Hoa H T, Toan N V, Johansson A, Hoa V T, Höjer B, Persson L A
Department of Environment, Hygiene and Epidemiology, Hanoi School of Medicine, Vietnam.
BMJ. 1996 Nov 2;313(7065):1113-6. doi: 10.1136/bmj.313.7065.1113.
To explore the reproductive pattern of women in rural Vietnam in relation to the existing family planning policies and laws.
Cross sectional survey with question-naires on reproductive history.
Tien Hai, a district in Red River Delta area, where the population density is one of the highest in Vietnam.
1132 women who had at least one child under 5 years of age in April 1992.
Birth spacing and probability of having a third child.
The mean age at first birth was 22.2 years. The average spacing between the first and the second child was 2.6 years. Mothers with a lower educational level, farmers, and women belonging to the Catholic religion had shorter spacing between the first and second child and also a higher probability of having a third child. In addition, women who had no sons or who had lost a previous child were more likely to have a third child.
Most families do not adhere to the official family planning policy, which was introduced in 1988, stipulating that each couple should have a maximum of two children with 3-5 years' spacing in between. More consideration should be given to family planning needs and perceptions of the population, supporting the woman to be in control of her fertility. This may imply improved contraceptive services and better consideration of sex issues and cultural differences as well as improved social support for elderly people.
探讨越南农村妇女的生育模式与现行计划生育政策和法律的关系。
采用问卷调查生育史的横断面调查。
红河三角洲地区的一个区——天海，该地区人口密度是越南最高的地区之一。
1992年4月时至少有一个5岁以下子女的1132名妇女。
生育间隔和生育第三个孩子的概率。
初育平均年龄为22.2岁。第一胎和第二胎之间的平均间隔为2.6年。教育程度较低的母亲、农民以及天主教徒生育第一胎和第二胎的间隔较短，生育第三个孩子的概率也较高。此外，没有儿子或之前失去过孩子的妇女更有可能生育第三个孩子。
大多数家庭未遵守1988年出台的官方计划生育政策，该政策规定每对夫妇最多生育两个孩子，且间隔为3至5年。应更多地考虑计划生育需求和民众观念，支持女性掌控自己的生育能力。这可能意味着要改善避孕服务，更好地考虑性别问题和文化差异，以及改善对老年人的社会支持。
