Education level, contraceptive communication, and IUD use among rural-to-urban migrants in China: A qualitative study.

Chinese rural-to-urban migrant workers have high rates of unintended pregnancy, yet many are reluctant to choose the most effective forms of contraception, such as IUDs (intrauterine devices). Those who do are often socioeconomically disadvantaged, a finding that contradicts much health research, na...

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Main Authors: Danielle Kane, Bing Han, Yu Chung
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0311022
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author Danielle Kane
Bing Han
Yu Chung
author_facet Danielle Kane
Bing Han
Yu Chung
author_sort Danielle Kane
collection DOAJ
description Chinese rural-to-urban migrant workers have high rates of unintended pregnancy, yet many are reluctant to choose the most effective forms of contraception, such as IUDs (intrauterine devices). Those who do are often socioeconomically disadvantaged, a finding that contradicts much health research, namely that higher SES individuals can access better healthcare. This puzzle highlights the need to understand better migrant workers' contraceptive decision-making. This paper reports findings from interviews with 91 migrant workers. Across educational backgrounds, IUD use usually followed contraceptive-related communication. Female interviewees with less education were more likely to have contraception-related discussions, including with doctors, in which the benefits of IUDs emerged. Typically, however, these conversations happened after a pregnancy. The findings suggest a need for public awareness campaigns that destigmatize discussion of contraception and interventions targeted by education level.
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record_format Article
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spelling doaj-art-61d4fdeaabae4573babf9bf719a2166b2025-01-08T05:32:43ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031102210.1371/journal.pone.0311022Education level, contraceptive communication, and IUD use among rural-to-urban migrants in China: A qualitative study.Danielle KaneBing HanYu ChungChinese rural-to-urban migrant workers have high rates of unintended pregnancy, yet many are reluctant to choose the most effective forms of contraception, such as IUDs (intrauterine devices). Those who do are often socioeconomically disadvantaged, a finding that contradicts much health research, namely that higher SES individuals can access better healthcare. This puzzle highlights the need to understand better migrant workers' contraceptive decision-making. This paper reports findings from interviews with 91 migrant workers. Across educational backgrounds, IUD use usually followed contraceptive-related communication. Female interviewees with less education were more likely to have contraception-related discussions, including with doctors, in which the benefits of IUDs emerged. Typically, however, these conversations happened after a pregnancy. The findings suggest a need for public awareness campaigns that destigmatize discussion of contraception and interventions targeted by education level.https://doi.org/10.1371/journal.pone.0311022
spellingShingle Danielle Kane
Bing Han
Yu Chung
Education level, contraceptive communication, and IUD use among rural-to-urban migrants in China: A qualitative study.
PLoS ONE
title Education level, contraceptive communication, and IUD use among rural-to-urban migrants in China: A qualitative study.
title_full Education level, contraceptive communication, and IUD use among rural-to-urban migrants in China: A qualitative study.
title_fullStr Education level, contraceptive communication, and IUD use among rural-to-urban migrants in China: A qualitative study.
title_full_unstemmed Education level, contraceptive communication, and IUD use among rural-to-urban migrants in China: A qualitative study.
title_short Education level, contraceptive communication, and IUD use among rural-to-urban migrants in China: A qualitative study.
title_sort education level contraceptive communication and iud use among rural to urban migrants in china a qualitative study
url https://doi.org/10.1371/journal.pone.0311022
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AT yuchung educationlevelcontraceptivecommunicationandiuduseamongruraltourbanmigrantsinchinaaqualitativestudy