Evidence map›Paper›PMID 38562192›Full record

ArticleBulletin of the World Health Organization2024

Fertility history and intentions of married women, China.

Qin Li, Rui Yang, Zehong Zhou, Weiping Qian, Jian Zhang, Ze Wu, Lei Jin, Xueqing Wu, Cuilian Zhang, Beihong Zheng and 9 more

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  14. How can China tackle its declining fertility rate?BMJ (Clinical research ed.) · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Qin LiState Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.
Rui YangState Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.
Zehong ZhouGuangzhou Institute of Paediatrics, Guangzhou Medical University, Guangzhou, China.
Weiping QianDepartment of Reproductive Medicine, Peking University Shenzhen Hospital, Shenzhen, China.
Jian ZhangKey Laboratory of Cell Differentiation and Apoptosis of Chinese Ministry of Education, Shanghai Jiao Tong University, Shanghai, China.
Ze WuDepartment of Reproductive Medicine, The First People's Hospital of Yunnan Province, Kunming, China.
Lei JinReproductive Medicine Center, Huazhong University of Science and Technology, Wuhan, China.
Xueqing WuChildren's Hospital of Shanxi and Women Health Center of Shanxi, Affiliated Hospital of Shanxi Medical University, Taiyuan, China.
Cuilian ZhangReproductive Medical Center, Henan Provincial People's Hospital, Zhengzhou, China.
Beihong ZhengReproductive Medicine Center, Fujian Provincial Maternity and Children's Hospital, Fuzhou, China.
Jichun TanCenter of Reproductive Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
Guimin HaoDepartment of Reproductive Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Shangwei LiDivision of Reproductive Medicine, West China Second University Hospital of Sichuan University, Chengdu, China.
Yongxiu HaoNational Clinical Research Center for Obstetrics and Gynaecology, Peking University Third Hospital, Beijing, China.
Danni ZhengKey Laboratory of Assisted Reproduction (Peking University), Ministry of Education, Beijing, China.
Yuanyuan WangBeijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, China.
Rong LiState Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.
Ping LiuState Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.
Jie QiaoState Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To estimate the proportion of married women in China who intend to become pregnant given the country's pronatalist population policy and to investigate fecundity, with an emphasis on the influence of socioeconomic factors. Methods: A nationally representative survey of 12 815 married women aged 20 to 49 years (mean: 36.8 years) was conducted during 2019 and 2020. All completed questionnaires, 10 115 gave blood samples and 11 710 underwent pelvic ultrasound examination. Fertility intention was the desire or intent to become pregnant combined with engagement in unprotected sexual intercourse. We defined infertility as the failure to achieve pregnancy after 12 months or more of unprotected intercourse. We considered an anti-Müllerian hormone level < 1.1 ng/mL and an antral follicular count < 7 as indicating an abnormal ovarian reserve. Findings: Fertility intentions were reported by 11.9% of women overall but by only 6.1% of current mothers (weighted percentages). Fertility intention was significantly less likely among women in metropolises (odds ratio, OR: 0.38; 95% confidence interval, CI: 0.31-0.45) and those with a higher educational level (OR: 0.74; 95% CI: 0.62-0.88). Overall, 18.0% had experienced infertility at any time and almost 30% had an abnormal ovarian reserve on assessment. An abnormal ovarian reserve and infertility were less likely in women in metropolises ( Conclusion: The willingness of Chinese married women to give birth remained low, even with relaxation of the one-child policy.

Indexed as

InfertilityOvarian ReserveFemaleFertilityHealth ServicesHumansIntentionPregnancy

Identifiers

PMID38562192
PMCPMC10976870

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.