ArticleBMC public health2021
Third birth intention of the childbearing-age population in mainland China and sociodemographic differences: a cross-sectional survey.
Article in BMC public health, 2021. 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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28 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Fertility intention and its determinants of childbearing-age population in China after the three-child policy: a systematic review and meta-analysis.Journal of global health · 2026Pooled it
- Fertility intentions and associated factors among female hospital employees with children: a cross-sectional study.Frontiers in psychology · 2026Article
- The impact of psychological factors on fertility intention among women who have given birth in Shanghai: multiple mediating effects analysis based on the theory of planned behavior.Reproductive health · 2025Article
- Willingness to bear the first child among the Chinese childless population: a national survey study.Reproductive health · 2025Article
- Assessing male and female clinicians' intentions for a third child in China: A cross-sectional survey analysis with gender-specific insights.Journal of global health · 2025Article
- Third-child fertility intentions and influencing factors among female workers of reproductive age in Shandong under China's three-child policy.Frontiers in public health · 2025Article
- "Hit a bottleneck": a convergent mixed-methods approach to the Influencing factors and experience of fertility intention among mothers of childbearing age with two children in mainland China.Reproductive health · 2024Article
- Article
- Fertility Intentions Among Reproductive-Age Women - Three Provinces, China, 2023.China CDC weekly · 2024Article
- Article
- Intention to have a third child among millennial parents with two children in eastern China: A cross-sectional survey.Nursing open · 2024Article
- The effect of educational attainment on birthrate in Japan: an analysis using the census and the vital statistics from 2000 to 2020.BMC pregnancy and childbirth · 2024Article
- Female university students' fertility intentions and their psychosocial factors.BMC public health · 2024Article
- Exploring the understanding and experience of women with rheumatic diseases regarding fertility intention- a qualitative content analysis.BMC women's health · 2024Article
- Will a government subsidy increase couples' further fertility intentions? A real-world study from a large-scale online survey in Eastern China.Human reproduction open · 2024Article
- 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.Journal of global health · 2023Article
- The impact of COVID-19 on the intention of third-child in China: an empirical analysis based on survey data.BMC public health · 2023Article
- Lung cancer risk and exposure to air pollution: a multicenter North China case-control study involving 14604 subjects.BMC pulmonary medicine · 2023Article
- Third-child fertility intention and its socioeconomic factors among women aged 20-34 years in China.BMC public health · 2023Article
- 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
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7 authors at 4 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundGlobal fertility declines have become an inevitable trend, and many countries are adopting policies to drive fertility increases. Fertility intention plays an important role in predicting fertility behavior. The Chinese government has recently issued the 'three-child' policy, and there is still little research on the third birth intention of the childbearing-age population. Therefore, the aim of this study is to investigate the prevalence and related reasons of third birth intention in the childbearing-age population in mainland China, and analyze the sociodemographic differences.
methodA cross-sectional survey was conducted in mainland China from June to July 2021. A total of 15,332 childbearing-age participants responded and completed the Fertility Intention Questionnaire online through the Wenjuanxing Platform. Data were explored and analyzed by SPSS (version 22.0) software. Descriptive statistics were used to describe the current situation and reasons of third birth intention. Binary logistic regression analysis was applied to assess the influencing factors in the sociodemographic level.
resultsThe mean age of the participants was 32.9 ± 5.94 years. Only 12.2% of participants reported having third birth intention. The subjective norm of having both son and daughter (22.0%) and busy at work (29.2%) accounted for the largest proportion in the reasons of acceptance and rejection, respectively. Age has negative impact on third birth intention (OR = 0.960). Men were 2.209 times more likely to have three children than women (P < 0.001). With the improvement of education and family monthly income, the birth intention shows a downward trend. Compared with Han nationalities, first marriage and city residents, the ethnic minorities, remarriage and rural residents have stronger birth intention (all P < 0.05). And individuals with two existing children are inclined to have the third child (OR = 1.839).
conclusionThe third birth intention in the childbearing-age population in China is still low after the announcement of the three-child policy. It is necessary to create a favorable fertility context for childbearing-age group with high level of third birth intention, like younger, male, minority, remarriage, with lower education and family monthly income, living in rural and two existing children. Furthermore, removing barriers for those unintended is also prominent to ensure the impetus of policy.
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