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Fertility Intention Among Chinese Reproductive Couples During the Covid-19 Outbreak

A Cross-Sectional Study

Bibliographic Data

ID22088166
AuthorsKun Chu (0000-0001-5135-0252, Shanghai Jiao Tong University), Ronghui Zhu (0000-0002-2253-9539, Second Military Medical University), Yi Zhang (0000-0002-7581-7061), Wenjuan Pang, Xu Feng (0000-0002-8226-9403), Xiang Wang (0000-0002-2135-8576), Cheng Wu (0000-0001-7714-9928, Second Military Medical University, corresponding author), Ningxia Sun (corresponding author), Wen Li (0009-0001-7707-3780, Shanghai Jiao Tong University, corresponding author)
Year2022
Volume10
Pages903183-903183
Publication date2022-06-21
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.903183
PMID35801249
OpenAlexW4283220357
LanguageEN
Citations received10
References cited26

A decline in the fertility rate has been observed worldwide, which hampers social development severely. Given the impacts of COVID-19 on individuals and society, it is of great significance to investigate the fertility intention of reproductive couples under COVID-19. The convenience sampling method was used to obtain our study sample. The self-administered questionnaire included the following components: sociodemographic characteristics (age, residence, education, occupation, characteristics of the couples, and annual household income), reproductive history (parity, number of children, child gender, and duration of preparing pregnancy), and attitudes toward COVID-19, was distributed online via an applet of WeChat. The results showed that among 4,133 valid questionnaires, 1,091 had fertility intention before COVID-19, whereas 3,042 did not, indicating a fertility intention rate of 26.4% among participating couples. Of the 1,091 couples who had fertility intention before COVID-19, 520 (47.7%) were affected by the outbreak, whereas 571 (52.3%) were not. By multivariable logistic regression analysis, we further found that couples living in Hubei Province, the epicenter in China (OR 2.20, 95% CI 1.35–3.60), and couples who prepared for pregnancy longer before COVID-19 (OR 1.19, 95% CI 1.06–1.33) were more likely to change their fertility intention under the pandemic. In addition, most of the participants reported their fertility intention was affected by the inconvenience of seeking medical service under COVID-19. Therefore, more forms of medical services to provide convenience for patients might be effective ways to reverse the declined fertility intention rate in facing COVID-19

Cross-sectional study · Disease · Environmental health · Family planning · Fertility · Logistic regression · Pandemic · Population · Pregnancy · Residence · Sociology · Total fertility rate · COVID-19 Impact on Reproduction · Demographic Trends and Gender Preferences · Demography · Family Dynamics and Relationships · Medicine · Reproductive Medicine

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Citations per year3.33
Citation span2023 - 2025 (3)
Highly citedNo

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