重庆医学2024，Vol.53Issue(10) ：1525-1530.DOI:10.3969/j.issn.1671-8348.2024.10.015

"全面三孩"政策影响下重庆市育龄护士生育意愿及影响因素分析

Analysis of fertility intention and influencing factors of nurses of childbearing age in Chongqing under the influence of the comprehensive three children policy

钱宇 吴迪 王亚玲 张黎 王楠 廖淑梅 陈鸿 王令 郑源
重庆医学2024，Vol.53Issue(10) ：1525-1530.DOI:10.3969/j.issn.1671-8348.2024.10.015
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"全面三孩"政策影响下重庆市育龄护士生育意愿及影响因素分析

Analysis of fertility intention and influencing factors of nurses of childbearing age in Chongqing under the influence of the comprehensive three children policy

钱宇 1吴迪 1王亚玲 2张黎 2王楠 3廖淑梅 4陈鸿 5王令 6郑源7
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作者信息

  • 1. 重庆青年职业技术学院健康医学院,重庆 400712
  • 2. 中国人民解放军陆军特色医学中心护理部,重庆 400042
  • 3. 重庆市护理学会,重庆 400020
  • 4. 重庆市西区医院护理部,重庆 400052
  • 5. 云阳县人民医院护理部,重庆 404500
  • 6. 三峡大学,湖北宜昌 443000
  • 7. 西南大学心理学部,重庆 400715
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摘要

目的 对重庆地区育龄执业护士的生育意愿现状进行抽样调查,并探讨影响其多胎生育意愿的相关因素.方法 选取重庆市12家医院的509位在职护士(男39人,女470人)作为研究对象,对其进行生育意愿问卷调查,对相关变量进行单因素分析和logistic回归分析.结果 三孩生育意愿者仅为9人(占1.77％),其中父母同住(P=0.043)、医院类别(P=0.013)、性别(P=0.025)是三孩生育意愿的影响因素.明确表示不愿意生育三孩的调查对象认为,生育压力分别来自孩子教育投入、孩子医疗费、老人医疗费及保险投入等方面,其中65.8％的家庭孩子教育投入占家庭年收入≥10％.影响二孩生育行为的log-binomial回归分析,中级职称生育二孩行为是初级职称的2.41倍(P＜0.01),非父母同住是父母同住的0.41倍(P＜0.01),合同制是正式编制的0.40倍(P＜0.01),家庭年收入＞50万元是0～10万元的6.09倍(P＜0.05).结论 重庆地区执业护士育龄群体三孩生育意愿弱,经济因素及教育压力是影响生育意愿的主要因素.

Abstract

Objective To investigate the current situation of fertility intention of nurses of childbearing age in Chongqing,and to explore the related factors affecting their fertility intention.Methods A total of 509 in-service nurses(39 males and 470 females)from 12 hospitals in Chongqing were selected as the research ob-jects,and a questionnaire survey was conducted on their fertility intention.Univariate analysis and logistic re-gression analysis were performed on the relevant variables.Results Only nine people(1.77％)had the will-ingness to have a third child.Among them,the single influencing factors of the willingness to have a third child were parents living together(P=0.043),hospital category(P=0.013),and gender(P=0.025).The respondents who clearly stated that they did not want to have three children believed that fertility pressure came from children's education investment,children's medical expenses,elderly medical expenses and insur-ance investment,in 65.80％of the families,the investment in children's education accounts for ≥10％of the annual family income.The log-binomial regression analysis of the fertility behavior of the second child showed that the fertility behavior of the second child of the intermediate title was 2.41 times that of the primary title(P＜0.01),the non-parental living was 0.41 times that of the parents living together(P＜0.01),the contract system was 0.40 times that of the formal establishment(P＜0.01),and the annual household income of＞500 000 yuan was 6.09 times that of 0 to 100 000 yuan(P＜0.05).Conclusion The fertility intention of the three-child childbearing age group of licensed nurses in Chongqing is weak,and economic factors and educa-tional pressure are the main factors affecting the fertility intention.

关键词

育龄人群/生育意愿/影响因素/重庆/问卷调查

Key words

population of childbearing age/fertility intention/influencing factors/Chongqing/question-naire survey

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基金项目

重庆市教育科学规划课题一般项目(十四五)(K22YG320332)

重庆职业教育基地财贸职业教育集团-成渝地区双城经济圈高等职业教育协同研究中心-成渝地区双城经济圈财经职业教育联盟专项一般项目(2022WT014)

重庆青年职业技术学院校级科研项目(14069JG2021103)

重庆青年职业技术学院校级重点科研项目(CQY2021KYZ04)

出版年

2024
重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子：1.797
ISSN：1671-8348
参考文献量16
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