Observational analysis found strong reliability and validity for a new fertility anxiety scale in Chinese women, indicating potential clinical and policy applications.
With rapid social changes and evolving fertility policies in China, women experience significant fertility anxiety. However, existing tools focus on a single dimension, lacking a comprehensive measure tailored to Chinese women. Based on cost-utility theory, policy cycle theory, social support theory, gender role theory, and conservation of resources theory, this study developed and validated the Fertility Anxiety Scale for Chinese Women (FAS-CW) through qualitative interviews and surveys. The scale, comprising cognitive and emotional anxiety, demonstrates strong reliability and validity. The FAS-CW provides a reliable tool for assessing fertility anxiety among Chinese women and contributes to the understanding of its multidimensional structure. The scale can support clinical practice by helping identify high-anxiety individuals and guide policy evaluation related to fertility and childcare. It also provides a basis for comparative research in other low-fertility contexts.
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He et al. (2025) studied this question.
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