Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (4): 62-67.doi: 10.6040/j.issn.1671-7554.0.2021.1428

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Reproductive choices and pressure in 3,512 women of childbearing age in a hospital in Hebei Province

YANG Congpin, LUO Zhuoye, XU Xiuhua, LI Aimin, HAO Guimin   

  1. Department of Reproductive Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei, China
  • Published:2022-04-22

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Abstract: Objective To analyze and investigate the current situation of fertility and fertility-related pressure in couples of childbearing age in Hebei Province. Methods A total of 3,512 married women who underwent physical examination in the Reproductive Medicine Department of the Second Hospital of Hebei Medical Uiversity were selected during Jan.2019 and Dec.2020 as the research objects. According to their willingness to bear children, they were divided into the willing group(n=2,885)and unwilling group(n=627). The Fertility Problem Inventory(FPI)was used to evaluate fertility pressure. The impacts of age, education level, husband-wife relationship, mother-in-law and daughter-in-law relationship, per capita monthly household income, household registration, occupation, family type, marital status, type of residence, physical condition, and children on the reproductive choices of couples were investigated. The risk factors of reproductive choices were assessed with binary Logistic regression. Results Univariate analysis showed age, husband-wife relationship, mother-in-law and daughter-in-law relationship, per capita monthly household income, household registration, occupation, family type, type of residence, and physical condition were the influencing factors of reproductive choices(χ2=293.486, 57.562, 21.619, 24.150, 55.434, 167.625, 30.897, 363.966, 48.487, P<0.001). There was significant difference in FPI score between the two groups(P<0.001). Age, per capita monthly household income, occupation, family type, type of residence, and children were factors of fertility-related pressure(t/F=28.405, 5.412, 5.892, 5.213, 22.873, 2.240, P<0.001). The result of binary Logistic regression analysis showed that, advanced age(P<0.001), poor husband-wife relationship(P<0.001), poor mother-in-law and daughter-in-law relationship(P<0.001), high monthly household income(P<0.001), rural household registration(P<0.001), farmer as occupation(P<0.001), non-husband-wife family type(P<0.001), poor physical condition(P<0.001)were independent influencing factors of willingness to bear children. Conclusion The willingness of women of childbearing age to have children are related to husband-wife relationship, mother-in-law and daughter-in-law relationship, economic status, husband and wifes personal situation, occupation and household registration. The fertility-related pressure mainly comes from age, husband and wifes personal situation, economic status and mother-in-law and daughter-in-law relationship.

Key words: Women of childbearing age, Reproductive choices, Fertility-related pressure, Pressure status, Risk factor

CLC Number: 

  • R715.2
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