ArticleReproductive health2022
Prevalence of and factors associated with unintended pregnancies among sexually active undergraduates in mainland China.
Article in Reproductive health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 17 citations in OpenAlex.
- Sexual health literacy and risky sexual behaviour among female university students in Tanzania: a social-ecological analysis of levels, differences, and determinants.BMC public health · 2026Article
- An analysis of HIV-related behaviors and attitudes among college students in eastern China: A cross-sectional study.Medicine · 2026Article
- Knowledge and attitudes towards contraception among undergraduate students: a multicentre, cross-sectional study in Vietnam.BMJ open · 2026Article
- Prevalence of and factors associated with unintended pregnancy and association with depressive symptoms among pregnant women in Guangdong, China: a multicentre cross-sectional study.BMC psychiatry · 2025Article
- Commercial sexual behaviour among university students who engaged in casual sexual behaviour in Eastern China: a cross-sectional study.Scientific reports · 2025Article
- Knowledge, Attitudes, and Practices Toward Contraceptive Methods Among Female Undergraduate Students of Chiang Mai University, Thailand: A Cross-Sectional Survey.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Characteristics and contraceptive practices among Chinese women seeking abortion: a multicentre, descriptive study from 2019 to 2021.BMJ sexual & reproductive health · 2024Article
- Ecological factors associated with child sexual abuse among 15- to 17-year-old adolescents in mainland China: implications for intervention.Frontiers in public health · 2023Article
- Frequency of health care provider recommendations for HPV vaccination: a survey in three large cities in China.Frontiers in public health · 2023Article
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Authors and funding
21 authors at 1 institution in 1 country.
Funding
Abstract
backgroundUnintended pregnancies (UIP) among unmarried sexually active college students in mainland China have emerged as a major reproductive health issue with detrimental personal and socioeconomic consequences. This cross-sectional study aimed to determine the prevalence and factors associated with UIP among sexually active undergraduates in mainland China.
methodsBetween September 8, 2019 and January 17, 2020, a total of 48,660 participants were recruited across the Chinese mainland to complete the self-administered, structured, online questionnaire. This analysis was restricted to 6347 sexually experienced, never-married 15-26 year old undergraduates. Pearson's Chi square tests and multivariate Logistic regression analyses were performed to identify sociodemographic, familial and individual variables associated with UIP.
resultsThe overall prevalence of UIP was 17.7%. More specifically, 19.5% of male college students reported they had unintentionally gotten a partner pregnant, while 14.9% of female college students became unintentionally pregnant. Students who experienced UIP were more likely to belong to the older age group (23-26 years), live with only one parent or live without parents at home, report that their family members approve of premarital sex, initiate sexual activity younger than 14 years old and have casual sex partners. Furthermore, females with multiple partners and males who came from low- income households, experienced sexual abuse, perceived difficulties in acquiring condoms and did not know how to use condoms correctly were also at higher risk of experiencing an unintended pregnancy.
conclusionIn order to prevent UIP, a comprehensive intervention measure should be taken to target older students and those engaging in risky sexual behaviors, work with young male students to improve condom use skills, improve the availability of free condoms, optimize the involvement of parents and other family members in their children's sex education.
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