{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T07:39:35Z","timestamp":1763105975254,"version":"3.44.0"},"reference-count":28,"publisher":"BMJ","issue":"2","funder":[{"DOI":"10.13039\/501100004543","name":"China Scholarship Council","doi-asserted-by":"publisher","award":["202006280097"],"award-info":[{"award-number":["202006280097"]}],"id":[{"id":"10.13039\/501100004543","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2023,9,19]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The COVID-19 pandemic, together with the subsequent social distancing measures, could lead to shifts in family and fertility planning. This study aimed to explore the associations between the COVID-19 pandemic and changes in fertility intentions among an international sample of reproductive-aged women.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A multi-country, cross-sectional study based on data from 10\u2009672\u2009women aged 18\u201349 years who participated in the International Sexual Health And REproductive Health (I-SHARE) study, which organised an international online survey between July 2020 and February 2021. Factors associated with changes in fertility intentions were explored using multinomial probit regression models. Cluster-robust standard errors were used to calculate model parameters.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 10\u2009672 included reproductive-aged women, 14.4% reported changing their fertility intentions due to the pandemic, with 10.2% postponement and 4.2% acceleration. Women who had ever been isolated\/quarantined were more likely to postpone their fertility intentions (adjusted odds ratio (AOR)=1.41; 95% CI 1.18 to 1.69) compared with those who had not; women who lived with a steady partner were more likely to want children sooner (AOR=1.57; 95%\u2009CI 1.10 to 2.23) compared with those who did not; and those who reported a higher frequency of getting angry, feeling frustrated, or worrying about their finances were more likely to postpone their fertility intentions. The main findings were robust in the sensitivity analyses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Most women who changed fertility intentions because of the pandemic have postponed intentions to expand their families. The pandemic-induced exposures were associated with these postponements.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2023-201819","type":"journal-article","created":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T13:26:54Z","timestamp":1697722014000},"page":"83-91","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Associations between the COVID-19 pandemic and women\u2019s fertility intentions: a multi-country, cross-sectional (I-SHARE) study"],"prefix":"10.1136","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2997-2431","authenticated-orcid":false,"given":"Min","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Infectious Disease, Xi'an Jiaotong University Second Affiliated Hospital, Xi'an, Shaanxi, People's Republic of China"},{"name":"School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, People's Republic of China"},{"name":"International Center for Reproductive Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin Alsandria","family":"O'Hara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, National University Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norhafizah Bte","family":"Sahril","sequence":"additional","affiliation":[{"name":"Institute for Public Health, Ministry of Health Malaysia, Putrajaya, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huijun","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaiyan","family":"Pei","sequence":"additional","affiliation":[{"name":"Social Medicine 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