Second-Child Fertility Intentions among Urban Women in China: A Systematic Review and Meta-Analysis

Yu Yang, Rongxin He (), Ning Zhang and Liming Li ()
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Yu Yang: School of Humanities and Social Science, Xi’an Jiaotong University, Xi’an 710049, China
Rongxin He: Vanke School of Public Health, Tsinghua University, Haidian District, Beijing 100084, China
Ning Zhang: School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China
Liming Li: School of Humanities and Social Science, Xi’an Jiaotong University, Xi’an 710049, China

IJERPH, 2023, vol. 20, issue 4, 1-16

Abstract: With the adjustment of China’s fertility policy, the topic of women’s fertility has attracted much attention. In particular, urban women face a difficult choice between family and work. This study analyzed the prevalence and determinants of second-child fertility intention among urban women in China and aimed to provide evidence for improving fertility rate measures. A systematic review and meta-analysis were conducted using quantitative primary studies. We identified 16 cross-sectional studies that investigated a total of 24,979 urban women. The prevalence of second-child fertility intentions was 37%. A subgroup analysis revealed that the highest prevalence was observed between 2016 and 2017, and the lowest was observed in first-tier cities. Meta-analyses indicated that 18 factors were significantly associated with second-child fertility intentions, including demographic factors, fertility attitude, husbands, children, parents, or others. The findings of this study highlight the low second-child fertility intentions among urban women in China. Therefore, policymakers should consider various aspects, gradually optimizing fertility-supporting facilities, while encouraging fertility.

Keywords: fertility intention; second child; urban women; China; meta-analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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