The impact of corporate social responsibility on reproductive health outcomes and access equity in China

This study examined the impact of corporate social responsibility on reproductive health outcomes and access equity among women of reproductive age in selected cities of China. The study was grounded in the view that CSR can extend beyond philanthropy and corporate reputation to function as a supportive mechanism for public health and social inclusion. A quantitative cross-sectional survey design was adopted, and data were collected from 400 respondents in Beijing, Shanghai, Guangzhou, Shenzhen, Chengdu, and Wuhan through an interviewer-administered structured questionnaire. The data were analyzed using descriptive statistics, reliability analysis, correlation analysis, t-tests, and multiple regression. The findings showed that CSR exposure was positively associated with reproductive health awareness, service utilization, and perceptions of access equity. Women who reported stronger exposure to CSR-supported initiatives demonstrated better knowledge of reproductive health services and more favorable perceptions of fairness and accessibility. However, significant disparities remained across social groups. Migrant women reported lower access equity than permanent residents, and respondents in less advantaged cities showed comparatively weaker outcomes. The study concluded that CSR has the potential to complement public-health efforts by improving reproductive-health awareness and reducing selected access barriers, but its benefits remain uneven unless initiatives are intentionally directed toward vulnerable and marginalized populations.