ArticleBMJ sexual & reproductive health2019
Intent to have a second child among Chinese women of childbearing age following China's new universal two-child policy: a cross-sectional study.
Article in BMJ sexual & reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- A systematic review of the childbearing needs of single-child couples.BMC women's health · 2024Pooled it
- Perceptions and recommendations of multiparas and health-related professionals on appropriate birth intervals: A descriptive qualitative study.International journal of nursing sciences · 2025Article
- Factors affecting nurses' childbearing intentions of nurses working in teaching hospitals in Yazd, Iran: a study based on theory of planned behavior.BMC nursing · 2025Article
- Adaptation of the virtual assessment of mentalizing ability and evaluation of its utility and psychometric properties in Chinese individuals on the schizophrenia spectrum.Schizophrenia (Heidelberg, Germany) · 2025Article
- Prediction and unsupervised clustering of fertility intention among migrant workers based on machine learning: a cross-sectional survey from Henan, China.BMC public health · 2025Article
- The incidence, characteristics, and complications of pregnant women who delivered stillbirths under different child policies in central China.Frontiers in public health · 2025Article
- Comparison of Characteristics Between Early-Onset and Late-Onset Severe Preeclampsia: A Retrospective Cohort Study from a Tertiary Hospital in China.Reproductive sciences (Thousand Oaks, Calif.) · 2025Article
- Intention to have a third child among millennial parents with two children in eastern China: A cross-sectional survey.Nursing open · 2024Article
- Article
- The effect of China's many-child policy on the number of births and the prevalence of serious teratogenic and disabling defects in Hunan Province.BMC public health · 2023Observational
- Fertility desire among HIV-positive individuals in the Chinese sociocultural context: A qualitative study.Journal of education and health promotion · 2023Article
- Nationally funded health management projects for older adults in China and the United States: Comparative analysis based on data from two principal institutions.International journal of nursing sciences · 2023Review
- The Impact of Health Insurance Policy on the Fertility Intention of Rural Floating Population in China: Empirical Evidence from Cross-Sectional Data.International journal of environmental research and public health · 2022Article
- Fertility Intention and Influencing Factors for Having a Second Child among Floating Women of Childbearing Age.International journal of environmental research and public health · 2022Article
- The association between social media use and hesitancy toward COVID-19 vaccine booster shots in China: A web-based cross-sectional survey.Human vaccines & immunotherapeutics · 2022Article
- The Impact of Rural Population Mobility on Fertility Intention under the Comprehensive Two-Child Policy: Evidence from Rural China.International journal of environmental research and public health · 2022Article
- The prevalence of barriers to rearing children aged 0-3 years following China's new three-child policy: a national cross-sectional study.BMC public health · 2022Article
- Association between risk perception and influenza vaccine hesitancy for children among reproductive women in China during the COVID-19 pandemic: a national online survey.BMC public health · 2022Article
- Prediction models and associated factors on the fertility behaviors of the floating population in China.Frontiers in public health · 2022Article
- Prevalence of induced abortion among Chinese women aged 18-49 years: Findings from three cross-sectional studies.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionChina's one-child policy was replaced by a new universal two-child policy in 2015; however, few studies have addressed the intent to have a second child and resulting related issues.
methodsWe performed a cross-sectional study on 11 991 Chinese women, 18-49 years of age, from 11 provinces in 2016-2017, in order to assess the intent for a second child among Chinese women of childbearing age and other related factors after the introduction of China's new universal two-child policy.
resultsWe found that the overall prevalence of the intent to have a second child was 39.4% and that economic, childrearing, and health barriers affected fertility intent. Multivariate logistic regression models showed that the age range of 25-39 years (aOR 1.28-1.30), living in Eastern (aOR 1.28, 95% CI 1.10 to 1.50) or Central China (aOR 1.52, 95% CI 1.27 to 1.78), living in a rural area (aOR 1.62, 95% CI 1.47 to 1.78), being a farmer (aOR 1.43, 95% CI 1.09 to 1.88), having a higher household income (aOR 1.13, 95% CI 1.00 to 1.28), having a history of abortion (aOR 1.18, 95% CI 1.05 to 1.31), and already having one child (aOR 3.65 for girls, aOR 2.70 for boys) were associated with a greater intent to have a second child (all p<0.05). Conversely, economic, health, childrearing, and educational barriers were associated with a lower intent to have a second child (aOR 0.65-0.75).
conclusionFour in ten women of childbearing age demonstrated an intent for a second child. We maintain that fertility-related factors be given full consideration when promoting the two-child policy.
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