Comparison of Socioeconomic Characteristics between Childless and Procreative Couples after Implementation of the Two-Child Policy in Inner Mongolia, China

Authors

  • Xinhua Li Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. Faculty of Health Management, Inner Mongolia Medical University, Jin Shan Development Zone, Hohhot 010020, China
  • Yancun Fan Faculty of Health Management, Inner Mongolia Medical University, Jin Shan Development Zone, Hohhot 010020, China
  • Sawitri Assanangkornchai Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand
  • Edward Braddon McNeil Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand

DOI:

https://doi.org/10.31584/jhsmr.2020748

Keywords:

Couples, socioeconomic characteristics, theory of planned behavior, two-child policy

Abstract

Objective: In the context of China’s “two-child” policy, this study aims to compare socio-demographic characteristics and attitudes towards the desired number of children among couples of different family size. We describe the major reasons for and against couples raising a (further) child based on the theory of planned behavior.
Material and Methods: An interview-based survey was conducted in Inner Mongolia among couples visiting marital registration offices, antenatal care clinics, kindergartens, and primary schools. Using prevalence ratios and 95% confidence intervals estimated from multivariate log-binomial regression models, socio-demographic characteristics and attitudes towards the two-child policy were compared between three types of couples: those without children, those with one child, and those with multiple children.
Results: The sample consisted of 2,013 women aged 20-49 years and their partners. The top difficulty in raising a child was “increased economic burden”. Factors significantly associated with a reduced prevalence of raising children included the woman’s marital age and the couple’s educational achievement, employment status, and monthly income. Factors associated with an increased prevalence of raising children included a lack of inter-couple communication, having a perception of the strong influence of the two-child policy, and Han ethnicity.
Conclusion: Significant socio-demographic differences were seen between couples with and without children in China. Childless couples were more affluent than single- or multi-child couples and they perceived the two-child policy to be less influential on their decision to raise children.

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Published

2020-06-22

How to Cite

1.
Li X, Fan Y, Assanangkornchai S, McNeil EB. Comparison of Socioeconomic Characteristics between Childless and Procreative Couples after Implementation of the Two-Child Policy in Inner Mongolia, China. J Health Sci Med Res [Internet]. 2020 Jun. 22 [cited 2024 Dec. 23];38(4):285-9. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/244612

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