Urgent Need for Contraceptive Education and Services in Chinese Unmarried Undergraduates:A Multi-campus Survey
In order to ascertain prevalence rate of premarital sexual intercourse,unintended pregnancy and abortion,and evaluate associated factors of unintended pregnancy among undergraduates from all over China,the representative sample of unmarried undergraduates was obtained by using a multi-stage,stratifi...
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Published in | Journal of Huazhong University of Science and Technology. Medical sciences Vol. 31; no. 4; pp. 426 - 432 |
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Main Author | |
Format | Journal Article |
Language | English |
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Heidelberg
Huazhong University of Science and Technology
01.08.2011
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Online Access | Get full text |
ISSN | 1672-0733 1993-1352 |
DOI | 10.1007/s11596-011-0468-2 |
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Abstract | In order to ascertain prevalence rate of premarital sexual intercourse,unintended pregnancy and abortion,and evaluate associated factors of unintended pregnancy among undergraduates from all over China,the representative sample of unmarried undergraduates was obtained by using a multi-stage,stratified,probability cluster design,and data were collected by using a survey questionnaire.62 326 available responders were gained.11.6% of them acknowledged having experiences of premarital sexual intercourse(standardized prevalence rate of sexual intercourse was 13.8%).31.5% of students active in premarital sex acknowledged undergoing unintended pregnancy.76.2% of pregnant students selected abortion to end it.Of students active in premarital sex,46.2% used contraception at the first sexual intercourse,28.2% replied "always" using contraception in sexual intercourse.The rate of using condoms,oral contraceptives(OCs),and withdrawal among students who had used contraception was 52.0%,31.0%,and 27.2% respectively."No preparation for sex"(40.3%),"pleasure decrement"(32.1%),"won't-be-pregnancy in occasional sexual intercourse"(30.2%) were their common excuses for using no contraception.The identified risk factors for unintended pregnancy among students active in premarital sex by multivariate analysis were as follows:having no steady lover [having no steady lover vs having a steady lover:odds ratio(OR),1.875;95% confidence interval(CI),1.629-2.158],unaware of the course of conception(unaware vs aware:OR,2.023;95% CI,1.811-2.260),considering abortion not endanger women's physical and mental health(no endangerment vs endangerment:OR,2.659;95% CI,2.265-3.121),nonuse of contraception(never use vs always use:OR,1.682;95% CI,1.295-2.185).Medical students were not less likely to experience an unintended pregnancy than nonmedical students(OR,1.111;95% CI,0.906-1.287).The substantial proportion of unintended pregnancy among undergraduates indicates a need for convenient and targeted contraceptive education and services. |
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AbstractList | In order to ascertain prevalence rate of premarital sexual intercourse, unintended pregnancy and abortion, and evaluate associated factors of unintended pregnancy among undergraduates from all over China, the representative sample of unmarried undergraduates was obtained by using a multi-stage, stratified, probability cluster design, and data were collected by using a survey questionnaire. 62 326 available responders were gained. 11.6% of them acknowledged having experiences of premarital sexual intercourse (standardized prevalence rate of sexual intercourse was 13.8%). 31.5% of students active in premarital sex acknowledged undergoing unintended pregnancy. 76.2% of pregnant students selected abortion to end it. Of students active in premarital sex, 46.2% used contraception at the first sexual intercourse, 28.2% replied "always" using contraception in sexual intercourse. The rate of using condoms, oral contraceptives (OCs), and withdrawal among students who had used contraception was 52.0%, 31.0%, and 27.2% respectively. "No preparation for sex" (40.3%), "pleasure decrement" (32.1%), "won't-be-pregnancy in occasional sexual intercourse" (30.2%) were their common excuses for using no contraception. The identified risk factors for unintended pregnancy among students active in premarital sex by multivariate analysis were as follows: having no steady lover [having no steady lover vs having a steady lover: odds ratio (OR), 1.875; 95% confidence interval (CI), 1.629-2.158], unaware of the course of conception (unaware vs aware: OR, 2.023; 95% CI, 1.811-2.260), considering abortion not endanger women's physical and mental health (no endangerment vs endangerment: OR, 2.659; 95% CI, 2.265-3.121), nonuse of contraception (never use vs always use: OR, 1.682; 95% CI, 1.295-2.185). Medical students were not less likely to experience an unintended pregnancy than nonmedical students (OR, 1.111; 95% CI, 0.906-1.287). The substantial proportion of unintended pregnancy among undergraduates indicates a need for convenient and targeted contraceptive education and services.In order to ascertain prevalence rate of premarital sexual intercourse, unintended pregnancy and abortion, and evaluate associated factors of unintended pregnancy among undergraduates from all over China, the representative sample of unmarried undergraduates was obtained by using a multi-stage, stratified, probability cluster design, and data were collected by using a survey questionnaire. 62 326 available responders were gained. 11.6% of them acknowledged having experiences of premarital sexual intercourse (standardized prevalence rate of sexual intercourse was 13.8%). 31.5% of students active in premarital sex acknowledged undergoing unintended pregnancy. 76.2% of pregnant students selected abortion to end it. Of students active in premarital sex, 46.2% used contraception at the first sexual intercourse, 28.2% replied "always" using contraception in sexual intercourse. The rate of using condoms, oral contraceptives (OCs), and withdrawal among students who had used contraception was 52.0%, 31.0%, and 27.2% respectively. "No preparation for sex" (40.3%), "pleasure decrement" (32.1%), "won't-be-pregnancy in occasional sexual intercourse" (30.2%) were their common excuses for using no contraception. The identified risk factors for unintended pregnancy among students active in premarital sex by multivariate analysis were as follows: having no steady lover [having no steady lover vs having a steady lover: odds ratio (OR), 1.875; 95% confidence interval (CI), 1.629-2.158], unaware of the course of conception (unaware vs aware: OR, 2.023; 95% CI, 1.811-2.260), considering abortion not endanger women's physical and mental health (no endangerment vs endangerment: OR, 2.659; 95% CI, 2.265-3.121), nonuse of contraception (never use vs always use: OR, 1.682; 95% CI, 1.295-2.185). Medical students were not less likely to experience an unintended pregnancy than nonmedical students (OR, 1.111; 95% CI, 0.906-1.287). The substantial proportion of unintended pregnancy among undergraduates indicates a need for convenient and targeted contraceptive education and services. In order to ascertain prevalence rate of premarital sexual intercourse, unintended pregnancy and abortion, and evaluate associated factors of unintended pregnancy among undergraduates from all over China, the representative sample of unmarried undergraduates was obtained by using a multi-stage, stratified, probability cluster design, and data were collected by using a survey questionnaire. 62 326 available responders were gained. 11.6% of them acknowledged having experiences of premarital sexual intercourse (standardized prevalence rate of sexual intercourse was 13.8%). 31.5% of students active in premarital sex acknowledged undergoing unintended pregnancy. 76.2% of pregnant students selected abortion to end it. Of students active in premarital sex, 46.2% used contraception at the first sexual intercourse, 28.2% replied "always" using contraception in sexual intercourse. The rate of using condoms, oral contraceptives (OCs), and withdrawal among students who had used contraception was 52.0%, 31.0%, and 27.2% respectively. "No preparation for sex" (40.3%), "pleasure decrement" (32.1%), "won't-be-pregnancy in occasional sexual intercourse" (30.2%) were their common excuses for using no contraception. The identified risk factors for unintended pregnancy among students active in premarital sex by multivariate analysis were as follows: having no steady lover [having no steady lover vs having a steady lover: odds ratio (OR), 1.875; 95% confidence interval (CI), 1.629-2.158], unaware of the course of conception (unaware vs aware: OR, 2.023; 95% CI, 1.811-2.260), considering abortion not endanger women's physical and mental health (no endangerment vs endangerment: OR, 2.659; 95% CI, 2.265-3.121), nonuse of contraception (never use vs always use: OR, 1.682; 95% CI, 1.295-2.185). Medical students were not less likely to experience an unintended pregnancy than nonmedical students (OR, 1.111; 95% CI, 0.906-1.287). The substantial proportion of unintended pregnancy among undergraduates indicates a need for convenient and targeted contraceptive education and services. In order to ascertain prevalence rate of premarital sexual intercourse,unintended pregnancy and abortion,and evaluate associated factors of unintended pregnancy among undergraduates from all over China,the representative sample of unmarried undergraduates was obtained by using a multi-stage,stratified,probability cluster design,and data were collected by using a survey questionnaire.62 326 available responders were gained.11.6% of them acknowledged having experiences of premarital sexual intercourse(standardized prevalence rate of sexual intercourse was 13.8%).31.5% of students active in premarital sex acknowledged undergoing unintended pregnancy.76.2% of pregnant students selected abortion to end it.Of students active in premarital sex,46.2% used contraception at the first sexual intercourse,28.2% replied "always" using contraception in sexual intercourse.The rate of using condoms,oral contraceptives(OCs),and withdrawal among students who had used contraception was 52.0%,31.0%,and 27.2% respectively."No preparation for sex"(40.3%),"pleasure decrement"(32.1%),"won't-be-pregnancy in occasional sexual intercourse"(30.2%) were their common excuses for using no contraception.The identified risk factors for unintended pregnancy among students active in premarital sex by multivariate analysis were as follows:having no steady lover [having no steady lover vs having a steady lover:odds ratio(OR),1.875;95% confidence interval(CI),1.629-2.158],unaware of the course of conception(unaware vs aware:OR,2.023;95% CI,1.811-2.260),considering abortion not endanger women's physical and mental health(no endangerment vs endangerment:OR,2.659;95% CI,2.265-3.121),nonuse of contraception(never use vs always use:OR,1.682;95% CI,1.295-2.185).Medical students were not less likely to experience an unintended pregnancy than nonmedical students(OR,1.111;95% CI,0.906-1.287).The substantial proportion of unintended pregnancy among undergraduates indicates a need for convenient and targeted contraceptive education and services. Summary In order to ascertain prevalence rate of premarital sexual intercourse, unintended pregnancy and abortion, and evaluate associated factors of unintended pregnancy among undergraduates from all over China, the representative sample of unmarried undergraduates was obtained by using a multi-stage, stratified, probability cluster design, and data were collected by using a survey questionnaire. 62 326 available responders were gained. 11.6% of them acknowledged having experiences of premarital sexual intercourse (standardized prevalence rate of sexual intercourse was 13.8%). 31.5% of students active in premarital sex acknowledged undergoing unintended pregnancy. 76.2% of pregnant students selected abortion to end it. Of students active in premarital sex, 46.2% used contraception at the first sexual intercourse, 28.2% replied “always” using contraception in sexual intercourse. The rate of using condoms, oral contraceptives (OCs), and withdrawal among students who had used contraception was 52.0%, 31.0%, and 27.2% respectively. “No preparation for sex” (40.3%), “pleasure decrement” (32.1%), “won’t-be-pregnancy in occasional sexual intercourse” (30.2%) were their common excuses for using no contraception. The identified risk factors for unintended pregnancy among students active in premarital sex by multivariate analysis were as follows: having no steady lover [having no steady lover vs having a steady lover: odds ratio (OR), 1.875; 95% confidence interval (CI), 1.629–2.158], unaware of the course of conception (unaware vs aware: OR, 2.023; 95% CI, 1.811–2.260), considering abortion not endanger women’s physical and mental health (no endangerment vs endangerment: OR, 2.659; 95% CI, 2.265–3.121), nonuse of contraception (never use vs always use: OR, 1.682; 95% CI, 1.295–2.185). Medical students were not less likely to experience an unintended pregnancy than nonmedical students (OR, 1.111; 95% CI, 0.906–1.287). The substantial proportion of unintended pregnancy among undergraduates indicates a need for convenient and targeted contraceptive education and services. |
Author | 周远忠 熊锦文 李洁 黄诗韵 商学军 刘国辉 张玫玫 尹平 魏晟 熊承良 |
AuthorAffiliation | Institute of Family Planning,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China School of Public Health,Zunyi Medical College,Zunyi 563000,China Department of O&G,Hubei Provincial Corps Hospital,Chinese People's Armed Police Forces,Wuhan 430070,China Reproductive Medical Center,Renmin Hospital of Wuhan University,Wuhan 430060,China Department of Andrology,Nanjing General Hospital of Nanjing Military Region,Nanjing 210002,China Institute for Population and Family Planning of Chongqing City,Chongqing 400020,China Sexual Health Education Research Center,Capital Normal University,Beijing 100037,China Department of Epidemiology,School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China |
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Cites_doi | 10.1016/j.ejogrb.2006.07.032 10.1080/03630242.2010.530926 10.1111/j.1745-7262.2008.00413.x 10.1080/09540129947730 10.1097/00007435-200204000-00005 10.1080/13691058.2011.563866 10.1016/j.contraception.2008.08.002 10.1089/apc.2005.19.769 10.1016/j.ijgo.2004.06.010 10.1016/S0010-7824(96)00237-5 10.1080/13625180400007181 10.1007/s10461-008-9482-1 10.1016/j.contraception.2007.10.008 10.1016/S1054-139X(99)00054-3 10.1186/1472-6963-4-1 10.2114/jpa2.25.221 |
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Notes | In order to ascertain prevalence rate of premarital sexual intercourse,unintended pregnancy and abortion,and evaluate associated factors of unintended pregnancy among undergraduates from all over China,the representative sample of unmarried undergraduates was obtained by using a multi-stage,stratified,probability cluster design,and data were collected by using a survey questionnaire.62 326 available responders were gained.11.6% of them acknowledged having experiences of premarital sexual intercourse(standardized prevalence rate of sexual intercourse was 13.8%).31.5% of students active in premarital sex acknowledged undergoing unintended pregnancy.76.2% of pregnant students selected abortion to end it.Of students active in premarital sex,46.2% used contraception at the first sexual intercourse,28.2% replied "always" using contraception in sexual intercourse.The rate of using condoms,oral contraceptives(OCs),and withdrawal among students who had used contraception was 52.0%,31.0%,and 27.2% respectively."No preparation for sex"(40.3%),"pleasure decrement"(32.1%),"won't-be-pregnancy in occasional sexual intercourse"(30.2%) were their common excuses for using no contraception.The identified risk factors for unintended pregnancy among students active in premarital sex by multivariate analysis were as follows:having no steady lover [having no steady lover vs having a steady lover:odds ratio(OR),1.875;95% confidence interval(CI),1.629-2.158],unaware of the course of conception(unaware vs aware:OR,2.023;95% CI,1.811-2.260),considering abortion not endanger women's physical and mental health(no endangerment vs endangerment:OR,2.659;95% CI,2.265-3.121),nonuse of contraception(never use vs always use:OR,1.682;95% CI,1.295-2.185).Medical students were not less likely to experience an unintended pregnancy than nonmedical students(OR,1.111;95% CI,0.906-1.287).The substantial proportion of unintended pregnancy among undergraduates indicates a need for convenient and targeted contraceptive education and services. 42-1679/R Yuanzhong ZHOU ,Jinwen XIONG ,Jie LI ,Shiyun HUANG ,Xuejun SHANG ,Guohui LIU ,Meimei ZHANG ,Pin YIN ,Sheng WEI ,Chengliang XIONG 1Institute of Family Planning,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China 2 School of Public Health,Zunyi Medical College,Zunyi 563000,China 3Department of O&G,Hubei Provincial Corps Hospital,Chinese People's Armed Police Forces,Wuhan 430070,China.4Reproductive Medical Center,Renmin Hospital of Wuhan University,Wuhan 430060,China 5Department of Andrology,Nanjing General Hospital of Nanjing Military Region,Nanjing 210002,China 6Institute for Population and Family Planning of Chongqing City,Chongqing 400020,China 7Sexual Health Education Research Center,Capital Normal University,Beijing 100037,China 8Department of Epidemiology,School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China students; unsafe sex; contraception; unplanned pregnancy; China ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
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10.1111/j.1745-7262.2008.00413.x – volume: 11 start-page: 581 issue: 5 year: 1999 end-page: 589 ident: CR4 article-title: Changing sexual attitudes and behavior in China: implications for the spread of HIV and other sexually transmitted diseases publication-title: AIDS Care doi: 10.1080/09540129947730 – volume: 29 start-page: 212 issue: 4 year: 2002 end-page: 215 ident: CR3 article-title: Premarital sexual activities among students in a university in Beijing, China publication-title: Sex Transm Dis doi: 10.1097/00007435-200204000-00005 – volume: 13 start-page: 497 issue: 5 year: 2011 end-page: 511 ident: CR1 article-title: Detraditionalisation and attitudes to sex outside marriage in China publication-title: Cult Health Sex doi: 10.1080/13691058.2011.563866 – volume: 79 start-page: 146 issue: 2 year: 2009 end-page: 149 ident: CR15 article-title: Sexual activity and contraceptive use among young female students of tertiary educational institutions in Ilorin, Nigeria publication-title: 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volume: 135 start-page: 104 issue: 1 year: 2007 ident: 468_CR13 publication-title: Eur J Obstet Gynecol Reprod Biol doi: 10.1016/j.ejogrb.2006.07.032 – volume: 11 start-page: 581 issue: 5 year: 1999 ident: 468_CR4 publication-title: AIDS Care doi: 10.1080/09540129947730 – volume: 1 start-page: 72 issue: 2 year: 2007 ident: 468_CR2 publication-title: Biosci Trends – volume: 19 start-page: 769 issue: 11 year: 2005 ident: 468_CR8 publication-title: AIDS patient care and STDs doi: 10.1089/apc.2005.19.769 – volume: 9 start-page: 400 year: 2000 ident: 468_CR11 publication-title: Chin J Family Planning (Chinese) – volume: 79 start-page: 146 issue: 2 year: 2009 ident: 468_CR15 publication-title: Contraception doi: 10.1016/j.contraception.2008.08.002 – volume: 50 start-page: 767 issue: 8 year: 2010 ident: 468_CR7 publication-title: Women Health doi: 10.1080/03630242.2010.530926 – volume: 30 start-page: 52 issue: 7 year: 2009 ident: 468_CR16 publication-title: Chin J Epidemiol (Chinese) – reference: 16763364 - J Physiol Anthropol. 2006 May;25(3):221-7 – reference: 18226674 - Contraception. 2008 Feb;77(2):108-13 – reference: 19135573 - Contraception. 2009 Feb;79(2):146-9 – reference: 17152510 - Zhonghua Liu Xing Bing Xue Za Zhi. 2006 Jun;27(6):499-502 – reference: 10755033 - AIDS Care. 1999 Oct;11(5):581-9 – reference: 18478161 - Asian J Androl. 2008 Jul;10(4):607-15 – reference: 10551664 - J Adolesc Health. 1999 Nov;25(5):336-43 – reference: 16283837 - AIDS Patient Care STDS. 2005 Nov;19(11):769-77 – reference: 15697104 - Eur J Contracept Reprod Health Care. 2004 Sep;9(3):147-54 – reference: 21452090 - Cult Health Sex. 2011 May;13(5):497-511 – reference: 9013056 - Contraception. 1997 Jan;55(1):15-7 – reference: 11912462 - Sex Transm Dis. 2002 Apr;29(4):212-5 – reference: 15491580 - Int J Gynaecol Obstet. 2004 Nov;87(2):199-202 – reference: 18953644 - AIDS Behav. 2010 Aug;14(4):891-903 – reference: 14736336 - BMC Health Serv Res. 2004 Jan 22;4(1):1 – reference: 21170818 - Women Health. 2010 Dec;50(8):767-82 – reference: 20103872 - Biosci Trends. 2007 Oct;1(2):72-80 – reference: 17292529 - Eur J Obstet Gynecol Reprod Biol. 2007 Nov;135(1):104-10 |
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SubjectTerms | Asian Continental Ancestry Group Contraceptive Agents Female Health Education Health Knowledge, Attitudes, Practice Humans Male Medicine Medicine & Public Health Sexual Behavior Students Universities 中国 区调 多因素分析 大学生 性行为 教育 服务 避孕套 |
Title | Urgent Need for Contraceptive Education and Services in Chinese Unmarried Undergraduates:A Multi-campus Survey |
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