An ecological study of the willingness to have the third child and its influencing factors among women of childbearing age in Henan Province
JI Penghui, WANG Yuhong, DONG Wei, SUN Panpan, ZHANG Junxi, JIANG Lifang, CHAI Jian
Social Medical Research Center of Henan Provincial Research Institute for Population and Family Planning, National Health Commission Key Laboratory of Birth Defect Prevention, Henan Key Laboratory of Birth Defect Intervention Technology, Zhengzhou 450002,China
Abstract：Objective To evaluate the willingness to have the third child (WTH3rdC) among the women of childbearing age in Henan Province, and to explore its influencing factors. Methods A purposive sampling method was used to select 577 women of childbearing age, who had two children, from three Maternal and Child Health Hospitals (Xuchang, Hebi, Puyang) in Henan Province from June to December, 2019. Since the non-response rate was low, the missing values were excluded from the statistical analysis. Finally, 547 cases were included. Age of the surveyed women was ranged from 19 to 46 years old. Of them, 532 were permanent resident. Summary statistics of maternal age, family income, and characteristics of children are presented. Chi-square tests were utilized to compare the WTH3rdC between different subgroups. The WTH3rdC was associated to influencing factors by Logistic regressions. Results 49.6% of the surveyed women would like to have the third child. According to multivariate Logistic regressions, temporary residency was positively associated to high WTH3rdC (OR=2.74, 95% CI:1.36~5.51); compared to the low-income subgroup, the middle and high-income subgroup had a higher WTH3rdC (OR= 1.70, 95% CI:1.20~2.41); Compared to the mothers of a son and a daughter, the WTH3rdC was higher among mothers of two sons (OR= 2.22, 95% CI:1.42~3.46) or two daughters (OR=1.80, 95% CI:1.14~2.82). Conclusion Women of childbearing age in Henan had a high level of WTH3rdC. Residency, per household income, and sex ratio of previous children were factors significantly influencing WTH3rdC. Relevant policies should be considered by local government to further improve the WTH3rdC in Henan.
纪鹏慧, 王雨虹, 董玮, 孙盼盼, 张军喜, 蒋丽芳, 柴健. 河南省部分地区育龄妇女三胎生育意愿及影响因素研究[J]. 中国生育健康杂志, 2022, 33(2): 109-113.
JI Penghui, WANG Yuhong, DONG Wei, SUN Panpan, ZHANG Junxi, JIANG Lifang, CHAI Jian. An ecological study of the willingness to have the third child and its influencing factors among women of childbearing age in Henan Province. Chinese Journal of Reproductive Health, 2022, 33(2): 109-113.
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