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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

Association between depressive symptoms and fertility intentions based on evidence from China family panel studies among reproductive-aged individuals in China

    摘要
  • 摘要:
    目的 探究中国育龄人群抑郁状态以及抑郁状态变化与生育意愿之间的关系。
    方法 利用中国家庭追踪调查（CFPS）数据，基于CES-D 8问卷调查结果，评估已婚育龄人群的抑郁状态，问卷得分≥7分被视为有抑郁症状。首先，利用2020年CFPS调查数据，采用χ2检验和logistic回归分析已婚育龄人群当前抑郁状态与生育意愿的关系；其次，结合2018年和2020年的CFPS数据，采用logistic回归分析研究对象自2018年至2020年抑郁状态变化对2020年生育意愿的影响。
    结果 在2020年CFPS调查中，共纳入8 905名已婚育龄者为研究对象，平均年龄（37.1±7.3）岁，其中53.7%为女性。调查对象中1 068人（12.0%）在未来2年有生育意愿。在所有研究对象中，抑郁状态与生育意愿之间未显示显著相关（OR=0.84， 95%CI=0.69～1.03）。抑郁状态对女性的生育意愿有影响，抑郁状态的女性生育意愿较弱（OR=0.74，95%CI=0.55～0.99），但在男性中未观察到显著相关。结合2018年和2020年数据，相比于2018到2020年CES-D 8分数没有变化或抑郁程度降低的研究对象，当CES-D 8问卷分数增加（即抑郁程度加重）的个体生育意愿显著下降（OR=0.15，95%CI=0.04～0.62）。
    结论  女性的抑郁症状与生育意愿之间存在显著的相关，抑郁状态的女性更倾向于表现出较弱的生育意愿。此外，随着抑郁症状程度的加重，个体的生育意愿也逐渐减弱。

     

    Abstract:
    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.

     

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