Fertility intentions among Chinese adults: a cross-sectional study using a national survey

作者：Mingyan Hao, Chenxiao Zhang, Huiqin Fu, Jingting Zhang, Ziyi Zhang, Baotong Ma, Ruitong Xia, Yuanwei Lu, Jingwen Liu, Hanjia Xin, Y. Cao, Saier Yang, Runqing Li, Ji Zhao, Jin Zhang, Zheng Gao, Yaxin Zeng, Yixiao Ding, Zhuolun Ren, Yan Guan, Na Zhang, Jia Li, Yan Ma, Pei‐Kuen Wei, Jingjing Dong, Chen Chen, Yajing Zhou, Jianzhong Zheng, Wei Liu, Lizheng Wang · 发表于：BMC Public Health · 年份：2025 · DOI：10.1186/s12889-025-23725-w · 被引用次数：9 · 研究领域：Family Dynamics and Relationships、Demographic Trends and Gender Preferences、Reproductive Health and Technologies

BACKGROUND: The decline in fertility intentions has emerged as a critical demographic and policy challenge within China, particularly in light of the introduction of the three-child policy. This situation necessitates a thorough examination of the multiple underlying factors that contribute to individuals' decisions regarding family size. By analyzing these diverse influences, policymakers and stakeholders will be better equipped to design effective interventions aimed at addressing this urgent issue. A nuanced comprehension of the complexities surrounding low fertility intentions is essential for promoting family growth and fostering stability within the nation. Ultimately, a targeted approach informed by these insights will be vital for encouraging a cultural shift towards larger families and ensuring the long-term demographic health of China. METHODS: In our research, we performed a cross-sectional analysis using data gathered in 2022 from the Psychology and Behavior Investigation of Chinese Residents (PBICR), which encompassed 21,916 participants aged 18 to 49 years. We assessed fertility intention scores for respondents based on their preferences for having a first, second, and third child, employing a scoring system that ranged from 0 to 100. To investigate the impact of various factors on fertility intentions, we organized the independent variables into three primary domains: socio-demographic characteristics, lifestyle and health behaviors, and family structure. We ut...