China’s family planning project mainly focused on women aged 20-39, and the access to sexual and reproductive health services was relatively limited for women aged 40-49 in rural areas. A cross-sectional, questionnaire-based study was conducted in a representative sample of women aged 40-49 from rural areas of seven provinces in China. A total of 1811 individuals completed interviews. We examined with multiple logistic regression the association of receiving a free gynecological exam in the past 2 years. Among all influence factors, formal health education received in the last two years and awareness of correct IUD removal time were the most important factors on seeking free gynecological exam service among women aged 40-49. The late reproductive-age women in rural China still lacked quality sexual and reproductive health services. Immediate actions should increase these women’s motivation to use existing services for sexual and reproductive health.
Presented in Session 10. Fertility, Family Planning, Sexual Behavior & Reproductive Health 2