually transmitted infections and sexual abuse were also reported. These rapid changes in sexual values and behaviour call for the introduction of comprehensive sex education programmes and their associated services which are inclusive, accessible and available to all adolescents and unmarried young people in China.

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Unmet Needs for Reproductive Health Knowledge among Unmarried Migrant Youth

Cited by 6 publications

References 1 publication

The experiences and perceptions of family planning of female Chinese asylum seekers living in the UK

The experiences and perceptions of family planning of female Chinese asylum seekers living in the UK

Migration and Unprotected Sex in Shanghai, China: Correlates of Condom Use and Contraceptive Consistency Across Migrant and Nonmigrant Youth

An Overview of the Sexual Behaviour of Adolescents and Young People in contemporary china

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