继发不孕人群二孩生育意愿及其影响因素的研究  

A study on the second-child intention and its influencing factors in secondary infertile people

作　　者：邓明芬[1] 曹苹 覃华[1] 罗璐[1] 李宇彬[1] Deng Mingfen;Cao Ping;Tan Hua;Luo Lu;Li Yubin(Reproductive Medical Center,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院生殖中心,广州510080

出　　处：《中华生殖与避孕杂志》2019年第2期139-142,共4页Chinese Journal of Reproduction and Contraception

基　　金：广东省医学科研基金项目(A2018483).

摘　　要：目的探讨现阶段继发不孕人群的二孩生育意愿程度及其影响因素。方法调查2017年5月—6月期间在本院生殖中心就诊咨询的20~45岁继发不孕女性患者,采用不记名问卷方式收集备孕夫妻的一般情况、二孩准备情况以及所关心的医学问题等资料进行二孩生育意愿的影响因素分析。结果在调查的382例继发不孕人群中,91.6%的被调查者表现出强烈的二孩生育意愿。单因素分析结果提示:女方年龄(P=0.002)、男方年龄(P=0.044)、一孩年龄(P=0.002)、居住地(P<0.001)、一孩性别(P=0.027)、一孩分娩方式(P=0.015)、一孩对二孩的态度(P<0.001)及认为自己目前怀孕难易程度(P=0.014)与二孩生育意愿是否强烈之间差异具有统计学意义;而女方学历、经济收入、未避孕年限与二孩生育意愿是否强烈差异无统计学意义(P>0.05)。多因素分析结果提示:女方年龄(P=0.023)、居住地(P=0.023)、一孩分娩方式(P=0.019)、认为妊娠难易程度(P=0.036)及一孩对二孩态度(P<0.001)与二孩生育意愿是否强烈差异有统计学意义;男方年龄、一孩性别与二孩生育意愿间差异无统计学意义(P>0.05)。结论女方年龄、居住地、一孩分娩方式、一孩对二孩的态度及自我评估妊娠难易程度是影响二孩生育意愿程度的主要因素。Objective To explore second-child intention and its influencing factors of secondary infertile people. Methods Secondary infertile women aged 20 to 45 years who were admitted to the Reproductive Medical Center of the First Affiliated Hospital of Sun Yat-sen University were investigated from May to June in 2017, and the general situation of pregnant couples was collected by anonymous questionnaire. The factors influencing the family’s second-child intention were analyzed according to the data of the preparation and the medical problems concerned about the childbearing. Results In 382 cases of secondary infertility, 91.6% of investigators had a strong desire to give birth to another child. Univariate analysis of the factors influencing second-child intention showed significant differences in female age (P=0.002), male age (P=0.044), the first child’s age and gender (P=0.002 and P=0.027, respectively), residence (P<0.001), delivery mode of the first child (P=0.015), child’s attitude to rebirth (P<0.001), and self assessment to conceive (P=0.014). However, there was no significant difference in female educational background, income and time of pregnancy preparation (P>0.05). The results of multivariate analysis showed that female age (P=0.023), residence (P<0.001), delivery mode of the first child (P=0.019), self assessment to conceive(P=0.036) and the first child’s attitude to rebirth (P=0.001) were significantly affecting the rebirth intention, and no significant difference was found in male’s age, sex of the first child. Conclusion Female age, residence, delivery mode of the first child, child’s attitude to rebirth and self-assessment of re-pregnancy were the main factors influencing the fertility willingness.

关 键 词：继发不孕 二孩生育意愿 影响因素 

分 类 号：C924.21[社会学—人口学]