ArticleFrontiers in public health2026
Knowledge of the statutory fertility provision and its associated factors among reproductive-aged women: a cross-sectional study conducted in Shandong Province, China.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Knowledge of the statutory fertility provision is a critical but understudied determinant of effective policy implementation in the context of China's declining fertility rate. This study aimed to identify factors associated with such knowledge among reproductive-aged women aged 18-45 in Shandong Province, so as to provide empirical evidence for optimizing the fertility policy publicity system. Methods: A cross-sectional survey was conducted using multistage stratified cluster sampling among reproductive-aged women in Shandong Province. Data were collected using a researcher-developed, self-administered questionnaire. The chi-square test and multivariate logistic regression were used to identify factors associated with knowledge of the statutory fertility provision. Results: A total of 2,422 valid questionnaires were included. Only 43.31% of participants had adequate knowledge of the statutory fertility provision. Multivariate logistic regression identified four key factors independently associated with knowledge: residence, monthly total family expenditure, expected age at first birth, and preferred number of children (all Conclusion: Knowledge of the statutory fertility provision among reproductive-aged women in Shandong Province is low and associated with multiple sociodemographic and fertility-related factors. Targeted policy communication strategies that address rural-urban disparities and prioritize key groups are needed to improve policy awareness.
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