西藏林芝工布江达县生育状况、生育意愿的调查及措施  

Investigation and measures of fertility status and fertility intention in Gongbu jiangda County,Nyingchi,Xizang

作　　者：王瑾 巴桑卓玛 Wang Jin;Basang Zhuoma(Obstetrics and Gynecology Department of Dongsheng Hospital,Zhongshan 528411,China;Obstetrics and Gynecology Department of Gongbujiangda County People's Hospital,Nyingchi 860200,China)

机构地区：[1]广东省中山市东升医院妇产科,中山528411 [2]西藏林芝市工布江达县人民医院妇产科,林芝860200

出　　处：《西藏科技》2024年第9期44-49,共6页Xizang Science And Technology

摘　　要：目的西藏林芝工布江达县近几年分娩活产数持续下降的现象,文章调查了解全县生育妇女的生育意愿并分析分娩活产数持续下降的影响因素。方法采用问卷调查方法,对2023年5月至2023年11月在县医院就诊女性患者中,采用一般资料、生育意愿和社会支持调查表三个方面进行横断面调查,采用多因素Logistic回归模型分析西藏生育妇女生育意愿的影响因素。结果非在职生育妇女和在职生育妇女的生育意愿比较差异均有统计学意义(P<0.05);不愿生育多孩的主要主观原因是经济压力大;希望得到的配套保障中,比例最高的是生育养育社会补贴。结论工布江达县在职生育妇女二孩生育意愿有较大提升空间,三孩生育意愿不高。非在职生育妇女期望多子女的意愿具有普遍性,但已逐渐形成少生优生的观念。提高经济及社会支持,完善补贴、保险、教育资源、托育等配套保障,合理引导改善生育率是比较可行的措施。Objective To investigate the fertility intention of women in Gongbujiangda County,Nyingchi,Xizang and analyze the influencing factors of the continuous decline in the number of live births.Methods A questionnaire survey covering the three aspects of general data,fertility intention and social support was conducted among female patients who visited the county hospital from May to November in 2023.A multivariate logistic regression model was used to analyze the influencing factors of fertility intention of women in Xizang.Results There were statistically significant differences in fertility intention between non-working women and working women(P<0.05).The main subjective reason for reluctance to have more children is high financial pressure.The most expected supporting guarantee is the social subsidy for childbirth and parenting.Conclusion There is great room for improving the fertility willingness of working women to have the second child,but willingness of the third child is not high.The desire of having more children among the non-working women is universal,but the concept of having fewer and better children has gradually formed.It is more feasible to increase economic and social support,improve supporting guarantees such as subsidies,insurance,educational resources and childcare,and reasonably guide the improvement of fertility rate.

关 键 词：西藏 生育妇女 生育意愿 医疗体系 

分 类 号：C924.21[社会学—人口学]