Investigation On Reproductive Health And Condom Use Related Factors Among Unmarried Female Migrant Workers In Shanghai

Objective:To investigate the reproductive health status of unmarried female migrant workers in Shanghai,explore the correlation between behavioral factors,psychosocial factors and condom use,and to provide a theoretical basis for intervention strategies of condom use promotion.Methods: From February to September 2018,we conducted a cross-sectional study among 2,270 unmarried female migrant workers over the age of 18 in Shanghai.A convenient sampling method was adopted.The questionnaire included general demographic information,reproductive health status,behavioral factors related to condom use,and psychosocial factors.Among the 903 participants who had vaginal intercourse with men in the past 6 months,condom use and its related factors were investigated.Results: Of all 903 eligible participants,29.9% experienced unintended pregnancy and11.9% had induced abortions.Only 13.8% of participants reported using condoms consistently in the past six months.In IMB model,behavioral skills(β= 0.341,p <0.001)had a positive effect on condom use,while motivation contributed to condom use indirectly by affecting behavioral skills(β= 0.805,p < 0.001)and had no direct influence(p > 0.05).Information had no direct or indirect effect on condom use(p >0.05),but it was correlated with motivation(r=0.411,p< 0.001),which may in term influence condom use.Moreover,low self-esteem(OR=0.469,95%CI=0.245-0.898),depression(OR=0.591,95%CI=0.375-0.931)and loneliness(OR=0.495,95%CI=0.298-0.822)were all associated with inconsistent condom use.Participants with at least two psychosocial problems were more difficult to use condoms consistently(OR=0.574,95%CI=0.353-0.934).In the psychosocial factors modified IMB model,psychosocial factors influenced condom use directly(β =-0.093,p =0.006).The model fit was acceptable.Conclusion: The reproductive health of unmarried female migrant workers in Shanghai remains to be improved.Behavioral factors such as behavioral skill and motivation can influence condom use.Psychosocial factors like low self-esteem,depression and loneliness also have an impact on condom use,and the co-occurrence of psychosocial problems are more likely to cause risky behaviours.Our results suggested that the intervention strategies aiming to promote condom use in this population should be based on both behavioral factors and psychosocial factors.