中国正在经历着人类历史上最大规模的人口流动。这一规模不断增长的流动给成千上万的中国人带来了重新定义生活的机会。同时,这一过程也为流动人口带来了困难与挑战,尤其是对女性流动人口,她们不仅面临着对“外来者”的歧视,而且她们对流入地的生殖健康服务的巨大需求难以满足。我们的研究主要关注上海这个中国最大的大都市里的女性流动人口。根据在上海收集到的多种数据资料,本研究概括了女性流动人口的特征变化,对比女性流动人口与当地妇女的妊娠和生育状况,调查影响她们了解生殖健康知识的因素,了解妨碍她们得到健康服务的障碍。研究显示,女性流动人口中自述存在生殖健康问题的比例相对较高,对性病知识的忽视程度相对较高。自述生殖健康问题、对生殖健康的了解程度与女性流动人口的受教育程度以及在流入城市居住的时间长短有关。有充分的证据表明,女性流动人口获得城市生殖健康服务的途径受到许多制度性障碍的阻挠。
<<>As the largest labor flow in human history,recent rise in migration in China has opened up unprecedented opportunities for millions of Chinese to rearrange their lives. At the same time,this process has also posed great challenges to Chinese migrants,especially female migrants,who not only face bias against “outsiders” but also have a greater need in receiving reproductive health related services in their migratory destinations. Based on data collected via multiple sources in Shanghai,China’s largest metropolis,this study profiles the changing characteristics of female migrants,presents data on self-reported symptoms of reproductive health related problems and knowledge on reproductive health issues,compares maternal and child health measures between migrants and local residents,and examines factors related to reproductive health knowledge and migrants’ access to health care in urban China. Results of this study show a relatively high level of self-reported reproductive health status among female migrants,coupled with a relatively high level of ignorance in knowledge related to STD. Both self-reported health status and knowledge in reproductive health are related to the educational attainment and length of stay in the urban destination. We also find ample evidence that female migrants’ access to urban health care is limited by a number of institutional barriers.
<<Keywords: | ShanghaiFemale Floating PopulationReproductive Health StatusKnowledge and Reception Services |