Changes in fertility intention among married Chinese couples with two children during COVID-19: a cross-sectional study.

IF 3.4 3区医学 Q1 FAMILY STUDIES

BMJ Sexual & Reproductive Health Pub Date : 2024-07-12 DOI:10.1136/bmjsrh-2022-201759

Ni Ning, Xiangmin Tan, Ying Li, Jingfei Tang, Lisa Lommel, Mei Sun

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引用次数: 0

Abstract

Background: A three-child policy was implemented in China to stimulate a rise in fertility levels and coincided with the COVID-19 pandemic. Data suggested that COVID-19 has a negative impact on fertility intention.

Aim: To describe married couples' changes in intention to have a third child during the COVID-19 pandemic and determine factors associated with altered intentions.

Methods: An online survey was conducted in October 2021, including sociodemographic characteristics, change of intention to have a third child after the COVID-19 pandemic outbreak, reasons for increased or decreased intention, and the Fertility Intention Scale (FIS). Bivariate and multivariable logistic regression were used to test the potential factors associated with changes in intention.

Results: A total of 1308 participants provided responses. Following the COVID-19 outbreak, 35.8% of participants decreased their third-child intention, while 2.8% of participants increased their third-child intention. Males (aOR 1.90, 95% CI 1.42 to 2.54), youngsters (aOR 1.77, 95% CI 1.08 to 2.93) and those living in Estern China (aOR 2.12, 95% CI 1.13 to 3.98) were more likely to decrease their third-child intention. Perceived risk (aOR 1.07, 95% CI 1.03 to 1.10) and policy support (aOR 1.06, 95% CI 1.03 to 1.09) as measured on the FIS decreased couples' intention to have a third child. Social support (aOR 0.94, 95% CI 0.91 to 0.98) as measured on the scale protected participants from decreased intention.

Conclusions: During severe public health emergencies, strong prevention and control policies, together with enhancing support from partners and healthcare professionals for women, are necessary to improve intentions to give birth.

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COVID-19 期间中国已婚二孩夫妇生育意愿的变化：一项横断面研究。

背景：中国实施了三胎政策，以刺激生育水平的提高，当时正值COVID-19大流行。目的：描述已婚夫妇在 COVID-19 流行期间生育第三个孩子的意向变化，并确定与意向变化相关的因素：方法：2021 年 10 月进行了一项在线调查，内容包括社会人口学特征、COVID-19 大流行爆发后生育第三个孩子的意愿变化、意愿增加或减少的原因以及生育意愿量表（FIS）。我们使用二元和多元逻辑回归法来检验与生育意愿变化相关的潜在因素：共有 1308 名参与者提供了回复。COVID-19 爆发后，35.8% 的参与者减少了生育第三个孩子的意愿，2.8% 的参与者增加了生育第三个孩子的意愿。男性（aOR 为 1.90，95% CI 为 1.42 至 2.54）、年轻人（aOR 为 1.77，95% CI 为 1.08 至 2.93）和居住在中国东部地区的人群（aOR 为 2.12，95% CI 为 1.13 至 3.98）更有可能降低生育三胎的意愿。根据 FIS 测量的感知风险（aOR 1.07，95% CI 1.03 至 1.10）和政策支持（aOR 1.06，95% CI 1.03 至 1.09）降低了夫妇生育第三个孩子的意愿。通过量表测量的社会支持（aOR 0.94，95% CI 0.91 至 0.98）保护了参与者的生育意愿：结论：在严重的公共卫生突发事件中，强有力的预防和控制政策以及来自伴侣和医疗保健专业人员对妇女的更多支持对于提高生育意愿是必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine

CiteScore

5.10

自引率

6.10%

发文量

期刊介绍： BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.