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[妊娠延迟实现的原因。1998 - 2000年德国新(东部)旧(西部)联邦州产褥期妇女问卷调查结果]

[Reasons for the delayed realisation of pregnancy. Results of a questionnaire among women in childbed in the new (east) and old (west) federal states of Germany in 1998-2000].

作者信息

Voigt M, Hesse V, Neumann J, Fusch C, Schneider K T M, Salzmann T

机构信息

Die Institutsangaben sind am Ende des Beitrags gelistet.

出版信息

Z Geburtshilfe Neonatol. 2007 Dec;211(6):236-42. doi: 10.1055/s-2007-981329.

DOI:10.1055/s-2007-981329
PMID:18176904
Abstract

BACKGROUND

The number of live births in Germany has decreased by 46.7 % from 1 261 614 in 1960 to 672 675 in 2006. The causes for this are manifold. This study attempts to address the possible causes for the delay of birth in Germany in an east-west comparison.

METHOD

Within the "Kinderwunschstudie" (survey of desired/intended fertility) 5 143 women in childbed have been interviewed between 1998 and 2000. They were asked questions concerning the delay of this particular birth. Only women and their spouses who were born in Germany, respectively, were included into the analysis. Berlin women in childbed were excluded from the analysis due to the problematic east-west classification. The number of analysable cases finally added up to 2 020 cases in East Germany and 2 193 cases in West Germany.

RESULTS

24.4 % of the interviewed women in the East admitted a delay of the last birth compared to 21.2 % of those in the West. There are clear differences concerning the reasons for this delay between the old (west) and the new (east) federal states. 34 % of the east German women agreed that an insecure income situation was the reason for the delayed realisation of the desired pregnancy / birth, whereas it was only 16 % in the west.

CONCLUSION

This survey ("Kinderwunschstudie") in fact indicates differences regarding the reasons for a delay of birth between east and west German women (in childbed). However, it also highlights the generally negative influence of the given social and economic conditions on the number of births and underlines the prospects for an ongoing decrease. As a result, society will in future have to face problems of unknown dimensions.

摘要

背景

德国的活产数量从1960年的1261614例下降到2006年的672675例,降幅达46.7%。其原因是多方面的。本研究试图通过东西部对比来探讨德国生育延迟的可能原因。

方法

在1998年至2000年期间,对“生育意愿研究”(期望/意愿生育情况调查)中的5143名产妇进行了访谈。询问了她们此次生育延迟的相关问题。仅将分别出生在德国的女性及其配偶纳入分析。由于东西部划分存在问题,柏林的产妇被排除在分析之外。最终可分析的案例数量在东德为2020例,西德为2193例。

结果

东部受访女性中有24.4%承认上次生育有延迟,而西部这一比例为21.2%。在旧的(西部)和新的(东部)联邦州之间,生育延迟的原因存在明显差异。34%的东德女性认为收入状况不稳定是期望怀孕/生育延迟实现的原因,而在西德这一比例仅为16%。

结论

这项“生育意愿研究”调查实际上表明了德国东西部产妇生育延迟原因的差异。然而,它也凸显了特定社会经济状况对生育数量的普遍负面影响,并强调了生育数量持续下降的前景。因此,社会未来将不得不面对规模未知的问题。

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