Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Department of Medicine, Hangzhou Third Hospital, Hangzhou, People's Republic of China.
Nurs Open. 2024 May;11(5):e2178. doi: 10.1002/nop2.2178.
This Study Aimed to Assess the Intention to Have a Third Child among Millennial Parents (25-40 years old) with Two Children in a City in Eastern China and to Explore the Influencing Factors Related to Fertility Intention.
A cross-sectional design study.
A convenience sampling method was used to enrol participants of childbearing age who visited two tertiary hospitals in Hang zhou, a city in eastern China, from June 2021 to March 2022. We conducted a face-to-face questionnaire survey with 520 participants and calculated the prevalence of intention-related factors. Multivariate logistic regression was used to analyse the independent influencing factors of fertility intention.
In total, 105 (20.2%) participants had the intention to have a third child. The results showed that 'employment status', 'age', 'reasons for wanting a third child', the considered 'biggest barrier to having a third child', 'views on the three-child policy', 'desired free services', 'supporting work policies' and 'assistance policies' were significant independent influencing factors of intention to have a third child (p-value < 0.05). The intention of the participants 'over 30 years old' was 2.466 times that of those '30 years old and under', and 'older age/personal health status' was considered the 'biggest barrier to having a third child'. Regarding policy and social reasons, the participants who need 'medical assistance' policy negatively affect the intention to have a third child (OR = 0.453, 95% CI = 0.247-0.830).
IMPLICATIONS FOR HEALTHCARE/NURSING: Nursing plays an important role in health promotion. Nurses can help couples make wise decisions about fertility by providing professional consultation, education, evaluation and support. They can also provide corresponding nursing and guidance to improve couples' health quality and overall reproductive success.
The general level of intention to have a third child of Millennial parents with two children is still low. The participants who are 'housewives/househusbands', 'over 30 years old', and satisfied with the state of 'medical assistance' have higher fertility intentions.
It is particularly meaningful for the policymakers to improve the social support system and raise universal awareness to encourage childbirth.
本研究旨在评估中国东部某市 520 名 25-40 岁有两个孩子的千禧一代父母生育第三个孩子的意愿，并探讨与生育意愿相关的影响因素。
横断面设计研究。
采用便利抽样法，选取 2021 年 6 月至 2022 年 3 月期间在杭州市两家三级医院就诊的育龄人群进行面对面问卷调查，共招募 520 名参与者，并计算了意向相关因素的流行率。采用多变量逻辑回归分析生育意愿的独立影响因素。
共有 105 名（20.2%）参与者有生育第三个孩子的意愿。结果显示，“就业状况”“年龄”“想要第三个孩子的原因”“认为生育第三个孩子的最大障碍”“对三孩政策的看法”“期望的免费服务”“支持工作政策”和“援助政策”是生育意愿的显著独立影响因素（p 值均<0.05）。“30 岁以上”参与者的意愿是“30 岁及以下”参与者的 2.466 倍，“年龄较大/个人健康状况”被认为是生育第三个孩子的最大障碍。在政策和社会原因方面，需要“医疗援助”政策的参与者对生育第三个孩子的意愿产生负面影响（OR=0.453，95%CI=0.247-0.830）。
有两个孩子的千禧一代父母生育第三个孩子的总体意愿仍然较低。“家庭主妇/主夫”“30 岁以上”和对“医疗援助”状况满意的参与者生育意愿较高。
护理在促进健康方面发挥着重要作用。护士可以通过提供专业咨询、教育、评估和支持，帮助夫妇做出明智的生育决策。他们还可以提供相应的护理和指导，以提高夫妇的健康质量和整体生殖成功率。
改善社会支持体系和提高普遍意识以鼓励生育对政策制定者具有特别重要的意义。
