| Objective:To understand the present situation of marriage, fertility and family planning service utilization among migrant married reproductive women in Jilin, to analysis the existing problems within the service and management of migrants and put forward reasonable suggestions, and to provide scientific references for optimizing the allocation of health and family planning resource, increasing the accessibility and utilization efficiency of health and family planning service and making specific planning in the management of migrants. Methods:Using the multi-stage, stratified, probability-proportionate to size sampling method, migrants were chosen from 2012 to 2014 in Jilin, The migrants were conducted to questionnaire survey and the migrant married reproductive women were chosen as the subjects in our study. The contents of the study included the basic aspects of the migrants, the status of marriage and fertility, as well as the utilization of family planning service. All the data was input into the system online or offline, and the appropriate collation and statistical analysis was made by SPSS 23.0 and Excel 2013 software. Results:(1) This study investigated a total of 3709 women, including 1329 women in 2012, 1304 women in 2013 and 1076 women in 2014, respectively.(2) The mean age of migrant married reproductive women was 35.58 years old and mostly were between 25 and 44, and the proportion of people who were born in late 1980 s was increasing. The agricultural population accounted for 82.2% and the nonagricultural population accounted for 17.8% of the total population. There was no significant difference in the distribution of household among each investigation year(2c=0.645, P=0.724). The migrant married reproductive women mainly were educated from junior middle school with the account of 67.9%. There was no significant difference in the distribution of education levels among each investigation year(P=0.077).(3) The rate of employment in migrant women was 68.3%. Migrant married reproductive women were mainly engaged in business and service industry. The difference on distribution of occupation among each investigation year was statistically significant(2c=38.505, P<0.001). Separately, the rate of production, transportation equipment operators and related person in 2012 was the highest(9.5%), the rate of irregular employment in 2013 was the highest(9.2%), the rate of people in business and service industry was the highest in 2014(79.7%).(4) The first marriage among these migrant married reproductive women accounted for 97.2%, and remarriage accounted for 2.8%. The difference on distribution of the marriage situation before floating in different times was statistically significant(2c=795.782, P<0.001). As time goes on, the rate of getting married after migration was increasing. In addition, the median age of first marriage was 22.00 years old. Separately, the median age of first marriage after migration was 24.00 years old, which was higher than the people got married before migration(Z=-12.000, P<0.001).(5) The level intermarriage circle were enlarged after migration(2c=6.370, P=0.041). The migrant married reproductive women who had the same level with their spouse after migration accounted for 75.1%, which was lower than the women got married before migration. In addition, the geographic intermarriage circle were enlarged after migration(2c=44.467, P<0.001). The migrant married reproductive women who had the same origins with their spouse after migration accounted for 87.5%, which was lower than the women got married before migration.(6) The rate of registering at early stage of the pregnancy in migrant women who accepted service in the inflow areas was 89.8%, the rate of receiving ≥5 times of prenatal examination was 78.4%, the rate of giving birth in hospital was 100.0%, the rate of receiving review within 28 days of postpartum was 50.9% and the rate of receiving health examination within 42 days of postpartum was 68.1%. In addition, the rate of receiving review within 28 days and within 42 days in women who had registered at early stage of the pregnancy were 56.5% and 74.7% respectively, which were both higher than the migrants who had not registered at early stage(P<0.05).(7) The migrant married reproductive women who had given birth to a child accounted for 71.2%, women with two children accounted for 17.2%, and women with three or more children accounted for 0.9%. Besides, women who had not given birth accounted for 10.7%. There was significant difference in the distribution of number of offspring between different household(P<0.001). Separately, the rate of owning one child among agricultural population was 69.2%, which was lower than the rate in nonagricultural population. At the same time, the rate of owning two and more than three children in agricultural population was 19.6% and 1.1%, which were both higher than the rate in nonagricultural population. In addition, the child’s sex ratio was 122.5.(8) The median age of first fertility among migrant married reproductive women was 23.00 years old. The difference on distribution of the fertility situation before floating in different times was statistically significant(2c=849.790, P<0.001). As time flows, the rate of giving birth after migrating to the city was increasing. Besides, the median age of first fertility after migration was 25.00 years old, which was higher than the women who had given birth before migration(Z=-11.317, P<0.001). In addition, the rate of cohabitation and pregnancy were increased, and they were affected by education, the flowing history before fertility, first marriage timing, and the age of first fertility(2c=6.285, P=0.043; 2c=20.101, P<0.001; 2c=53.531, P<0.001; 2c=86.801, P<0.001).(9) Migrant married reproductive women who used contraceptive methods accounted for 90.1%, and women who did not use contraceptive methods accounted for 9.9%. Intrauterine contraception was mainly used(76.1%). As time flows, the usage rate of condom was increasing and intrauterine contraception was decreasing. The difference in distribution of the contraceptive methods usage in different times was statistically significant(2c=370.366, P<0.001). The migrant women mainly got contraceptive methods in residential place(56.9%), and the rate of inflow areas was 39.6%.(10) The rate of receiving the service of checking intrauterine contraception in migrant married reproductive women was 80.9%, while the rate of receiving the condom or contraceptive was 42.1%. In addition, the women who had been fitted or taken down the intrauterine contraception account for 11.5%. Conclusions:(1) The migrant married reproductive women mostly were between 25 and 44 years old and the rate of new generation were increasing. Most of the migrant married reproductive women were agricultural residence registrations.(2) The education level in migrant married reproductive women was low. The migrant women were mainly engaged in business and service industry, and the job was not highly technical, and lacked stability.(3) The first age of marriage and fertility among migrant married reproductive women were both rising, the level and geographic intermarriage circle were enlarged.(4) The ratio of cohabitation and pregnancy among migrant married reproductive women was relatively high.(5) The level of perinatal care utilization among migrant married reproductive women was low. The intrauterine contraception was mainly used, the rate of condom was increasing. The rate of receiving family planning technique service utilization was low. |
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