Factors influencing reproductive intention among 988 professional women of childbearing age in a tertiary grade-A hospital in Hefei City
Objective To investigate the willingness to have a second child and a third child among professional women in childbearing age,and to analyze the factors influencing their willingness to bear a second child and a third child respectively.Methods A questionnaire was used to survey professional women of childbearing age who bore a child in the physical examination center of a tertiary grade-A hospital in Hefei City.Univariate analysis was conducted by x2 test,and multivariate analysis was performed using logistic regression analysis.Results A total of 988 subjects were investigated in this study.They were mainly concentrated in the age group of 31-40 years(70.55％),and 87.65％of them hold a bachelor's degree or above.Among them,there were 691 professional women of childbearing age who had given birth to a child,and their intention to give birth to a second child accounted for 20.84％.There were 297 professional women of childbearing age who had given birth to a second child,and their willingness to give birth to a third child accounted for 20.88％.According to the research findings,the difference between the desires to have a second child and a third child was statistically significant(x2=23.249,P＜0.001),and the proportion of those who did not want to have a second child(64.69％)was lower than that of those who did not want to have a third child(75.08％).Professional women of childbearing age who were younger(OR=0.225,P=0.002)and had a single-parent family structure(OR=2.076,P=0.017)had a higher desire to have a second child,while professional women of childbearing age who had a poor family function(OR=2.931,P=0.030)had a lower desire to have a second child.Professional women of childbearing age who had a lower educational level(OR=0.269,P=0.004)had a higher willingness to have a third child,while professional women of childbearing age who had job changes(OR=2.362,P=0.048)and complications during pregnancy(OR=5.564,P=0.022)had a lower willingness to have a third child.Conclusion The willingness of professional women of childbearing age to have a second or third child may be affected by age,family structure,job changes,pregnancy complications and other factors;hence it is necessary to further develop corresponding measures to improve the willingness of professional women of childbearing age to have a second or third child.
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