| Objective We conducted a survey in entertainment venues in China to explore the prevalence and factors associated with two indicators of sexual and reproductive health:(i) multiple abortions and(ii) reproductive tract infections(RTI). Aiming to provide the basis for young female migrant on reproductive health.Methods We conducted a across-sectional study and according to the scale of every entertainment venues, we recruited 374 young female migrants(ages 18 to 29) working in 54 entertainment venues which were random sampling form 157 entertainment venues in Baohe and Luyang District. We used one-to-one questionnaire investigation after the process of informed consent and the investigation content includes measures of social demographic, history of multiple abortions, past year RTI, correct methods of using condom, sexual behavior during past 6 months, partner types and condom use, past six month alcohol use, past illicit drugs use and mental health. Epi Data 3.1 and SPSS 10.1 were used for establishing database and data analysis, respectively.Results We collected 358 sample information from randomly selected 374 sample and 16 refused, the participant’s rate was 95.7%. 59.5% participants were experienced abortion lifetime. One quarter(25.4%) of the women in this sample had multiple abortions during their lifetime and, of those with any abortion history, 18.3% had had an abortion outside of a regulated health clinic. One-third(33.0%) of the sample had anRTI during the past year, and approximately one-fourth(23.8%) of those women did not receive RTI treatment in a public hospital. Approximately one-fourth(23.5%) of the sample reported both a history of abortion and an RTI during the past year. Women with a history of multiple abortions had significantly higher income levels(monthly income >4000 yuan, OR=1.91, 95% CI:1.13-3.24), experienced initial sex unwilling(OR=2.12, 95% CI:0.96-4.70) were more likely to have sex with husbands(OR=2.19, 95% CI:1.22-3.93), were more likely to use alcohol before sex(OR=1.83, 95% CI:1.07-3.14), and without any contraception in initial sex(OR=2.50, 95% CI:1.30-4.80). Women with a history of RTI past year were more likely to use illicit drug(OR=3.36, 95% CI:1.23-9.17), had anxiety symptom in past week(OR=22.12, 95% CI:2.70-181.02), experience first abortion under 20 years old(OR=2.29, 95% CI:1.242-4.23), and without any contraception in initial sex(OR=1.92, 95% CI:0.87-4.22). Women who experienced both multiple abortions and past year RTI risks were more likely to have sex with husband(OR=2.79, 95% CI:1.27-6.12), were more likely to use illicit drug(OR=4.00, 95% CI:1.38-11.57), had anxiety symptom in past week(OR=9.67, 95% CI:3.16-29.61), and had first sex under 18 years old(OR=3.34, 95% CI:1.42-7.85).Conclusion The multiple abortions and RTI was high in young female migrant working in entertainment venues in Hefei. Without any contraception methods in initial sex was closely associated with subsequent risk sexual behavior, multiple abortions and RTI. Therefore, strengthening the female adolescent sexual education, postponing the age of initial sex and advocating safe sexual behaviors should become an important field of reproductive health services. |
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