生育政策调整对已婚女性医务人员生育意愿影响  

Impact of fertility policy adjustment on fertility intention among married female medical staff

作　　者：金凤 罗妍[2] 孙宏亮[3] JIN Feng;LUO Yan;SUN Hong-liang(Chuiyangliu Hospital Affiliated to Tsinghua University,Beijing 100022,China)

机构地区：[1]清华大学附属垂杨柳医院,北京100022 [2]辽宁省疾病预防控制中心 [3]大连医科大学

出　　处：《中国公共卫生》2019年第5期648-650,共3页Chinese Journal of Public Health

基　　金：2016年度教育部人文社会科学研究一般项目(16JYCZH087);2018年度大连市妇女研究立项课题(2018dlfn050);大连市社科联(社科院)2017—2018年度立项课题(2017dlskzd087)

摘　　要：目的了解生育政策调整对已婚女性医务人员生育意愿及发展的影响因素。方法采取方便抽样方法,于2018年5—7月对北京、辽宁各级医疗机构258名已婚女性医务人员进行问卷调查,并对其中20人进行现场访谈,分析已婚女性医务人员生育观及其影响因素。结果已婚女性医务人员生育二胎意愿比较,不愿意的比例最高为45.3%(117/258),没想好比例为27.5%(71/258),愿意的比例为27.1%(70/258),差异有统计学意义(P<0.01);不同年龄已婚女性医务人员生育二胎意愿比较,<30岁愿意生育二胎的比例最高(37.8%),>40岁的比例最低(14.5%);一胎性别对已婚女性医务人员生育二胎意愿无影响;48.1%的已婚女性医务人员认为,生育二胎后生活质量会下降;在影响生育二胎的因素中,排在前三位的依次为无帮手照顾孩子、经济因素和工作原因。结论已婚女性医务人员生育二胎意愿较低;无帮手照顾孩子、经济因素和工作原因是已婚女性医务人员生育二胎的主要影响因素。Objective To explore the impact of fertility policy adjustment on fertility intention and its associated factors in married female medical personnel.Methods Using random sampling, we conducted a self-administered questionnaire survey and a focus interview among 258 and 20 married female staff in medical institutions of various administrative levels in Liaoning province and Beijing city between May and July 2017.Results Of all the participants of the questionnaire survey, 45.3%(117), 27.5%(71), and 27.1%(70) reported the unwillingness, uncertain willingness, and the willingness to have two children, with a significant difference in the proportion (P < 0.01). The ratio of reporting the willingness to have two children was the highest (37.8%) and the lowest (14.5%) among those younger than 30 years and elder than 40 years. The willingness to have a second child was not significantly different by the sex of the first child among the participants;while 48.1% of the participants believed that the quality of life would decline after giving the birth to the second child. The first three main influencing factors for the willingness to have two children were whether having someone to take care of children, family economic status, and working condition among the participants.Conclusion The proportion of having the willingness to have two children is low and influenced mainly by whether having someone to take care of children, family economic status, and working condition among married female staff in medical institutions.

关 键 词：生育政策 女性医务人员 生育意愿 

分 类 号：R173[医药卫生—妇幼卫生保健]