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Determinants of second pregnancy among pregnant women: a hospital-based cross-sectional survey in China
OBJECTIVES: This study aimed to explore determinants of second pregnancy and underlying reasons among pregnant Chinese women. DESIGN: The study was a population-based cross-sectional survey. SETTING: 16 hospitals in 5 provinces of Mainland China were included. PARTICIPANTS: A total of 2345 pregnant...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372152/ https://www.ncbi.nlm.nih.gov/pubmed/28348193 http://dx.doi.org/10.1136/bmjopen-2016-014544 |
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author | Xu, Xianglong Zuo, Hanxiao Shi, Zumin Rao, Yunshuang Wang, LianLian Zeng, Huan Zhang, Lei Sharma, Manoj Reis, Cesar Zhao, Yong |
author_facet | Xu, Xianglong Zuo, Hanxiao Shi, Zumin Rao, Yunshuang Wang, LianLian Zeng, Huan Zhang, Lei Sharma, Manoj Reis, Cesar Zhao, Yong |
author_sort | Xu, Xianglong |
collection | PubMed |
description | OBJECTIVES: This study aimed to explore determinants of second pregnancy and underlying reasons among pregnant Chinese women. DESIGN: The study was a population-based cross-sectional survey. SETTING: 16 hospitals in 5 provinces of Mainland China were included. PARTICIPANTS: A total of 2345 pregnant women aged 18 years or above were surveyed face to face by investigators between June and August 2015. MAIN OUTCOME MEASURES: The pregnancy statuses (first or second pregnancy) and reasons for entering second pregnancy. RESULTS: A total of 1755 (74.8%) and 590 (25.2%) women in their respective first and second pregnancies were enrolled in this study. The most common self-reported reasons for entering second pregnancy among participants included the benefits to the first child (26.1%), love of children (25.8%), adoption of the 2-child policy (11.5%), concerns about losing the first child (7.5%) and suggestions from parents (7.5%). Pregnant women with low (prevalence ratio (PR) 1.96; 95% CI 1.62 to 2.36) and moderate education level (PR 1.97; 95% CI 1.65 to 2.36) were more likely to have a second pregnancy than their higher educated counterparts. Income was inversely associated with second pregnancy. However, unemployed participants (PR 0.79; 95% CI 0.66 to 0.95) were less likely to enter a second pregnancy than those employed. Women with moderate education were 3 times more likely to have a second child following the ‘2-child policy’ than the low education level subgroup. CONCLUSIONS: 1 in every 4 pregnant women is undergoing a second pregnancy. The benefits of the firstborn or the love of children were the key drivers of a second pregnancy. Low socioeconomic status was positively associated with a second pregnancy as well. The new 2-child policy will have an influence on China's demographics. |
format | Online Article Text |
id | pubmed-5372152 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-53721522017-04-12 Determinants of second pregnancy among pregnant women: a hospital-based cross-sectional survey in China Xu, Xianglong Zuo, Hanxiao Shi, Zumin Rao, Yunshuang Wang, LianLian Zeng, Huan Zhang, Lei Sharma, Manoj Reis, Cesar Zhao, Yong BMJ Open Public Health OBJECTIVES: This study aimed to explore determinants of second pregnancy and underlying reasons among pregnant Chinese women. DESIGN: The study was a population-based cross-sectional survey. SETTING: 16 hospitals in 5 provinces of Mainland China were included. PARTICIPANTS: A total of 2345 pregnant women aged 18 years or above were surveyed face to face by investigators between June and August 2015. MAIN OUTCOME MEASURES: The pregnancy statuses (first or second pregnancy) and reasons for entering second pregnancy. RESULTS: A total of 1755 (74.8%) and 590 (25.2%) women in their respective first and second pregnancies were enrolled in this study. The most common self-reported reasons for entering second pregnancy among participants included the benefits to the first child (26.1%), love of children (25.8%), adoption of the 2-child policy (11.5%), concerns about losing the first child (7.5%) and suggestions from parents (7.5%). Pregnant women with low (prevalence ratio (PR) 1.96; 95% CI 1.62 to 2.36) and moderate education level (PR 1.97; 95% CI 1.65 to 2.36) were more likely to have a second pregnancy than their higher educated counterparts. Income was inversely associated with second pregnancy. However, unemployed participants (PR 0.79; 95% CI 0.66 to 0.95) were less likely to enter a second pregnancy than those employed. Women with moderate education were 3 times more likely to have a second child following the ‘2-child policy’ than the low education level subgroup. CONCLUSIONS: 1 in every 4 pregnant women is undergoing a second pregnancy. The benefits of the firstborn or the love of children were the key drivers of a second pregnancy. Low socioeconomic status was positively associated with a second pregnancy as well. The new 2-child policy will have an influence on China's demographics. BMJ Publishing Group 2017-03-27 /pmc/articles/PMC5372152/ /pubmed/28348193 http://dx.doi.org/10.1136/bmjopen-2016-014544 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Public Health Xu, Xianglong Zuo, Hanxiao Shi, Zumin Rao, Yunshuang Wang, LianLian Zeng, Huan Zhang, Lei Sharma, Manoj Reis, Cesar Zhao, Yong Determinants of second pregnancy among pregnant women: a hospital-based cross-sectional survey in China |
title | Determinants of second pregnancy among pregnant women: a hospital-based cross-sectional survey in China |
title_full | Determinants of second pregnancy among pregnant women: a hospital-based cross-sectional survey in China |
title_fullStr | Determinants of second pregnancy among pregnant women: a hospital-based cross-sectional survey in China |
title_full_unstemmed | Determinants of second pregnancy among pregnant women: a hospital-based cross-sectional survey in China |
title_short | Determinants of second pregnancy among pregnant women: a hospital-based cross-sectional survey in China |
title_sort | determinants of second pregnancy among pregnant women: a hospital-based cross-sectional survey in china |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5372152/ https://www.ncbi.nlm.nih.gov/pubmed/28348193 http://dx.doi.org/10.1136/bmjopen-2016-014544 |
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