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- Title
Fertility intentions to have a second or third child among the childbearing-age population in Central China under China's three-child policy: A cross-sectional study.
- Authors
Qian Chen; Aihua Wang; Xinli Song; Xiaoying Liu; Yiping Liu; Jianhui Wei; Jing Shu; Mengting Sun; Taowei Zhong; Manjun Luo; Tingting Wang; Senmao Zhang; Donghua Xie; Jiabi Qin
- Abstract
Background On May 31, 2021, the Chinese authorities announced that couples can have up to three children, aiming to stimulate a rise in fertility levels. However, there is limited research on second and third birth intentions of the childbearing-age population under China's three-child policy, and the existing results are inconsistent. Methods A cross-sectional survey was performed in Central China from June to August 2022. A total of 13 479 respondents aged 20-49 were enrolled in the study through a multi-stage sampling method. Data on the intentions to have a second or third child were collected using anonymized questionnaires. Descriptive statistics were performed to assess fertility intentions. Multivariate logistic regression analyses were used to assess the associations between fertility intentions and the related factors. Results Among families with a single child, 29.7% (1444 / 4859) of the respondents intended to have a second child, while among two-child families, 10.6% (750 / 7056) respondents intended to have a third child. Overall, participants indicated that the ideal number of children was 1.85 ± 0.52. The age-specific fertility intentions of the one-child families were always higher than those of two-child families; however, based on couples' age groups, the number of ideal children reported by two-child families was always higher than that of one-child families. Fertility intentions were influenced by the respondents' gender, age, residence, marital status, educational level, average working time, childcare support, marital satisfaction, accessibility of educational resources, health condition of both spouses, loan situation, size of living house and the gender of the first child or second child. Conclusions The general prevalence of the second and third birth intention of the childbearing-age population in Central China is not high. To increase the birth rate, it is necessary to create a favourable fertility context and offer supportive measures.
- Subjects
CHINA; HEALTH policy; STATISTICS; CONFIDENCE intervals; CROSS-sectional method; MULTIPLE regression analysis; MULTIVARIATE analysis; MARITAL satisfaction; CHILDBEARING age; HEALTH status indicators; MANN Whitney U Test; INCOME; QUALITATIVE research; FERTILITY; QUESTIONNAIRES; DESCRIPTIVE statistics; CHI-squared test; RESEARCH funding; INTENTION; MARITAL status; DATA analysis software; ODDS ratio; EDUCATIONAL attainment
- Publication
Journal of Global Health, 2023, Vol 13, p1
- ISSN
2047-2978
- Publication type
Article
- DOI
10.7189/jogh.13.04072