{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:07:50Z","timestamp":1788847670348,"version":"build-2803163510"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"\n Objective<\/jats:title>\n To investigate the fertility intentions of female hospital employees with children and to analyze associated factors, providing evidence for the development of targeted support policies and human-centered hospital management strategies.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n From July to September 2025, female hospital employees with children from hospitals in Mianyang, Sichuan Province, China, were recruited. Data were collected using a demographic questionnaire, the Fertility Motivation Scale, and the Perceived Organizational Support Scale. Statistical analyses were conducted using SPSS 25.0.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 1,133 questionnaires were distributed, and 1,092 valid responses were returned, yielding an effective response rate of 96.38%. Among respondents, 978 (89.6%) reported no intention of having additional children, while 114 (10.4%) expressed fertility intentions. Of those with fertility intentions, 104 intended to have one more child, and 10 intended to have two. The main reasons for not intending to have additional children were: having already given birth to three children (0.41%), age-related factors (62.99%), health-related factors (55.11%), financial considerations (78.32%), work-related factors (72.70%), time constraints (63.60%), insufficient family support (46.11%), religious beliefs (1.12%), and other reasons (8.79%). Multivariable logistic regression analysis indicated that age group, number of existing children, and fertility motivation were independent predictors of fertility intention among female hospital employees with children. Compared with the younger age group, older participants were significantly less likely to have additional fertility intentions (OR\u202f=\u202f0.307, 95% CI: 0.215\u20130.437,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). Similarly, an increase in the number of children was associated with a significantly lower likelihood of additional fertility intention (OR\u202f=\u202f0.158, 95% CI: 0.075\u20130.332,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). Regarding fertility motivation, negative fertility motivation was negatively associated with fertility intention (OR\u202f=\u202f0.952, 95% CI: 0.926\u20130.978,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001), whereas positive fertility motivation was positively associated with fertility intention (OR\u202f=\u202f1.038, 95% CI: 1.014\u20131.062,\n p<\/jats:italic>\n \u202f=\u202f0.002). Model fit was acceptable (Hosmer\u2013Lemeshow test\n p<\/jats:italic>\n \u202f&gt;\u202f0.05) and the model explained 9.8\u201320.1% of variance (Nagelkerke\n R<\/jats:italic>\n 2<\/jats:sup>\n \u202f=\u202f0.201).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Overall, female hospital employees with children in Mianyang demonstrated a relatively low intention for additional childbearing. Fertility intention was significantly influenced by age, number of existing children, and fertility motivation, all of which were independent predictors. Future research should further explore multidimensional factors influencing fertility intentions among female healthcare workers. In addition, policy-level, organizational, and family-level interventions are needed to create a more fertility-friendly environment. Tailored strategies considering individual and family characteristics may help promote rational fertility decision-making and improve work\u2013family balance among female healthcare professionals.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1929501","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:35:54Z","timestamp":1788845754000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Fertility intentions and associated factors among female hospital employees with children: a cross-sectional study"],"prefix":"10.3389","volume":"17","author":[{"given":"Yanfei","family":"Ma","sequence":"first","affiliation":[{"name":"Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Mianyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Li","sequence":"additional","affiliation":[{"name":"Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Mianyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia","family":"Liu","sequence":"additional","affiliation":[{"name":"Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Mianyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haili","family":"Long","sequence":"additional","affiliation":[{"name":"Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Mianyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianying","family":"Shang","sequence":"additional","affiliation":[{"name":"Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Mianyang, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1186\/s12905-024-03460-x","article-title":"Development and validation of scales measuring individual, nursing unit, hospital, and community factors related to fertility intentions of female Japanese hospital nurses","volume":"25","author":"Abe","year":"2025","journal-title":"BMC Womens Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/s42506-020-0035-4","article-title":"Factors related to childbearing intentions among women: a cross-sectional study in health centers, Saveh, Iran","volume":"95","author":"Araban","year":"2020","journal-title":"J. Egypt. Public Health Assoc."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1186\/s12905-019-0747-9","article-title":"Women's empowerment and fertility preferences in high fertility countries in sub-Saharan Africa","volume":"19","author":"Atake","year":"2019","journal-title":"BMC Womens Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1808","DOI":"10.1093\/humrep\/deaa129","article-title":"Age-related natural fertility outcomes in women over 35 years: a systematic review and individual participant data meta-analysis","volume":"35","author":"Chua","year":"2020","journal-title":"Hum. Reprod."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"hoae055","DOI":"10.1093\/hropen\/hoae055","article-title":"Will a government subsidy increase couples' further fertility intentions? A real-world study from a large-scale online survey in eastern China","volume":"2024","author":"Dong","year":"2024","journal-title":"Hum Reprod Open"},{"key":"ref6","first-page":"1071","article-title":"Regression models for prognostic prediction: advantages, problems, and suggested solutions","volume":"69","author":"Harrell","year":"1985","journal-title":"Cancer Treat. Rep."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.21276\/ambi.2016.03.sp1.ga01","article-title":"An analysis on views of Iranian women about incentive policies on childbearing decision-making","volume":"3","author":"Hosseinpoor","year":"2016","journal-title":"Amb. Sci."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1177\/1054773818770814","article-title":"Impact of symptom and social support on fertility intention in reproductive-age women with breast cancer","volume":"29","author":"Huang","year":"2020","journal-title":"Clin. Nurs. Res."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1080\/13668800302545","article-title":"Rationale and construct validity evidence for a measure of perceived organizational family support (POFS): because purported practices may not reflect reality","volume":"6","author":"Jahn","year":"2003","journal-title":"Commun. Work Fam."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1907","DOI":"10.1093\/humrep\/deac101","article-title":"Fertility intentions to have a second or third child under China's three-child policy: a national cross-sectional study","volume":"37","author":"Jing","year":"2022","journal-title":"Hum. Reprod."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"hoy014","DOI":"10.1093\/hropen\/hoy014","article-title":"Intention of having a second child among infertile and fertile women attending outpatient gynecology clinics in three major cities in China: a cross-sectional study","volume":"2018","author":"Lau","year":"2018","journal-title":"Hum Reprod Open"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"213","DOI":"10.25133\/jpssv25n3.004","article-title":"Factors contributing to childbearing intentions of married working women in Korea","volume":"25","author":"Lee","year":"2017","journal-title":"J. Popul. Soc. Stud."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e0221526","DOI":"10.1371\/journal.pone.0221526","article-title":"Application of the theory of planned behavior to couples' fertility decision-making in Inner Mongolia, China","volume":"14","author":"Li","year":"2019","journal-title":"PLoS One"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1186\/s12905-024-03401-8","article-title":"The impact of work-family conflict on Chinese women's fertility intention: the role of fertility attitude, income class, and child-rearing burden","volume":"24","author":"Li","year":"2024","journal-title":"BMC Womens Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"31064","DOI":"10.1038\/s41598-025-17209-5","article-title":"Job stress and burnout among hospital administrative staff: a cross-sectional study","volume":"15","author":"Lin","year":"2025","journal-title":"Sci. Rep."},{"key":"ref16","first-page":"94","article-title":"Development and reliability and validity testing of the fertility motivation scale","volume":"31","author":"Liu","year":"2025","journal-title":"Popul. Dev."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"15412","DOI":"10.3390\/ijerph192215412","article-title":"Fertility intention to have a third child in China following the three-child policy: a cross-sectional study","volume":"19","author":"Ning","year":"2022","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1186\/s12884-024-06385-3","article-title":"What factors influence couples' decisions to have children? Evidence from a systematic scoping review","volume":"24","author":"Ranjbar","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1186\/s12889-025-21938-7","article-title":"What family policies do Iranian couples prefer for childbearing? Evidence from a discrete choice experiment","volume":"25","author":"Ranjbar","year":"2025","journal-title":"BMC Public Health"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"3518","DOI":"10.1186\/s12889-024-20956-1","article-title":"Fertility intention of young people of childbearing age in China after the implementation of the two-child policy-a systematic review and meta-analysis","volume":"24","author":"Ren","year":"2024","journal-title":"BMC Public Health"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"04074","DOI":"10.7189\/jogh.16.04074","article-title":"Fertility intention and its determinants of childbearing-age population in China after the three-child policy: a systematic review and meta-analysis","volume":"16","author":"Ren","year":"2026","journal-title":"J. Glob. Health"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1186\/s12978-024-01885-z","article-title":"Iranian single-child couples' perceptions and experiences regarding childbearing incentives","volume":"21","author":"Seraj Shirvan","year":"2024","journal-title":"Reprod. Health"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"5905","DOI":"10.2147\/JMDH.S536236","article-title":"Affective commitment influences occupational stressors among maternal and child health nurses via job burnout as a mediator","volume":"18","author":"Tian","year":"2025","journal-title":"J. Multidiscip. Healthc."},{"key":"ref24","volume-title":"An Empirical Study on the impact of Perceived Organizational Family Support on Employees\u2019 work\u2013Family Enrichment [Dissertation]","author":"Wang","year":"2015"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"2280","DOI":"10.1186\/s12889-021-12338-8","article-title":"Third birth intention of the childbearing-age population in mainland China and sociodemographic differences: a cross-sectional survey","volume":"21","author":"Yan","year":"2021","journal-title":"BMC Public Health"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1186\/s12889-023-15719-3","article-title":"Third-child fertility intention and its socioeconomic factors among women aged 20-34 years in China","volume":"23","author":"Yang","year":"2023","journal-title":"BMC Public Health"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1186\/s12978-024-01888-w","article-title":"\"hit a bottleneck\": a convergent mixed-methods approach to the influencing factors and experience of fertility intention among mothers of childbearing age with two children in mainland China","volume":"21","author":"Yang","year":"2024","journal-title":"Reprod. Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"04001","DOI":"10.7189\/jogh.15.04001","article-title":"Assessing male and female clinicians' intentions for a third child in China: a cross-sectional survey analysis with gender-specific insights","volume":"15","author":"Zhang","year":"2025","journal-title":"J. Glob. Health"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1186\/s12884-022-04873-y","article-title":"Fertility intentions among young people in the era of China's three-child policy: a national survey of university students","volume":"22","author":"Zhang","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"e2289","DOI":"10.1002\/psp.2289","article-title":"Fertility intentions of having a second child among the floating population in China: effects of socioeconomic factors and home ownership","volume":"26","author":"Zhou","year":"2020","journal-title":"Popul. Space Place"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"879672","DOI":"10.3389\/fpubh.2022.879672","article-title":"Fertility intention and related factors for having a second or third child among childbearing couples in Shanghai, China","volume":"10","author":"Zhu","year":"2022","journal-title":"Front. Public Health"}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1929501\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:35:55Z","timestamp":1788845755000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1929501\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,8]]},"references-count":31,"alternative-id":["10.3389\/fpsyg.2026.1929501"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2026.1929501","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,8]]},"article-number":"1929501"}}