Abstract To understand the situation of contraceptive needs of women of childbearing age in the context of new fertility policy of our country, to study its influence factors, and to provide more accurate contraceptive services for women of different childbearing age at different reproductive stages. Methods: Based on the national contraceptive adverse reaction monitoring system, a questionnaire star survey was issued in January 2021, which covered 116 national monitoring points from 31 provinces and 74 provincial monitoring points of Jiangsu province. The contraceptive willingness and demand of the respondents were analyzed, and which possible influencing factors were analyzed by logistic regression analysis. Results: In 7,043 respondents in this survey, there were significant differences in age, education level, occupation situation, and income among the women with different birth times. The highest proportion of contraception used was condom (61.8%), followed by that (38.7%) of intrauterine device (IUD). The highest proportion of contraceptive knowledge obtained was from medical staff (67.7%), followed by that (61.5%) from pamphlet or foldout, than followed by that (53.5%) from Internet or Wechat. The highest proportion of desired contraceptive knowledge (52.1%) was the effectiveness of contraception, followed by that (51.7%) of the side effects of contraception. The highest proportion (77.8%) of worrying contraception used was about health, followed by that (36.0%) about sexual life. Multivariate analysis showed that the proportion of choosing IUD of the women with IUD used history was significantly higher than that of the women without IUD used history (OR=10.62,95%CI 9.24-12.20), with the number of births, the chorce rate of IUD had increased. The proportion of choosing condom of the women with condom used history was significantly higher than that of the women without condoms used history (OR=13.83,95%CI 11.89-16.09). women with 2 or more children are less willing to choose condoms with no child. Conclusion: The contraception selection and contraceptive needs of the women of childbearing age with different fertility history are different. It is suggested that administrative departments at all levels should formulate propaganda, education, and service mode according to different needs and contraceptive characteristics of the people in the context of new fertility policy, so as to provide safe and scientific contraceptive services for the population of childbearing age.
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