{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T11:00:37Z","timestamp":1784890837766,"version":"3.55.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"132","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"\n Objective:<\/jats:bold>\n To explore the factors that influence the fertility intention of female medical staff of childbearing age in Shenzhen and analyse the association of noise exposure with their psychological status and their correlation with fertility intention.\n Methods:<\/jats:bold>\n A questionnaire survey was conducted among 615 female medical staff members. Data on basic demographics, fertility intentions, and the general well-being scale were collected. Individual noise dosimeters were used to measure objective noise exposure during working hours. Logistic regression, chi-square test, and hierarchical regression were used for analysis. A mediation model based on logistic regression was tested using the bootstrap method (5000 resamples).\n Results:<\/jats:bold>\n Age, occupation, professional title, education level, income, home ownership, overtime, health, marital status, spousal support, family living pattern, working hours, and noise exposure level were significantly associated with fertility intention (\n P<\/jats:italic>\n < 0.05). The high noise exposure group (>65\u2009dB[A]) had significantly lower pleasure or happy mood scores (10.00 [8.00, 12.00]) than the medium (12.00 [10.00, 14.00]) and low groups (13.00 [11.00, 15.00]), with higher anxiety symptoms (\n P<\/jats:italic>\n < 0.05). Living with children and a spouse (OR\u2009=\u20092.170,\n P<\/jats:italic>\n < 0.001) and better psychological well-being (OR\n \u2009<\/jats:italic>\n =\u20091.071) were promoting factors for high fertility intention (ideal number of children >2). Medium noise exposure (OR\u2009=\u20090.478,\n P<\/jats:italic>\n < 0.001), high noise exposure (OR\n \u2009<\/jats:italic>\n =\u20090.246,\n P<\/jats:italic>\n < 0.001), and working in high-noise departments (OR\n \u2009<\/jats:italic>\n =\u20090.412,\n P<\/jats:italic>\n < 0.001) were inhibiting factors for high fertility intention. Psychological status partially mediated the noise\u2013fertility association (indirect effect\u2009=\u2009\u22120.134, 23.32% of the total effect).\n Conclusion:<\/jats:bold>\n Female medical staff of childbearing age in Shenzhen were generally less willing to have more than two children. Noise exposure is associated with fertility intention both directly, by increasing psychological burden, and indirectly, by reducing positive emotions. Family support patterns also play an important role.\n <\/jats:p>","DOI":"10.4103\/nah.nah_35_26","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T04:00:35Z","timestamp":1783569635000},"page":"611-622","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Associations Between Noise Exposure, Psychological Status, and Fertility Intentions Among Female Healthcare Professionals of Childbearing Age in Shenzhen"],"prefix":"10.4103","volume":"28","author":[{"given":"WenWen","family":"Wan","sequence":"first","affiliation":[{"name":"School of Public Health, Southern Medical University, Guangzhou, 510515, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ChangYu","family":"Deng","sequence":"additional","affiliation":[{"name":"Quality Control and Management Department, Shenzhen Maternity and Child Healthcare Hospital, Women and Children\u2019s Medical Center, Southern Medical University, Shenzhen, 518017, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SiQi","family":"Chen","sequence":"additional","affiliation":[{"name":"Operations Management Office, Shenzhen Maternity and Child Healthcare Hospital, Women and Children\u2019s Medical Center, Southern Medical University, Shenzhen, 518017, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"He","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Mental Health, Longgang Center for Chronic Disease Control of Shenzhen, Shenzhen, 518172, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YueYun","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Public Health, Southern Medical University, Guangzhou, 510515, Guangdong, China"},{"name":"Institute of Maternal and Child Health, Shenzhen Maternity and Child Healthcare Hospital, Women and Children\u2019s Medical Center, Southern Medical University, Shenzhen, 518017, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"R1-20260724","doi-asserted-by":"crossref","first-page":"2238","DOI":"10.1016\/S0140-6736(21)01295-2","article-title":"China\u2019s three-child policy","volume":"397","author":"Tatum","year":"2021","journal-title":"Lancet"},{"key":"R2-20260724","doi-asserted-by":"crossref","first-page":"6823160","DOI":"10.1155\/da\/6823160","article-title":"Trend of antenatal depression and its risk factors among pregnant women in China from 2016 to 2021: A repeated cross-sectional study under multiple fertility policy adjustments and economic development","volume":"2025","author":"Zhou","year":"2025","journal-title":"Depress Anxiety"},{"key":"R3-20260724","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.1016\/S0140-6736(22)01546-X","article-title":"The path to healthy ageing in China: A Peking University-Lancet Commission","volume":"400","author":"Chen","year":"2022","journal-title":"Lancet"},{"key":"R4-20260724","doi-asserted-by":"crossref","first-page":"101846","DOI":"10.1016\/j.smrv.2023.101846","article-title":"The effects of occupational noise on sleep: A systematic review","volume":"72","author":"Yazdanirad","year":"2023","journal-title":"Sleep Med Rev"},{"key":"R5-20260724","doi-asserted-by":"crossref","first-page":"1841","DOI":"10.1111\/ans.19001","article-title":"Decibels in the operating theatre: a study of noise levels during surgical procedures","volume":"94","author":"Au","year":"2024","journal-title":"ANZ J Surg"},{"key":"R6-20260724","doi-asserted-by":"crossref","first-page":"e192","DOI":"10.15190\/d.2024.11","article-title":"Pregnancy challenges and outcomes among female physicians","volume":"12","author":"Henning","year":"2024","journal-title":"Discoveries (Craiova)"},{"key":"R7-20260724","doi-asserted-by":"crossref","first-page":"e2023947","DOI":"10.47626\/1679-4435-2023-947","article-title":"Pregnancy and working conditions in the hospital sector: A scoping review","volume":"21","author":"Vasconcelos","year":"2023","journal-title":"Rev Bras Med Trab"},{"key":"R8-20260724","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1001\/jama.2024.21972","article-title":"World medical association declaration of Helsinki: Ethical principles for medical research involving human participants","volume":"333","year":"2025","journal-title":"JAMA"},{"key":"R9-20260724","first-page":"2032","article-title":"Status quo of subjective well\u2043being of maintenance hemodialysis patients and its influencing factors","volume":"35","author":"Kang","year":"2021","journal-title":"Chin Nurs Res"},{"key":"R12-20260724","doi-asserted-by":"crossref","first-page":"6216","DOI":"10.3390\/app15116216","article-title":"Research on screening method of loess slope stability evaluation indexes based on validity and reliability coefficient","volume":"15","author":"Liao","year":"2025","journal-title":"Appl Sci"},{"key":"R13-20260724","doi-asserted-by":"crossref","first-page":"2677","DOI":"10.1186\/s12889-025-23725-w","article-title":"Fertility intentions among Chinese adults: A cross-sectional study using a national survey","volume":"25","author":"Hao","year":"2025","journal-title":"BMC Public Health"},{"key":"R14-20260724","doi-asserted-by":"crossref","first-page":"26334941251327037","DOI":"10.1177\/26334941251327037","article-title":"Rationalization, facilitators, and impediments of fertility transition in Ethiopia: Qualitative exploration of the community readiness, willingness, and ability","volume":"19","author":"Gebremariam","year":"2025","journal-title":"Ther Adv Reprod Health"},{"key":"R15-20260724","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1111\/sifp.70009","article-title":"Future-proofing the ICPD PoA: Reproductive rights in a low-fertility world","volume":"56","author":"Wilkins","year":"2025","journal-title":"Stud Fam Plann"},{"key":"R16-20260724","doi-asserted-by":"crossref","first-page":"102912","DOI":"10.1016\/j.ssresearch.2023.102912","article-title":"Social class, intergenerational mobility, and desired number of children in China","volume":"114","author":"Gan","year":"2023","journal-title":"Soc Sci Res"},{"key":"R17-20260724","doi-asserted-by":"crossref","first-page":"e064483","DOI":"10.1136\/bmjopen-2022-064483","article-title":"Pregnancy, obstetrical and neonatal outcomes in women exposed to physician-related occupational hazards: a scoping review","volume":"13","author":"Marsters","year":"2023","journal-title":"BMJ Open"},{"key":"R18-20260724","first-page":"e65614","article-title":"Comparison of health complaints, occupational risks, and occupational health practices of healthcare workers according to professions and departments in the hospital","volume":"16","author":"Taskingul","year":"2024","journal-title":"Cureus"},{"key":"R19-20260724","doi-asserted-by":"crossref","first-page":"2057","DOI":"10.1016\/S0140-6736(24)00550-6","article-title":"Global fertility in 204 countries and territories, 1950-2021, with forecasts to 2100: A comprehensive demographic analysis for the Global Burden of Disease Study 2021","volume":"403","year":"2024","journal-title":"Lancet"},{"key":"R20-20260724","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1215\/00703370-11858484","article-title":"Declining fertility, human capital investment, and economic sustainability","volume":"62","author":"Myrskyl\u00e4","year":"2025","journal-title":"Demography"},{"key":"R21-20260724","doi-asserted-by":"crossref","first-page":"e03696","DOI":"10.1016\/j.heliyon.2020.e03696","article-title":"Positive psychology as a strategy for promoting sustainable population policies","volume":"6","author":"Tal","year":"2020","journal-title":"Heliyon"},{"key":"R22-20260724","doi-asserted-by":"crossref","first-page":"613767","DOI":"10.3389\/fpsyg.2021.613767","article-title":"Relationships among job burnout, generativity concern, and subjective well-being: A moderated mediation model","volume":"12","author":"Lan","year":"2021","journal-title":"Front Psychol"},{"key":"R23-20260724","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1093\/eurpub\/ckad044","article-title":"Environmental noise exposure and health outcomes: an umbrella review of systematic reviews and meta-analysis","volume":"33","author":"Chen","year":"2023","journal-title":"Eur J Public Health"},{"key":"R24-20260724","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1080\/19338244.2023.2283010","article-title":"Occupational noise exposure, noise annoyance, hearing-related symptoms, and emotional exhaustion\u2014A participatory-based intervention study in preschool and obstetrics care","volume":"78","author":"Fredriksson","year":"2023","journal-title":"Arch Environ Occup Health"}],"container-title":["Noise and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/nah.nah_35_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T10:00:35Z","timestamp":1784887235000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/nah.nah_35_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":22,"journal-issue":{"issue":"132","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/nah.nah_35_26","relation":{},"ISSN":["1463-1741"],"issn-type":[{"value":"1463-1741","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2026-02-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}