# Determinants of childcare service demand for infants aged 0–3 among the childbearing population in China

**Authors:** Chun Yang, Jian Zhou, Yan Liu, Wenhui Shi, Yan Cheng, Yuxin Cao, Rui Xing, Lin Cui, Rugang Liu

PMC · DOI: 10.3389/fpubh.2025.1624999 · 2025-07-30

## TL;DR

This study explores what influences parents in China to use childcare services for infants under 3 years old.

## Contribution

The study identifies key demographic and socioeconomic factors influencing childcare service demand in China.

## Key findings

- 45.9% of surveyed parents in China expressed demand for childcare services for children aged 0–3 years.
- Factors like rural residence and lower education were linked to lower demand, while trust in institutions and having more children increased demand.
- The study recommends improving rural accessibility and institutional trust to boost childcare service uptake.

## Abstract

This study aims to investigate the demand for childcare services for infants aged 0–3 years among the childbearing population in China and identify its key determinants.

An online survey was conducted in Suzhou, China in August 2024 using a self-designed questionnaire. Information on personal and family characteristics, as well as demand for childcare services, was collected. Descriptive statistics, chi-square tests, and binary logistic regression were used to analyze the determinants of childcare services.

Of 5,567 respondents, 45.9% expressed demand for childcare services for children aged 0–3 years. Binary logistic regression identified several significant predictors of demand. Notably, female gender, older age, rural residence, and lower educational attainment were associated with lower demand (p < 0.05). Conversely, having more children, greater trust in childcare institutions, better knowledge about childcare services, and greater awareness of childcare policies were significantly associated with higher demand (p < 0.05).

Demand for childcare services was influenced by multiple factors. Enhancing subsidies and rural service accessibility, strengthening institutional credibility, implementing incentives for multi-child families, disseminating childcare knowledge and policy information and facilitating a childcare paradigm shift were recommended.

## Full-text entities

- **Diseases:** cognitive impairments (MESH:D003072)
- **Chemicals:** CY (MESH:D003545)
- **Species:** Homo sapiens (human, species) [taxon 9606]

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Source: https://tomesphere.com/paper/PMC12343614