重庆市万州区育龄女性三孩生育意愿及影响因素分析  

Analysis of fertility intention to have a third child among childbearing age women in Wanzhou District of Chongqing Municipality and its influencing factors

作　　者：李建琼 邓菲菲[1] 徐军 谭严[1] LI Jianqiong;DENG Feifei;XU Jun;TAN Yan(School of Nursing,Chongqing Three Gorges Medical College,Chongqing 404120,China;Department of Obstetrics,Chongqing University Three Gorges Hospital,Chongqing 404000,China)

机构地区：[1]重庆三峡医药高等专科学校护理学院,重庆404120 [2]重庆大学附属三峡医院产科,重庆404000

出　　处：《重庆医学》2024年第1期133-138,共6页Chongqing medicine

基　　金：2022年度学校人文及教育教学改革研究项目(XJ2021000802)。

摘　　要：目的调查新生育政策背景下重庆市万州区育龄女性三孩生育意愿现状并分析其影响因素。方法2022年9-10月,采用便利抽样法,利用自行设计的问卷通过问卷星平台对重庆市万州区已生育一孩或二孩的育龄女性三孩生育意愿现状进行调查,并采用多元线性回归分析及两步聚类分析探究其影响因素。结果共收到问卷632份,剔除无效问卷32份,问卷有效回收率为94.9%。调查对象三孩生育意愿得分为(12.81±2.83)分。多元线性回归分析显示,育龄女性年龄、婚姻状况、居住地、配偶文化程度、家庭抚养孩子模式、家庭能否提供支持及既往阴道分娩史是该地区育龄女性三孩生育意愿的影响因素(P<0.05)。两步聚类分析显示,“产科医生/助产士给予的帮助”是育龄女性选择生育三孩最重要的预测因素。结论重庆市万州区育龄女性的三孩生育意愿现状不容乐观,需创造促使育龄女性决策生育三孩的积极因素。Objective To survey the current situation of fertility intention to have a third child among childbearing age women in Wanzhou District of Chongqing Municipality under the background of the new fertility policy,and to analyze its influencing factors.Methods The convenience sampling method was adopted to conduct the survey on the third child fertility intention by the self-designed questionnaire and the Questionnaire Star platform among the childbearing women with one child or two children in Wanzhou District of Chongqing Municipality from September to October 2022.The multiple linear regression analysis and two-step cluster analysis were used to explore the influencing factors.Results A total of 632 questionnaires were received,32 invalid questionnaires were excluded,and the effective recovery rate was 94.9%.The score of fertility intention to have a third child in the respondents was(12.81±2.83)points.The multiple linear regression analysis showed that the age,marital status,place of residence,spouse cultural degree,family rearing child model,whether the family can provide support and previous vaginal delivery history were the influencing factors of fertility intention to have a third child among the childbearing age women in this place(P<0.05).The two step cluster analysis showed that"obstetrician/midwife’s help"was the most important predictive factor for the childbearing age women to choose to have a third child.Conclusion The current situation of childbearing age women’s fertility intention to have a third child in Wanzhou District of Chongqing Municipality is not optimistic.It is necessary to create the positive factors that encourage childbearing age women to make decision about having a third child.

关 键 词：育龄女性 生育意愿 全面三孩政策 影响因素 预测因素 

分 类 号：R714[医药卫生—妇产科学] C924.21[医药卫生—临床医学]