Objective: This study employs the theoretical framework of the health ecological model to examine the current status and influencing factors of fertility intentions among the reproductive-aged population. It does so by considering perspectives at individual, family, community, and macro policy levels. The findings aim to provide a foundation for developing a comprehensive fertility support system and enhancing fertility intentions within this demographic group. Methods: A total of 1 851 questionnaires were collected nationwide through voluntary sampling, which is a non-probability sampling method. Binary logistic regression analysis was employed to examine the factors influencing the willingness to have a second or third child. Results: The factors influencing the willingness to have a second child differ between men and women. For men, those who identify with the belief that children are the most important people in the family tend to be more inclined towards having a second child. In contrast, for women, higher personal monthly income, having more siblings, recognizing maternal achievement, and access to quality community childcare services are associated with a greater willingness to have a second child. Conversely, women from families with lower economic status exhibit less inclination towards having a second child. Among female respondents, compared to those in Northeast China, individuals from Central China demonstrate lower willingness for third childbirths. Additionally, older respondents who experienced emotional abuse during childhood and those who recognize maternal achievement as significant show higher willingness for third childbirths when they also express satisfaction with reproductive policies. Conclusion: The improvement of fertility intentions among people of childbearing age depends on comprehensive interventions from multiple aspects such as individuals, families, and communities. It is necessary to establish a comprehensive fertility support system to provide assistance in boosting the fertility intentions of couples of childbearing age.
WANG Qing
,
ZHANG Yan
,
YOU Benyue
,
LI Ruoyun
,
DAI Chen
,
ZHAO Wenzheng
,
LOU Xu
. Study on the influencing factors of fertility intention of childbearing age population based on health ecology model[J]. Journal of Baotou Medical College, 2025
, 41(7)
: 14
-19
.
DOI: 10.16833/j.cnki.jbmc.2025.07.003
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