Title: Fertility and self-rated health of migrant women of childbearing age——an analysis of
moderating effects based on socioeconomic status
Version: 5 Date: 25 Feb 2024
Reviewer's report:
PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses one or several
testable research questions? (Brief or other article types: is there a clear objective?)
Yes - there is a clear objective
DESIGN - Is the current approach (including controls and analysis protocols) appropriate for
the objective?
Yes - the approach is appropriate
EXECUTION - Are the experiments and analyses performed with sufficient technical rigor to
allow confidence in the results?
Yes - experiments and analyses were performed appropriately
STATISTICS - Is the use of statistics in the manuscript appropriate?
Not sure - I am not able to assess the statistics in this study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
No - there are major issues
OVERALL MANUSCRIPT POTENTIAL - Has the author addressed your concerns sufficiently
for you to now recommend the work as a technically sound contribution? If not, can further
revisions be made to make the work technically sound?
Maybe - with major revisions
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: This is a re-review of a manuscript that continues to be plagued by
poor English language and sentence structure. The authors have provided lengthy explanations
of their word choice and don't seem to fully understand what the reviewer is suggesting. This
manuscript needs review by an English editing service and native English speaker
REQUESTED REVISIONS:
1. Abstract: the first sentence should read "as fertility rates continue to decline" or :as "THE
fertility rate continues". 2. The objective in the abstract reads "To investigate how fertility  affects
the health status of migrant women of childbearing age and migrant women's socioeconomic
status plays a moderating role in this process." - this is unclear and is missing a word? to
determine IF SES plays a moderating role? 3. Pg 3 line 50 - " and improves supporting
measures. " - it is unclear what this means. 4. Pg 40 - line 79- this sentence should be re-written
"Migration delays the childbirth of migrant women, which has negative physical and mental
effects on them, like cardiovascular disease, diabetes, hypertension, depressive symptoms, etc
" - a suggestion: Migration often delays migrant women's  childbirth goals, resulting in women
becoming pregnant at an older age which can have negative physical and mental health effects
such as gestational diabetes, hypertension, and perinatal depression. 5. Pg 40 line 81 "Therefore,
special attention should be given to the health status of enormous-scale migrant women of
childbearing age." - this sentence is unclear, do you mean that special attention should be given to
the health status of migrant women of childbearing age giving the growing numbers of older age
pregnancies? 6. Pg 4o line 86 "having difficulties in accessing care support from their parents."
- this sentences is also unclear, do you mean that older pregnant women can't get assistance
from their parents or that the children born to older women can't get access to care? 6. Pg 5 line
100-103 - the thesis statement presents a bias, assuming that there already is a known moderating
effect of SES - perhaps it should read "if there is a moderating effect"  7. Pg 5-6 - do you have
citations for the this sentence about many studies on health and the varying results? 8. Pg 7 -
lines 136- 141 - so many syntax errors I can't make  sense what the authors are trying to say.
9. the introduction goes on for 10 page until we get to the methods - this is too long and not
necessary 10. Pg 27 - start of discussion - the authors give a mixed message stating that much
research has been conducted on this topic and then little research has been done on this topic -
the authors should compare their results to that of studies conducted among low SES families in
other countries - by the authors own writing there are many studies on this topic but few from
China, so there should be a lot to compare to.
ADDITIONAL REQUESTS/SUGGESTIONS:
The language quality makes the manuscript very challenging to understand what the authors are
hoping to convey to readers.