Skip to main content

Advertisement

Log in

Cross-sectional study of contraceptive use among Chinese women of reproductive age: results based on a mobile application (APP)-derived data

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the contraceptive status among Chinese women of reproductive age and factors associated with contraceptive methods.

Methods

A cross-sectional study from November 2015 to January 2016 was conducted. We used APP to collect demographics and contraceptive use information of women aged 14–44 years in China.

Results

A total of 23,669 women completed the study. After data cleaning, 19,768 (83.5%) women were included in the final analysis. The prevalence of contraceptive use was 78.9%; while 21.05% of women did not use any method, condoms (40.10%), rhythm, or withdrawal (31.03%) were the most commonly used methods. When contraceptive methods were divided into four categories—long-acting contraceptives (LAC), short-acting contraceptive (SAC), Others, and “No use”—the prevalence was 6.1% (601/19,678), 40.8% (8022/19,678), 35.1% (6912/19,678), and 21.1% (4143/19,678), respectively. Women with a high level of education, being unmarried, and sexually active women tended to choose SAC; married women were associated with LAC usage. Women with irregular menstrual cycle used a high proportion of emergency contraception.

Conclusions

The prevalence of contraceptive use was 78.9%, with condom use being most prominent. Young women of reproductive age have low awareness of contraception. Relevant departments should take necessary measures to improve this situation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Li J, Temmerman M, Chen Q, Xu J, Hu L, Zhang WH (2013) A review of contraceptive practices among married and unmarried women in China from 1982 to 2010. Eur J Contracept Reprod Health Care Off J Eur Soc Contracept 18(3):148–158. https://doi.org/10.3109/13625187.2013.776673

    Article  Google Scholar 

  2. Hesketh T, Zhou X, Wang Y (2015) The end of the one-child policy lasting implications for China. JAMA 314(24):2619–2620. https://doi.org/10.1001/jama.2015.16279

    Article  CAS  PubMed  Google Scholar 

  3. Stover J, Ross J (2010) How increased contraceptive use has reduced maternal mortality. Matern Child Health J 14(5):687–695. https://doi.org/10.1007/s10995-009-0505-y

    Article  PubMed  Google Scholar 

  4. Wu SC, Qiu HY (2010) Induced abortion in China: problems and interventions. Zhongguo yi xue ke xue yuan xue bao Acta Academiae Medicinae Sinicae 32(5):479–482. https://doi.org/10.3881/j.issn.1000-503X.2010.05.001

    PubMed  Google Scholar 

  5. Gao GP, Zhang RJ, Zhang XJ, Jia XM, Li XD, Li X, Wang CC, Tong F, Sun YH (2015) Prevalence and associated factors of induced abortion among rural married women: a cross-sectional survey in Anhui, China. J Obstet Gynaecol Res 41(3):383–391. https://doi.org/10.1111/jog.12547

    Article  PubMed  Google Scholar 

  6. Zhang Y, Luo B, Li H, Zhou Y, Zhu L, Liu J (2014) A survey of women undergoing nonmedical induced abortions during 2010–2011 in Beijing. Zhonghua yi xue za zhi 94(29):2304–2307

    PubMed  Google Scholar 

  7. Turner-McGrievy GM, Beets MW, Moore JB, Kaczynski AT, Barr-Anderson DJ, Tate DF (2013) Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program. J Am Med Inform Assoc JAMIA 20(3):513–518. https://doi.org/10.1136/amiajnl-2012-001510

    Article  PubMed  Google Scholar 

  8. Carter MC, Burley VJ, Nykjaer C, Cade JE (2013) Adherence to a smartphone application for weight loss compared to website and paper diary: pilot randomized controlled trial. J Med Internet Res 15(4):e32. https://doi.org/10.2196/jmir.2283

    Article  PubMed  PubMed Central  Google Scholar 

  9. Mangone ER, Lebrun V, Muessig KE (2016) Mobile phone apps for the prevention of unintended pregnancy: a systematic review and content analysis. JMIR mHealth uHealth 4(1):e6. https://doi.org/10.2196/mhealth.4846

    Article  PubMed  PubMed Central  Google Scholar 

  10. Chen E, Mangone ER (2016) A systematic review of apps using mobile criteria for adolescent pregnancy prevention (mCAPP). JMIR mHealth uHealth 4(4):e122. https://doi.org/10.2196/mhealth.6611

    Article  PubMed  PubMed Central  Google Scholar 

  11. Seiber EE, Bertrand JT, Sullivan TM (2007) Changes in contraceptive method mix in developing countries. Int Fam Plan Perspect 33(3):117–123. https://doi.org/10.1363/ifpp.33.117.07

    Article  PubMed  Google Scholar 

  12. Polus S, Lewin S, Glenton C, Lerberg PM, Rehfuess E, Gulmezoglu AM (2015) Optimizing the delivery of contraceptives in low- and middle-income countries through task shifting: a systematic review of effectiveness and safety. Reprod Health 12:27. https://doi.org/10.1186/s12978-015-0002-2

    Article  PubMed  PubMed Central  Google Scholar 

  13. Zhang XJ, Wang GY, Shen Q, Yu YL, Sun YH, Yu GB, Zhao D, Ye DQ (2009) Current status of contraceptive use among rural married women in Anhui Province of China. BJOG Int J Obstet Gynaecol 116(12):1640–1645. https://doi.org/10.1111/j.1471-0528.2009.02320.x

    Article  Google Scholar 

  14. Oppelt PG, Baier F, Fahlbusch C, Heusinger K, Hildebrandt T, Breuel C, Dittrich R (2017) What do patients want to know about contraception and which method would they prefer? Arch Gynecol Obstet 295(6):1483–1491. https://doi.org/10.1007/s00404-017-4373-1

    Article  PubMed  Google Scholar 

  15. Wang H, Long L, Cai H, Wu Y, Xu J, Shu C, Wang P, Li B, Wei Q, Shang X, Wang X, Zhang M, Xiong C, Yin P (2015) Contraception and unintended pregnancy among unmarried female university students: a cross-sectional study from China. PLoS One 10(6):e0130212. https://doi.org/10.1371/journal.pone.0130212

    Article  PubMed  PubMed Central  Google Scholar 

  16. Daniels K, Daugherty J, Jones J (2014) Current contraceptive status among women aged 15–44: United States, 2011–2013. NCHS Data Brief 173:1–8

    Google Scholar 

  17. He D, Zhang Y, Ji N, Zhou Y, Mao Q, Cheng Y (2012) A cross-sectional study of contraceptive use among married women living in rural China. Int J Gynaecol Obstet Off Organ Int Fed Gynaecol Obstet 118(2):129–132. https://doi.org/10.1016/j.ijgo.2012.03.037

    Article  Google Scholar 

  18. Patseadou M, Michala L (2017) Usage of the levonorgestrel-releasing intrauterine system (LNG-IUS) in adolescence: what is the evidence so far? Arch Gynecol Obstet 295(3):529–541. https://doi.org/10.1007/s00404-016-4261-0

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We wish to thank the Beijing YOULEHUO Network Technology company for providing the APP and the Clinical Research Institute of Peking University for their guidance and assistance with data analysis. We also wish to thank all members of our research group.

Funding

This study was no funding.

Author information

Authors and Affiliations

Authors

Contributions

WB and YH: protocol/project development. LM: data collection and management, data analysis, manuscript writing/editing. YZ and CY: data collection and management, data analysis. SX, YS and XC: data collection and management.

Corresponding authors

Correspondence to Wenpei Bai or Yuliang Huo.

Ethics declarations

Conflict of interest

The authors have no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (PDF 112 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mao, L., Bai, W., Huo, Y. et al. Cross-sectional study of contraceptive use among Chinese women of reproductive age: results based on a mobile application (APP)-derived data. Arch Gynecol Obstet 297, 1193–1199 (2018). https://doi.org/10.1007/s00404-018-4687-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-018-4687-7

Keywords

Navigation