Reproductive health status and its influencing factors among out of campus girls

Objective To study the epidemiological status of reproductive health related behaviors of out of school adolescents in Kunming and Shenzhen City, and to explore the social-psychological influencing factors of the behaviors. Methods A cross-sectional study was conducted in 410 out of school adolescents aged 15-24 years who were recruited with accidental sampling.All the subjects were required to complete a self-administrated questionnaire.Single factor Chi-square analysis and multi-factor Logistic method were used for data analysis. Results The correct respondent rate of the questions on reproductive health knowledge among the adolescents was low.The sexual intercourse rate was 42.9% (176/410). Nearly 44.9% (79/176) of the adolescents who had sexual experience did not use condom in the latest sexual intercourse, and those who had no less than one sexual partner accounted for 48.9% (86/176). The prevalence of genital discomfort and sexual transmitted disease was 48.8% (200/410) and 2.9% (12/410), respectively.Chi-square test showed that marriage, living statue, behaviors of holding hands, kiss, caress the body, sexual intercourse and having no less than one sexual partner influenced the prevalence of genital discomfort(χ2 values were 4.667, 10.862, 10.032, 15.619, 17.423, 28.239, 17.817 and 21.369, respectively; all P<0.05). In binary Logistic analysis, living in a dormitory or with other people, behaviors of caress the body, sexual intercourse and having no less than one sexual partner influenced the prevalence of genital discomfort (odds ratio (OR) was 0.449 (95% CI: 0.216-0.933), 0.377 (95% CI: 0.147-0.967), 4.364 (95% CI: 1.594-11.949), 0.312 (95% CI: 0.111-0.877) and 2.646 (95% CI: 1.417-4.941), respectively; all P<0.05). Conclusions The status of reproductive health was poor among out of school girls in kunming and Shenzhen, and living status, behaviors of caress the body, sexual intercourse and having no less than one sexual partner could influence the prevalence of genital discomfort.Comprehensive measures should be taken to strengthen the reproductive health management in this population. Key words: Adolescent; Reproductive health services; Risk factors