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Fertility anxiety and associated factors among people aged 18–25 years: an analysis of data from the 2023 Chinese Psychology and Behavior Investigation
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Yangziye GUO1, 2, Xingmeng NIU3, Yan QIN1, 2, Yu SUN1, 2, Yi ZHENG4, Yibo WU5, Fuqin MU4, Yan LIU2
Chinese Journal of Public Health | 2025, 41(11) : 1309 - 1316
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Chinese Journal of Public Health | 2025, 41(11): 1309-1316
• Special Report—Advancing Mental Health and Building Mental Health Care Systems •
Fertility anxiety and associated factors among people aged 18–25 years: an analysis of data from the 2023 Chinese Psychology and Behavior Investigation
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Yangziye GUO1, 2, Xingmeng NIU3, Yan QIN1, 2, Yu SUN1, 2, Yi ZHENG4, Yibo WU5, Fuqin MU4, Yan LIU2
Affiliations
  • 1School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
  • 2School of Public Health, Jining Medical University, Jining 272013, China
  • 3School of Public Health, Shandong Second Medical University, Weifang 261053, China
  • 4School of Mental Health, Jining Medical University, Jining 272013, China
  • 5Department of Nursing, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, 322000, China
Published: 2025-11-10 doi: 10.11847/zgggws1146158
Outline
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Objective

To investigate fertility anxiety and influencing factors among Chinese residents aged 18–25 years.

Methods

Data from 17 771 individuals in this age group were obtained from the 2023 Chinese Psychology and Behavior Investigation. The survey was administered in 800 communities and villages across 150 cities nationwide. Participants completed several questionnaires, including the General Information Questionnaire, the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7), the Family Health Scale (FHS), the Body Image Acceptance and Action Questionnaire (BI-AAQ), and the Perceived Social Support Scale-Short Form (PSSS-SF).

Results

The average self-rated fertility anxiety score for all participants was 51.65 ± 33.65. Multiple linear regression analyses, stratified by gender and marital status, revealed that fertility anxiety was influenced by the following factors among subgroups: average monthly family income (β = 0.031), smoking (β = –0.027), overall family health (β = –0.046), and anxiety (β = 0.063) for males and ethnicity (β = –0.022), education (β = 0.028), and depression (β = 0.064) for females. For unmarried individuals, the influencing factors were gender (β = 0.124), education (β = 0.022), body mass index (BMI) (β = –0.027), overall family health (β = –0.023), and social support (β = –0.018). For unmarried individuals, the influencing factors were gender (β = 0.124), education (β = 0.022), BMI (β = –0.027), overall family health (β = –0.023), social support (β = –0.018), depression level (β = 0.047), health status (β = 0.030), and smoking (β = –0.016). For married individuals, the influencing factors were ethnicity (β = 0.113) and total body flexibility score (β = –0.225). All factors were statistically significant (P < 0.05).

Conclusions

Fertility anxiety among individuals aged 18–25 is influenced by demographic, psychological, and social factors. Key determinants include family income (males), depression (females), education/social support (unmarried), and ethnicity/body image flexibility (married).

fertility anxiety  /  influencing factor  /  18–25 years old  /  China
郭杨子叶, 牛杏蒙, 秦岩, 孙钰, 郑艺, 吴一波, 慕福芹, 刘燕. 中国18~25岁人群生育焦虑现状及影响因素:基于2023年中国居民心理与行为调查数据分析. 中国公共卫生, 2025 , 41 (11) : 1309 -1316 . DOI: 10.11847/zgggws1146158
Yangziye GUO, Xingmeng NIU, Yan QIN, Yu SUN, Yi ZHENG, Yibo WU, Fuqin MU, Yan LIU. Fertility anxiety and associated factors among people aged 18–25 years: an analysis of data from the 2023 Chinese Psychology and Behavior Investigation[J]. Chinese Journal of Public Health, 2025 , 41 (11) : 1309 -1316 . DOI: 10.11847/zgggws1146158
Year 2025 volume 41 Issue 11
60
25
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Article Info
doi: 10.11847/zgggws1146158
  • Receive Date:2024-10-14
  • Online Date:2026-10-25
  • Published:2025-11-10
Article Data
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History
  • Received:2024-10-14
  • Revised:2025-02-21
  • Accepted:2025-05-30
Affiliations
    1School of Public Health, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China
    2School of Public Health, Jining Medical University, Jining 272013, China
    3School of Public Health, Shandong Second Medical University, Weifang 261053, China
    4School of Mental Health, Jining Medical University, Jining 272013, China
    5Department of Nursing, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, 322000, China

Corresponding:

MU Fuqin, E-mail:
LIU Yan, E-mail:
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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