Status of unwanted pregnancy and contraceptive needs among women of childbearing age in Chengdu City: a cross-sectional study.

The aim of this work was to assess the prevalence and associated factors of unwanted pregnancy and explore the contraceptive needs among women of childbearing age in the main districts of Chengdu. A questionnaire survey was administered in five districts of Chengdu following a stratified two-stage sampling technique. We performed descriptive, bivariate, and multivariate statistical analyses. A total of 1,289 women aged 15-44 years were randomly selected, of whom 1,230 completed the survey. Among respondents, 24.1% had experienced unwanted pregnancy. Married women had 1.665 times the odds of unwanted pregnancy compared with unmarried women, but the odds of unwanted pregnancy were 0.528 times as high for women aged 21-25 years compared with those aged ≤20 years. Women with a university or higher level of education were less likely to report unwanted pregnancy, while those with a male partner from a rural area were more likely to report unwanted pregnancy. Furthermore, women whose male partners had a junior college, university, or higher education background were less likely to report unwanted pregnancy. More than half of the respondents had never received contraceptive education. Nearly three in five reported inadequate contraceptive education, and 70.41% expressed a strong willingness to accept professional contraceptive guidance. These findings highlight that being married and having a male partner from the village are risk factors for unwanted pregnancy, while the age group 21-25 years and having a college or higher level of education are protective factors for unwanted pregnancy. Reproductive health guidance and policies are needed to reduce the rates of unwanted pregnancy in Chengdu.