ArticleBMC health services research2025
Exploring the impact of social influence on parents' intention to use institutional childcare: a cross-sectional study.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- The Effect of Communication on Childcare Utilization Intention Among Mothers of Children Under Three Years of Age: A Controlled Trial in China.Behavioral sciences (Basel, Switzerland) · 2026Article
- Exploration of childcare service for children aged 0-3 in Eastern China: a cross-sectional study.BMC health services research · 2026Article
- Associations between parental protective motivation, behaviors, and child outcomes in allergic diseases: a cross-sectional study based on protection motivation theory.BMC public health · 2025Article
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Authors and funding
6 authors.
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Abstract
backgroundChina is actively responding to low birth rates by developing childcare institutions to alleviate the parenting pressures on families. However, despite strong childcare demand, the enrollment rate remains low. Few studies have explored the role of social influence in parents' childcare decisions. Therefore, this study will construct a research model to explore the mechanisms of social influence on parents' intentions to use childcare institutions.
methodsThis study used parents of infants and toddlers in mainland China as the study population. Questionnaires were collected through electronic surveys created on a professional website, with 554 responses gathered through purposive sampling. The data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) and Importance-Performance Map Analysis (IPMA).
resultsThe results indicate that perceived benefits are the significant driving variable for parents' intention to use childcare institutions, while price sensitivity and perceived risk are significant barriers. Normative influence and perceived childcare policy significantly affect perceived benefits and price sensitivity, while informational influence has a significant positive effect on perceived risk. Additionally, the Importance-Performance Map Analysis (IPMA) shows that improvements should focus more on price sensitivity given the current low performance.
conclusionsThese findings provide insights for childcare policymakers and institutional childcare managers and will generate a management basis for developing China's childcare service industry.
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