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Association between depressive symptoms and fertility intentions based on evidence from China family panel studies among reproductive-aged individuals in China
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Yuhao KONG1, Ning MA1, Xiaoyu LI2, Chunhong LI1, Su WANG2, Zhihui LI1, 3
Chinese Journal of Public Health | 2025, 41(1) : 61 - 67
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Chinese Journal of Public Health | 2025, 41(1): 61-67
• Survey and Report •
Association between depressive symptoms and fertility intentions based on evidence from China family panel studies among reproductive-aged individuals in China
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Yuhao KONG1, Ning MA1, Xiaoyu LI2, Chunhong LI1, Su WANG2, Zhihui LI1, 3
Affiliations
  • 1Vanke School of Public Health, Tsinghua University, Beijing 100084, China
  • 2School of Social Sciences, Tsinghua University, Beijing 100084, China
  • 3Institute for Healthy China, Tsinghua University, Beijing 100084, China
Published: 2025-01-10 doi: 10.11847/zgggws1144886
Outline
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Objective

To investigate the relationship between depressive status and changes in depressive status and fertility intentions among Chinese people of childbearing age.

Methods

Using data from the China Family Panel Studies (CFPS), the depressive status of married individuals of childbearing age was assessed based on the CES-D 8 questionnaire, with a score of ≥7 considered indicative of depressive symptoms. First, using the 2020 CFPS data, χ2 tests and logistic regression were used to analyze the relationship between current depressive status and fertility intentions among married individuals of childbearing age. Second, combining the 2018 and 2020 CFPS data, logistic regression was used to analyze the impact of changes in depressive status from 2018 to 2020 on fertility intentions in 2020.

Results

A total of 8 905 married individuals of childbearing age were included in the 2020 CFPS survey, with a mean age of (37.1±7.3) years, of whom 53.7% were female. Among the participants, 1 068 (12.0%) expressed an intention to have children in the next two years. No significant correlation was found between depressive status and fertility intentions among all participants (OR=0.84, 95%CI: 0.69–1.03). Depressive status had an impact on women′s fertility intentions, with women experiencing depressive symptoms showing weaker fertility intentions (OR=0.74, 95%CI: 0.55–0.99), but no significant correlation was observed in men. Combining the 2018 and 2020 data, compared to individuals whose CES-D 8 scores remained unchanged or decreased from 2018 to 2020, individuals whose CES-D 8 scores increased (i.e., worsening depressive symptoms) showed a significant decrease in fertility intentions (OR=0.15, 95%CI: 0.04–0.62).

Conclusions

There is a significant correlation between depressive symptoms and fertility intentions in women, with women experiencing depressive symptoms more likely to exhibit weaker fertility intentions. Furthermore, as the severity of depressive symptoms increases, individuals' fertility intentions gradually weaken.

depression  /  mental health  /  fertility intention  /  fertility behavior
孔玉皓, 马宁, 李晓谕, 李春红, 王素, 李志徽. 抑郁状态及其变化与生育意愿的关联性——基于中国家庭追踪调查的育龄人群的研究. 中国公共卫生, 2025 , 41 (1) : 61 -67 . DOI: 10.11847/zgggws1144886
Yuhao KONG, Ning MA, Xiaoyu LI, Chunhong LI, Su WANG, Zhihui LI. Association between depressive symptoms and fertility intentions based on evidence from China family panel studies among reproductive-aged individuals in China[J]. Chinese Journal of Public Health, 2025 , 41 (1) : 61 -67 . DOI: 10.11847/zgggws1144886
Year 2025 volume 41 Issue 1
93
37
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Article Info
doi: 10.11847/zgggws1144886
  • Receive Date:2024-05-07
  • Online Date:2026-10-25
  • Published:2025-01-10
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History
  • Received:2024-05-07
  • Revised:2024-09-13
  • Accepted:2024-11-21
Affiliations
    1Vanke School of Public Health, Tsinghua University, Beijing 100084, China
    2School of Social Sciences, Tsinghua University, Beijing 100084, China
    3Institute for Healthy China, Tsinghua University, Beijing 100084, China

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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
species (%)
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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