Addressing Japan's fertility decline: Influences of unintended pregnancy on child rearing

Addressing Japan's fertility decline: Influences of unintended pregnancy on child rearing
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DOI:
10.1016/s0968-8080(06)27233-1
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发表时间:
2006-05-01
影响因子:
--
通讯作者:
Reich, Michael R.
Reich, Michael R.
中科院分区:
医学3区
文献类型:
--
作者:
Goto, Aya;Yasumura, Seiji;Reich, Michael R.

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日本的生育率持续下降,年轻人中的婚前怀孕和堕胎现象增加。抚养孩子往往被视为一种负担。作为回应,日本目前正在寻求改善父母养育子女环境的方法。在此背景下,我们对福岛须贺川市的206名孕妇进行了一项前瞻性研究,以探讨怀孕意愿对养育子女的影响。我们发现,意外怀孕与消极育儿结果的风险较高相关,包括母亲对子女的依恋程度较低,母亲的负面情绪增加以及父亲参与育儿的程度较低。意外怀孕加剧了抚养孩子的真实的和感知的负担。日本目前正面临着减少意外怀孕和提高国家生育率之间的冲突。我们认为,政府需要解决影响人们家庭生活的社会挑战,而不是关注生育率下降本身。我们建议日本努力减少意外怀孕,并为面临养育子女困难的高风险父母提供支持。我们还建议采取综合办法,改善年轻夫妇的生活,重点是青少年,包括生活技能教育,为成年、结婚和为人父母做准备。(c)2006年生殖健康问题。All rights reserved.
Japan has been experiencing a continuing decline in fertility and an increase in premarital conceptions and abortions among young people. Child rearing is often viewed as a burden. In response, Japan is now seeking ways to improve the child-rearing environment for parents. In this context, we conducted a prospective study among 206 pregnant women in Sukagawa City, Fukushima, to explore the influences of pregnancy intention on child rearing. We found that unintended pregnancy was associated with a higher risk of negative child-rearing outcomes, including lower mother-to-child attachment, increased negative feelings of mothers and a lower level of participation of fathers in child rearing. Unintended pregnancy exacerbates the real and perceived burdens of child rearing. Japan is currently facing a conflict between wanting to reduce unintended pregnancies and increase the national fertility rate. We believe the government needs to address the social challenges affecting people's family lives, which underpin low fertility, rather than focus on fertility decline per se. We suggest Japan seeks to reduce unintended pregnancies and provide support to parents at high risk of child-rearing difficulties. We also suggest adopting a comprehensive approach to improving the lives of young couples, with a focus on adolescents, including life-skills education to prepare for adulthood, marriage and parenthood. (c) 2006 Reproductive Health Matters. All rights reserved.