中国全科医学

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三孩政策下安徽省育龄女性生育意愿及其影响因素研究

黄海丽1,李玉红1,2*,俞洋3,郭平4,韩长征5,刘萍6   

  1. 1.230601 安徽省合肥市,安徽医科大学护理学院 2.230022 安徽省合肥市,安徽医科大学第一附属医院 3.237009 安徽省六安市,金安区妇幼保健院 4.236000 安徽省阜阳市,阜纺社区卫生服务中心 5.247000 安徽省池州市,清风街道社区卫生服务中心 6.230601 安徽省合肥市,芙蓉社区卫生服务中心
  • 收稿日期:2025-03-24 修回日期:2025-04-18 接受日期:2025-04-18
  • 通讯作者: 李玉红
  • 基金资助:
    安徽省哲学社会科学规划项目(AHSKY2022D127)

Study on Fertility Intentions of Childbearing-age Women and Its Influencing Factors Under the Three-child Policy in Anhui Province

  • Received:2025-03-24 Revised:2025-04-18 Accepted:2025-04-18
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摘要: 背景 生育意愿降低是生育率下降的重要前提,探究其影响因素对促进人口长期均衡发展具有重要意义,而现有研究多局限于定量分析,缺乏主观层面的探索。目的 在三孩政策背景下,探讨育龄女性三孩生育意愿的影响因素及其不愿意生育的深层原因,为完善生育政策配套支持措施提供依据。方法 采用混合研究方法。于2024年1—5月,采用便利抽样法,选取安徽省南部、中部、北部城市与农村的育龄女性为研究对象,采用问卷(内容包括个人、家庭经济、社会及婚育因素)对其进行调查。采用多因素Logistic回归分析影响育龄女性三孩生育意愿的因素。2024年1-5月,采用现象学研究法,目的性、异质性抽取定量研究中不愿意生育三孩的育龄女性进行半结构式访谈。采用Colaizzi七步分析法提炼访谈主题。结果 2 234名(93.1%)育龄女性的问卷被有效回收,有三孩生育意愿者186名(8.3%)。Logistic回归分析结果显示,住房压力程度、配偶对生育三孩态度、配偶分担家务情况、居住地、子女个数是育龄女性三孩生育意愿的影响因素(P<0.05)。最终共访谈22名育龄女性。生育成本过高、家庭内部支持力量薄弱、工作与家庭难以兼顾、生育政策配套措施不完善是育龄女性不愿意生育三孩的深层原因。结论 安徽省育龄女性的三孩生育意愿低,应进一步完善生育支持政策,提高育龄人群的生育积极性,从而有效破解低生育率难题。

关键词: 生育意愿, 育龄女性, 影响因素分析, 混合方法研究, 安徽省

Abstract: Background  Reduced fertility intention is an important prerequisite for fertility decline,and exploring its influencing factors is of great significance in promoting the long-term balanced development of the population,whereas most of the existing researches are confined to quantitative analysis and lacks exploration at the subjective level. Objective Under the background of the three-child policy,to explore the influencing factors of the intention of childbearing-age women to have a third child and the deep-seated reasons for their unwillingness to give birth,to provide a basis for improving the supporting measures of the fertility policy. Methods A mixed research method was used. From January to May 2024,a convenience sampling method was used to select childbearing-age women in urban and rural areas of southern,central,and northern Anhui Province as the study population,and questionnaires (including personal,family economic,social,and marital factors) were used to survey them. Multifactorial Logistic regression was used to analyze the factors affecting childbearing-age women's intentions to have a third child. From January to May 2024,semi-structured interviews were conducted with childbearing-age women who were unwilling to have a third child in the quantitative study using the phenomenological research method and purposive and heterogeneous sampling. Colaizzi's seven-step analysis was used to refine the interview themes. Results The questionnaires of 2 234 (93.1%) childbearing-age women were validly collected,and 186 (8.3%) intended to have a third child. Logistic regression analysis showed that the degree of housing pressure,the spouse's attitude towards having a third child,the spouse's sharing of household chores,the place of residence,and the number of children were the influencing factors of the intention of childbearing-age women to have a third child (P<0.05). A total of 22 childbearing-age women were finally interviewed. The high cost of childbearing,weak support within the family,difficulty in balancing work and family,and imperfect supporting measures for childbearing policies were the deep-rooted reasons why childbearing-age women were unwilling to have a third child. Conclusion  The intention of childbearing-age women to have a third child is low in Anhui Province,and the fertility support policy should be further improved to enhance the fertility enthusiasm of the childbearing-age group,to effectively solve the problem of low fertility rate.

Key words: Fertility intentions, Childbearing-age women, Analysis of influencing factors, Mixed method study, Anhui Province