Patterns of contraceptive use in China

Area of Science:

• Demography
• Reproductive Health
• Contraceptive Behavior

Background:

• China's fertility is near replacement level but shows significant regional variations.
• Understanding reproductive and contraceptive patterns is crucial for public health initiatives.

Purpose of the Study:

• To examine reproductive and contraceptive behavior patterns in China using 1982 census and survey data.
• To analyze regional disparities in contraceptive use and method preferences.

Main Methods:

• Utilized demographic and contraceptive use data from China's 1982 census and national fertility survey.
• Analyzed data from the National Family Planning Commission to assess reproductive trends.

Main Results:

• Intrauterine devices (IUDs) are used by half of married, fecund women aged 15-49 practicing contraception.
• China accounts for approximately 70% of global IUD users.
• Contraceptive prevalence varies regionally; higher minority populations correlate with lower use rates.
• Urban and health variables positively correlate with pill/condom use but negatively with IUD use.

Conclusions:

• Significant regional variations exist in China's reproductive and contraceptive behaviors.
• IUDs are the dominant contraceptive method, particularly in less urbanized areas, with notable exceptions in minority regions.
• Socio-demographic factors, including urbanization and minority status, influence contraceptive method choice.