Qiu Lei, Li Yingqi, Zhong Jie, Liu Xuan, Ding Jindong, Zhang Dongxian
School of Public Health, Hainan Medical University, Hainan, PR China.
School of Management, Hainan Medical University, Hainan, PR China.
Heliyon. 2024 Jul 2;10(13):e33939. doi: 10.1016/j.heliyon.2024.e33939. eCollection 2024 Jul 15.
This study evaluates the impact of fertility costs and utility on the third birth intentions among working women with two children in Hainan, China. A cross-sectional survey was conducted in Hainan Island, China in 2021 using an offline survey. Among 1067 working women with two children, only 8.06 % of participants reported having a third-birth intention. After adjustment for potential confounding factors, higher economic cost (odds ratio = 1.89) and lower succession utility (odds ratio = 5.08) were significantly associated with the lack of intention to have a third child. The analysis further demonstrates that family values significantly modulate these economic and utility considerations, highlighting a strong cultural influence on fertility decisions. This finding underscores the necessity for policies that not only mitigate financial burdens but also promote family values supportive of higher fertility. Such measures are essential for creating a cultural and economic environment conducive to higher birth rates.
本研究评估了生育成本和效用对中国海南有两个孩子的职业女性生育三孩意愿的影响。2021年在中国海南岛进行了一项线下横断面调查。在1067名有两个孩子的职业女性中，只有8.06%的参与者表示有生育三孩的意愿。在对潜在混杂因素进行调整后，较高的经济成本（优势比=1.89）和较低的传代效用（优势比=5.08）与没有生育三孩的意愿显著相关。分析进一步表明，家庭价值观显著调节了这些经济和效用因素，凸显了文化对生育决策的强大影响。这一发现强调了制定政策的必要性，这些政策不仅要减轻经济负担，还要促进支持更高生育率的家庭价值观。此类措施对于营造有利于提高出生率的文化和经济环境至关重要。
