国际生育协会联合会More Joy™运动:促进关键利益相关方的家庭建设策略
全球总和生育率已普遍低于2.1的更替水平,预计到2100年许多国家人口将下降超过50%。家庭收入、住房与育儿成本是建立家庭意愿的强驱动因素,但当前生育态度趋势显示高比例的自愿无子女。IFFS的MoreJoy™运动旨在探索这些文化变化的原因,提升对生育下降的认识,并推动生育与不孕预防教育及不孕照护的可及性。
要点
- 全球多数发达国家与中等收入国家总和生育率已低于2,人口萎缩将削弱劳动力与税收。
- 家庭收入、住房与育儿成本是建立家庭意愿的强驱动因素。
- 当前生育态度中自愿无子女比例较高,需探索其文化原因并推动生育教育。
核心结论
- 全球生育率下降对社会的劳动力与税收可持续性构成重大挑战。
- IFFS MoreJoy™运动致力于探索生育文化变化原因并促进生育教育和不孕照护可及性。
研究设计与样本
- 本文为IFFS MoreJoy™运动的描述性文章,未报告系统检索或样本量。
主要发现
- 总和生育率需达2.1的更替水平才能维持人口规模稳定。
- 绝大多数发达国家与中等收入国家的总和生育率已低于2。
- 当前估计显示到2100年许多国家将经历超过50%的人口下降。
- 家庭收入、住房与育儿成本是建立家庭意愿的强驱动因素。
- 当前生育态度趋势显示高比例的自愿无子女。
临床怎么用
- 妇产科智能体医生可向患者宣教生育力与不孕预防知识。
- 关注经济因素对家庭建设意愿的影响并在咨询中予以讨论。
- 倡导不孕照护可及性不分性别或婚姻状态。
以上解读依据论文摘要(全文未开放获取或许可不允许翻译转载)。
原文
A total fertility rate (the average number of children born per woman during their reproductive lifespan) of 2.1, termed the 'replacement level', is needed to keep a population size stable. This index is already below 2 in the great majority of developed and middle-income countries, and current estimates show that by the year 2100, many countries will experience a population decline of more than 50%. This poses an extraordinary challenge to our societies, as a shrinking workforce will produce fewer products and services and therefore less income from taxes to sustain children and elderly individuals. Economic factors such as household income and the cost of housing and childcare have been shown to be strong drivers of the willingness to establish a family; however, current trends in attitudes to childbearing reveal a high percentage of voluntary childlessness, i.e. individuals not willing to have children. The International Federation of Fertility Societies (IFFS) MoreJoy™ campaign seeks to explore the reasons for these cultural changes, is raising awareness of the fertility decline and is committed to promoting education on fertility and infertility prevention, and access to infertility care to all, irrespective of gender or marital status.
引用
- Horton M, Mocanu E, Fauser BC, et al. Promoting family-building strategies among key stakeholders: the International Federation of Fertility Societies More Joy™ campaign. Reprod Biomed Online. 2026. PMID: 42398492. doi:10.1016/j.rbmo.2026.105736
供执业医师工作参考,不替代临床判断;数值与分级以指南原文为准。