{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T23:27:00Z","timestamp":1773271620409,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R24AG063718"],"award-info":[{"award-number":["R24AG063718"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>China's one\u2010child policy was implemented in 1980 primarily through mandatory intrauterine devices, tubal surgery, or abortion for \u201cunauthorized pregnancies.\u201d While it was replaced in 2015, it affected millions of persons and its effects on reproductive decision making are not well known.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We designed, validated, and performed a cross\u2010sectional survey of reproductive age Chinese\u2010born or first\u2010generation women of Chinese descent to describe the policy's impact on reproductive decision\u2010making. Descriptive statistics and multivariate logistic regression were used to identify self\u2010reported policy impact on contraceptive utilization and childbearing choices, and demographic associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Between June 1 and October 31, 2021, 1098 people accessed the survey, and 838 were eligible. A total of 588 responded to questions pertaining to the primary outcome, yielding a response rate of 70.2%. Approximately 42% of participants lived under the policy and were affected by it in some way. 17.3% of participants stated their contraceptive utilization was affected and 23.3% stated their childbearing choices were affected. Those with low acculturation scores (OR\u2009=\u20092.27, 95% CI 1.35\u20133.85,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and those living in the United States for &lt;\u200921\u2009years (OR\u2009=\u20092.25, 95% CI 1.09\u20134.67,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) were more likely to report their contraceptive plans were affected. 72.8% of participants self\u2010reported high reproductive autonomy, whereas acculturation was mixed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although the one\u2010child policy has had a large effect on people of the Chinese diaspora, its impact on reproductive decision\u2010making may decrease with the duration of time in the United States and increasing acculturation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.70047","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T11:18:44Z","timestamp":1765365524000},"page":"16-29","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of the One\u2010Child Policy on Reproductive Decision\u2010Making Among People of Chinese Descent in the United States: An Exploratory Study"],"prefix":"10.1111","volume":"58","author":[{"given":"June Hoi Ka","family":"Ng","sequence":"first","affiliation":[{"name":"Division of Complex Family Planning, Department of Obstetrics and Gynecology Maimonides Medical Center Brooklyn New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Atrio","sequence":"additional","affiliation":[{"name":"Division of Complex Family Planning, Department of Obstetrics, Gynecology, and Women's Health Albert Einstein College of Medicine\/Montefiore Medical Center Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Medicine Columbia University Irving Medical Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nerys","family":"Benfield","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Services University of California, San Francisco San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"J.BanisterandC.Wu Harbaugh China's Family Planning Program: Inputs and Outputs CIR Staff Paper No. 73 (Center for International Research Bureau of the Census 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