Staff View: Fertility intentions among young people in the era of China's three-child policy: A national survey of university students

Fertility intentions among young people in the era of China's three-child policy: A national survey of university students

Background This study aimed to assess the fertility intentions of young people after the announcement of the three-child policy in China and to determine whether knowledge about reproductive, maternal, newborn, and child health (RMNCH) services or support, childbearing- and childbirth-related anxiet...

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Main Authors:	Zhang, Chenyun, Wei, Lingling, Zhu, Yinyan, Teng, Li, Zhang, Wenchang, Xu, Jia, Qin, Mengqi, Jiang, Na, Alias, Haridah, Wong, Li Ping
Format:	Article
Published:	BioMed Central 2022
Subjects:	HQ The family. Marriage. Woman
Online Access:	http://eprints.um.edu.my/41536/
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spelling	my.um.eprints.415362023-10-19T00:50:06Z http://eprints.um.edu.my/41536/ Fertility intentions among young people in the era of China's three-child policy: A national survey of university students Zhang, Chenyun Wei, Lingling Zhu, Yinyan Teng, Li Zhang, Wenchang Xu, Jia Qin, Mengqi Jiang, Na Alias, Haridah Wong, Li Ping HQ The family. Marriage. Woman Background This study aimed to assess the fertility intentions of young people after the announcement of the three-child policy in China and to determine whether knowledge about reproductive, maternal, newborn, and child health (RMNCH) services or support, childbearing- and childbirth-related anxiety, and parenthood-related anxiety influence fertility intentions. Methods A cross-sectional Internet-based survey was conducted on a nationwide sample of young people aged 18 to 28 years old in education institutions. Factors associated with fertility intentions were analysed using partial least squares structural equation modelling (PLS-SEM). Results Only 4.2% of males and 1.7% of females intended to have three children or more. On the whole, the majority (40.3%) reported the intention to have two children. The mean and standard deviation (SD) for the total knowledge RMNCH support and/or services knowledge score was 9.5 (SD +/- 8.9), out of a possible score of 39. The median and interquartile range (IQR) of childbearing- and childbirth-related anxiety score was 8.0 (IQR = 6.0-9.0), out of a possible score of 10. The median and IQR of parenthood-related anxiety score among the males was 6.0 (IQR = 4.0-9.0) and for females was 7.0 (IQR = 5.0-9.0). Results from PLS-SEM revealed that a higher level of knowledge of RMNCH support and/or services is significantly associated with higher fertility intentions. Both childbearing- and childbirth-related anxiety and parenthood-related anxiety were inversely associated with fertility intentions. Conclusion Raising awareness about RMNCH supportive measures and easing birth- and parenting anxiety are imperative to enhance birth rates. Future policies should pay more attention to these determinants to achieve their intended goal of boosting population growth. BioMed Central 2022-08 Article PeerReviewed Zhang, Chenyun and Wei, Lingling and Zhu, Yinyan and Teng, Li and Zhang, Wenchang and Xu, Jia and Qin, Mengqi and Jiang, Na and Alias, Haridah and Wong, Li Ping (2022) Fertility intentions among young people in the era of China's three-child policy: A national survey of university students. BMC Pregnancy and Childbirth, 22 (1). ISSN 1471-2393, DOI https://doi.org/10.1186/s12884-022-04873-y <https://doi.org/10.1186/s12884-022-04873-y>. 10.1186/s12884-022-04873-y
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	HQ The family. Marriage. Woman
spellingShingle	HQ The family. Marriage. Woman Zhang, Chenyun Wei, Lingling Zhu, Yinyan Teng, Li Zhang, Wenchang Xu, Jia Qin, Mengqi Jiang, Na Alias, Haridah Wong, Li Ping Fertility intentions among young people in the era of China's three-child policy: A national survey of university students
description	Background This study aimed to assess the fertility intentions of young people after the announcement of the three-child policy in China and to determine whether knowledge about reproductive, maternal, newborn, and child health (RMNCH) services or support, childbearing- and childbirth-related anxiety, and parenthood-related anxiety influence fertility intentions. Methods A cross-sectional Internet-based survey was conducted on a nationwide sample of young people aged 18 to 28 years old in education institutions. Factors associated with fertility intentions were analysed using partial least squares structural equation modelling (PLS-SEM). Results Only 4.2% of males and 1.7% of females intended to have three children or more. On the whole, the majority (40.3%) reported the intention to have two children. The mean and standard deviation (SD) for the total knowledge RMNCH support and/or services knowledge score was 9.5 (SD +/- 8.9), out of a possible score of 39. The median and interquartile range (IQR) of childbearing- and childbirth-related anxiety score was 8.0 (IQR = 6.0-9.0), out of a possible score of 10. The median and IQR of parenthood-related anxiety score among the males was 6.0 (IQR = 4.0-9.0) and for females was 7.0 (IQR = 5.0-9.0). Results from PLS-SEM revealed that a higher level of knowledge of RMNCH support and/or services is significantly associated with higher fertility intentions. Both childbearing- and childbirth-related anxiety and parenthood-related anxiety were inversely associated with fertility intentions. Conclusion Raising awareness about RMNCH supportive measures and easing birth- and parenting anxiety are imperative to enhance birth rates. Future policies should pay more attention to these determinants to achieve their intended goal of boosting population growth.
format	Article
author	Zhang, Chenyun Wei, Lingling Zhu, Yinyan Teng, Li Zhang, Wenchang Xu, Jia Qin, Mengqi Jiang, Na Alias, Haridah Wong, Li Ping
author_facet	Zhang, Chenyun Wei, Lingling Zhu, Yinyan Teng, Li Zhang, Wenchang Xu, Jia Qin, Mengqi Jiang, Na Alias, Haridah Wong, Li Ping
author_sort	Zhang, Chenyun
title	Fertility intentions among young people in the era of China's three-child policy: A national survey of university students
title_short	Fertility intentions among young people in the era of China's three-child policy: A national survey of university students
title_full	Fertility intentions among young people in the era of China's three-child policy: A national survey of university students
title_fullStr	Fertility intentions among young people in the era of China's three-child policy: A national survey of university students
title_full_unstemmed	Fertility intentions among young people in the era of China's three-child policy: A national survey of university students
title_sort	fertility intentions among young people in the era of china's three-child policy: a national survey of university students
publisher	BioMed Central
publishDate	2022
url	http://eprints.um.edu.my/41536/
_version_	1781704540145319936
score	13.211869

Fertility intentions among young people in the era of China's three-child policy: A national survey of university students

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