| 昆明市已婚育龄人群的生育意愿及其影响因素研究 |
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| 引用本文： | 吴梦瑶,林丽珊,蔡长伟,张杰,杨会芳,张韬.昆明市已婚育龄人群的生育意愿及其影响因素研究[J].现代预防医学,2021,0(5):815-818. |
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| 作者姓名： | 吴梦瑶 林丽珊 蔡长伟 张杰 杨会芳 张韬 |
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| 作者单位： | 四川大学华西公共卫生学院(华西第四医院)，四川 成都 610041 |
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| 摘 要： | 目的 了解昆明市已婚育龄人群的生育意愿及其影响因素，为开展计划生育工作提供依据。方法 采用横断面调查，以自制问卷调查20~45岁的在昆明居住的已婚育龄人群。结果 回收有效问卷2076份，意愿生育子女数为0、1、≥2个的对象占比分别为4.6%、19.1%和76.3%。多因素分析显示，相对于“意愿生育子女数≥2”，年龄(OR=0.929, P=0.001)、初婚年龄(OR=1.099, P=0.002)、民族(汉族OR=4.202, P=0.018)、户口类型(农业OR=0.221, P＜0.001)、职业(专业技术人员OR=0.487,P=0.003)、文化程度(高中及以下OR=0.453, P=0.024)、家庭年平均支出(10001~49999元OR=2.274, P=0.033)、对父母的赡养方式(机构养老OR=2.892, P=0.047)是选择“意愿生育子女数=0”的影响因素；年龄(OR=0.978，P=0.041)、户口类型(农业OR=0.488，P＜0.001)、家庭年平均支出(10001~49999元OR=1.523,P=0.015)是选择“意愿生育子女数=1”的影响因素。结论 应构建更加完善的生育支持系统，关注高龄孕产妇、农业户口及少数民族的医疗保健需求以及对婚育压力开展深入调研。
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| 关 键 词： | 已婚 育龄人群 生育意愿 影响因素 意愿生育子女数 |
The fertility intentions of married people of childbearing age in Kunming and its influencing factors |
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| WU Meng-yao,LIN Li-shan,CAI Chang-wei,ZHANG Jie,YANG Hui-fang,ZHANG Tao.The fertility intentions of married people of childbearing age in Kunming and its influencing factors[J].Modern Preventive Medicine,2021,0(5):815-818. |
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| Authors: | WU Meng-yao LIN Li-shan CAI Chang-wei ZHANG Jie YANG Hui-fang ZHANG Tao |
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| Affiliation: | West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan 610041, China |
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| Abstract: | To provide suggestions for research and work on fertility promotion by understanding the situation and influencing factors of the fertility intentions among the married people of childbearing age in Kunming City. Methods Using a cross-sectional survey, the research selected the married people of childbearing age living in Kunming, aged 20-45 years. A self-made questionnaire was used to investigate the fertility intentions and influencing factors of the married people of childbearing age in Kunming. Results A total of 2 076 valid questionnaires were collected. The proportion of the married people who wished to have children of 0, 1 and ≥ 2 were 4.6%, 19.1% and 76.3% respectively. The results of multivariate analysis by multiple multinomial logistic regression showed that age(OR=0.929, P=0.001), age of first marriage(OR=1.099, P=0.002), nationality(the Han nationality OR=4.202, P=0.018), hukou type(agriculture residence OR=0.221, P<0.001), occupation(professional technician OR=0.487,P=0.003), the degree of education(senior high school or below OR=0.453, P =0.024), average annual expenditure of households(10 001-49 999 yuan OR=2.274, P=0.033) and ways of supporting parents(institutional pension mode OR=2.892, P=0.047) are factors of not wanting to have children. And age(OR=0.978, P=0.041), hukou type(agriculture residence OR=0.488, P<0.001), average annual expenditure of households(10 001-49 999 yuan OR=1.523, P=0.015) are factors of wanting to have a child. Conclusion It is suggested that authorities concerned should construct a more complete fertility support system, ensure the health care needs of elderly maternal women, people with agriculture residence and the minority, and conduct in-depth research on the pressure of marriage and childbirth in order to increase the fertility intentions of people of childbearing age. |
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| Keywords: | The married People of childbearing age Fertility intentions Influencing factors The number of willing children |
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