{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T19:05:28Z","timestamp":1762023928622,"version":"build-2065373602"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,5,24]],"date-time":"2020-05-24T00:00:00Z","timestamp":1590278400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,5,24]],"date-time":"2020-05-24T00:00:00Z","timestamp":1590278400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100006660","name":"UNFPA","doi-asserted-by":"crossref","award":["CHN51B603"],"award-info":[{"award-number":["CHN51B603"]}],"id":[{"id":"10.13039\/100006660","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Youth friendly services (YFS) was established in pilot areas in China. This study aimed to explore the promoting level on the awareness and utilization of YFS after the implementing of a multi-sectoral cooperation mechanism (MSCM) supported by social network theory (SNT) among multiple sectors related to young people reproductive health (YRH) closely.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>A cross-sectional study with two separate self-administered questionnaire surveys was conducted before and after the implementing of a MSCM supported by SNT in both in-school and out-school unmarried young people aged 12\u201324\u2009year-old in pilot areas in China. Both pre- and post- implementation surveys were conducted between December, 2008 and January, 2009, and between October, 2010 and January, 2011 respectively. The collected categorical data about the awareness on YFS in young people was described in percentage (%). \u03c7 <jats:sup>2<\/jats:sup> test was used to compare the differences between interventional and control areas, pre and after intervention, and changes in investigated areas after the intervention respectively. Binary logistic regression was used to analyze interventional effects after adjusting gender, in-school or out-school, and other factors. Significance level \u03b1 was 0.05.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The percentages of young people in interventional areas who could receive YRH education including that about YFS in schools, working sites and communities increased (<jats:italic>OR<\/jats:italic>\u00a0=\u200915.485, 6.166, 3.723; 95% <jats:italic>CI<\/jats:italic>: 2.939~4.715, 4.014~9.473, 11.421~20.994 respectively) statistically significantly (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.05). The percentages of young people in interventional areas who \u201chave heard of YFS clinic\u201d and \u201cknow that YFS clinic has been established in local area\u201d (<jats:italic>OR<\/jats:italic>\u00a0=\u20099.325, 11.244; 95% <jats:italic>CI<\/jats:italic>: 7.433~11.699, 8.780~14.399 respectively), and knowledge rates on YFS manner and contents also increased (<jats:italic>OR<\/jats:italic>\u00a0=\u200914.830, 8.676; 95% <jats:italic>CI<\/jats:italic>: 9.728~22.607, 5.175~14.548 respectively) statistically significantly (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.05). The increments of knowledge rates on YFS price, time, hotline number, contents on contraception, pregnancy and sexual harass\/violence were statistically significant (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.05). The satisfaction degree on this service has also increased (<jats:italic>OR<\/jats:italic>\u00a0=\u20096.394, 95% <jats:italic>CI<\/jats:italic>: 2.789~14.655) statistically significantly (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.05).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>SNT is a helpful tool to facilitate the construction of an effective multi-sectoral cooperation mechanism to promote the awareness and satisfactory degree of YRH services.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12889-020-8313-9","type":"journal-article","created":{"date-parts":[[2020,5,24]],"date-time":"2020-05-24T08:02:32Z","timestamp":1590307352000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Promotion of awareness and utilization of youth friendly service through multi-sectoral cooperation mechanism in China"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0138-8257","authenticated-orcid":false,"given":"Ning","family":"Feng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xi","family":"Jin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiuling","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linhong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,5,24]]},"reference":[{"key":"8313_CR1","unstructured":"World Health Organization: Adolescent friendly health services: An agenda for change. Geneva; 2002."},{"key":"8313_CR2","unstructured":"World Health Organization. Strengthening the health sector response to adolescent health and development. Geneva; 2009. p. 3\u20136."},{"key":"8313_CR3","unstructured":"United Nations. International conference on population and development. Cairo; 1994."},{"key":"8313_CR4","unstructured":"International Planned Parenthood Federation. Provide: strengthening youth friendly services. London; 2008."},{"key":"8313_CR5","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1007\/s10995-007-0285-1","volume":"12","author":"Q Wu","year":"2008","unstructured":"Wu Q, Tian XB, Wu JL, et al. The attitude of rural adolescents to the establishment of adolescent health clinic. Maternal Child Health Care China. 2008;12:52\u20134.","journal-title":"Maternal Child Health Care China"},{"issue":"4","key":"8313_CR6","first-page":"152","volume":"16","author":"YT Ma","year":"2008","unstructured":"Ma YT, Yu XM, Wei W, et al. Analysis on the utilization and influencing factors of reproductive health services in male adolescents. Chin J Child Health. 2008;16(4):152\u20134.","journal-title":"Chin J Child Health"},{"issue":"11","key":"8313_CR7","first-page":"2031","volume":"34","author":"XY Shi","year":"2007","unstructured":"Shi XY, Yu XM, Duan CM, et al. Study on the factors of the utilization of HIV\/AIDS prevention and control services among out-school adolescents. Modern Preventive Med. 2007;34(11):2031\u20133.","journal-title":"Modern Preventive Med"},{"issue":"3","key":"8313_CR8","first-page":"154","volume":"16","author":"XM Yu","year":"2005","unstructured":"Yu XM, Li Y, Gong LX, et al. Discussion and on adolescent friendly reproductive health service mode and the evaluation of its effect. 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Beijing: China Statistical Publishing House; 2018."},{"issue":"5","key":"8313_CR17","first-page":"644","volume":"39","author":"N Feng","year":"2018","unstructured":"Feng N, Wang LH. A multi-sectoral cooperation mechanism supported by social network theory to promote the utilization of youth friendly service. J Chin School Health. 2018;39(5):644\u20138.","journal-title":"J Chin School Health."},{"issue":"2","key":"8313_CR18","first-page":"177","volume":"36","author":"N Feng","year":"2015","unstructured":"Feng N, Jin X, Yang Q, et al. Intervention research on the promotion of the utilization about YFS through multi-sectoral cooperation. J Chin School Health. 2015;36(2):177\u201381.","journal-title":"J Chin School Health"},{"key":"8313_CR19","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1186\/1742-4755-7-25","volume":"7","author":"AJ Kesterton","year":"2010","unstructured":"Kesterton AJ, de Mello MC. 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The nature of the study was explained to the investigated young people prior to their participation. The young people\u2019s participating of the study in the investigation is regarded as informed consent which has been noted at the beginning of the questionnaire. There was a written expression on the title page of the questionnaire as: Participation in the questionnaire is voluntary, can be suspended at any time. Young people who didn\u2019t agree with the questionnaire would quit on their own. Parental consent has been obtained. There is no biological sample collected from the young people who participated the questionnaire survey, neither individual information nor its correlation with the answers was publicized, data analysis focused on population but not the individual perspective. This social investigation was carried out in schools, communities and enterprises, but not in hospitals. In China, there is no related provision to require that sociological survey study should go through ethics review. So, the ethics committee\u2019s approval on the study was not mandatory when the study was conducted in 2010.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"747"}}