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中国现行生育支持政策体系实践反思与研究展望OA

Reflection and research prospect on the practice of China's current fertility support policy system

中文摘要英文摘要

中国已经进入"中度老龄化"国家之列,人口老龄化同时伴随着少子化现象,新生人口不足,老年人口比例上升,老龄化形势更加严峻.少子化又加剧了老龄化程度,推动中国的生育政策重点落在构建有效的生育支持政策体系,全面提升育龄群体的生育意愿上.现阶段中国的生育支持政策体系通过提供经济、时间和服务方面的支持,为育龄人群、婴幼儿和照护者降低生育成本,减轻家庭养育负担,缓解工作与家庭冲突,满足托育照护需求,但是从设计、运用到落实的过程中存在着政策碎片化、责任不明确、供需不匹配等问题.当前的政策目标偏重人口调控,缺乏对家庭全生命周期的系统性支持.此外,中国的生育支持政策部分借鉴国际经验做了本土化调整,收到了不同程度的反馈.由此验证,研究应关注生育支持政策对不同育龄群体生育意愿的异质性影响,定位不同育龄群体的生育需求,更有利于精准施策,更能有效构建全生命周期的生育支持政策体系,以实现人口高质量发展.

China has entered the ranks of"moderately aging"countries.The aging of the population is accompanied by the phenomenon of a low birth rate,with insufficient newborns and an increasing proportion of the elderly population,resulting in aging issues persisting.Conversely,the low birth rate has further exacerbated the degree of aging,promoting China's fertility policy to focus on constructing an effective fertility support policy system to comprehensively enhance the fertility willingness of the reproductive-age groups.At the current stage,China's fertility support policy system seeks to reduce the costs of childbearing,alleviate family child-rearing burdens,ease work-family conflicts,and meet childcare needs for reproductive-age individuals,infants,and caregivers through providing economic,time,and service support.However,numerous issues persist throughout the process from design to application and implementation,such as policy fragmentation,unclear responsibilities,and mismatched supply and demand.The current policy objectives tend to emphasize population regulation,lacking systematic support for the entire lifecycle of families.Furthermore,China's fertility support policies have partially drawn on international experience and undergone localized adjustments,receiving varying degrees of feedback.This validates that research should focus on the heterogeneous effects of fertility support policies on the fertility willingness of different reproductive-age groups and identify their specific fertility needs.This approach would facilitate more precise policy implementation and more effectively construct the entire lifecycle fertility support policy system,thereby achieving high-quality development of the population.

曾晨;朱亚

南京医科大学医政学院,江苏 南京 211166江苏老龄化社会研究基地/南京医科大学马克思主义学院,江苏 南京 211166

医药卫生

生育支持生育意愿政策效果人口发展

fertility supportfertility willingnesspolicy effectpopulation development

《中国医学伦理学》 2026 (5)

624-630,7

江苏省卫生健康发展研究中心项目"江苏省城市居家社区健康养老服务可及性研究"(JSHD2022022)

10.12026/j.issn.1001-8565.2026.05.10

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