Li Xin, Zeng Siyuan, Li Yalan, Xiong Liling, Zhang Yaoyao, Zou Juan, Lin Changsheng, Yu Lei, Yang Peina, Hu Ting, Xiao Xue, Liu Tianjiao
West China Second University Hospital, Sichuan University, Chengdu, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, West China Second Hospital, Sichuan University, Chengdu, China.
Ann Med. 2025 Dec;57(1):2546674. doi: 10.1080/07853890.2025.2546674. Epub 2025 Aug 27.
To investigate the factors influencing postponed childbearing in women, focusing on the differences between subjective and objective factors.
This study included 1,128 women who were recruited from three hospitals between January and December 2023. Participants with a prior history of mental health disorders or those who chose not to participate were excluded from the study. Data were collected through early pregnancy prenatal checkups and questionnaires. Binary logistic regression was used to analyze the impact of both subjective factors and objective factors on postponed childbearing.
Of the 1128 participants, 507 were in the normal childbearing group and 621 were in the postponed childbearing group. The study found that higher pre-pregnancy body mass index, higher educational level, full-time employment, and reproductive health issues were independently associated with an increased likelihood of postponed childbearing. From a subjective perspective, the primary factors influencing the decision to delay childbirth were career prioritization and financial stability. Women who placed greater importance on their professional aspirations were 72% more likely to postpone having children, while those who expressed concerns regarding financial security had a 128% increased probability of doing so.
Postponed childbearing is influenced by a combination of subjective perceptions and objective factors. Socio-economic status, career goals, and psychological influences, all contribute significantly to the choice of postponing childbearing. These findings highlight the importance of addressing both the health and socio-economic challenges faced by women, emphasizing the need for policies that support women in balancing career, family, and reproductive health.
调查影响女性推迟生育的因素，重点关注主观因素和客观因素之间的差异。
本研究纳入了2023年1月至12月期间从三家医院招募的1128名女性。有精神健康障碍病史或选择不参与的参与者被排除在研究之外。通过早孕产前检查和问卷调查收集数据。采用二元逻辑回归分析主观因素和客观因素对推迟生育的影响。
在1128名参与者中，507人属于正常生育组，621人属于推迟生育组。研究发现，孕前体重指数较高、教育水平较高、全职工作和生殖健康问题与推迟生育的可能性增加独立相关。从主观角度来看，影响推迟生育决定的主要因素是职业优先和经济稳定。更重视职业抱负的女性推迟生育的可能性高72%，而对经济安全表示担忧的女性这样做的可能性增加128%。
推迟生育受到主观认知和客观因素的综合影响。社会经济地位、职业目标和心理影响都对推迟生育的选择有显著贡献。这些发现凸显了解决女性面临的健康和社会经济挑战的重要性，强调需要出台政策支持女性平衡职业、家庭和生殖健康。
