目的 了解广西壮族自治区柳州市0～3岁婴幼儿家长入托需求及其影响因素，为提高婴幼儿养育照护服务质量及政策决策提供科学依据。方法 于2023年10—12月采用分层抽样方法，对在柳州市每个县（区）随机抽取2个卫生院或社区卫生服务中心辖区内的1 220名0～3岁婴幼儿家长进行婴幼儿入托需求线上问卷调查。结果 柳州市0～3岁婴幼儿入托需求率38.28%，实际入托率为18.11%。家长选择托育机构最关心的问题是环境与安全，占91.07%。56.15%的家长可接受的入托费用为<1 000元/月。影响家庭入托意愿的主要因素有白天主要照护人、父母收入、婴幼儿月龄和婴幼儿居住地。白天主要照护人为爷爷奶奶或者外公外婆、保姆或者其他亲戚者比照护人为婴幼儿父母者的入托可能性更高（OR=6.913,95%CI:3.540～13.497;OR=8.912,95%CI:4.653～17.068）。结论 托育服务供给应当准确把握服务利用方的需求，增加普惠型托育机构，满足家长对环境与安全、托育费用的入托需求，有效增加托育服务供给的可及性。

Objective This study aimed to understand the needs of parents of infants aged 0 – 3 years old in Liuzhou city,Guangxi Zhuang autonomous region, for nursery attendance and their influencing factors, and to provide a scientific basis for improving the quality of infant and toddler nurturing and care services as well as policy interventions. Methods Using stratified sampling, 1 220 parents of infants aged 0 – 3 years were randomly selected from the jurisdictions of two health centers or community health service centers in each county(district) across the city to participate in a questionnaire survey regarding their needs for infant and toddler daycare. Results In Liuzhou city, the demand rate for nursery facilities for infants aged 0 – 3 years was 38.28%, while the actual enrollment rate was 18.11%. When choosing a nursery, parents were most concerned regarding its environment and safety,accounting for 91.07% of the responses. 56.15% were willing to pay an enrollment fee of less than 1 000 yuan/month. The primary factors affecting families' willingness to enroll their children in nurseries included the primary daytime caregiver, parental income,infant age, and the child's location. Families in which the primary daytime caregivers were grandparents, nannies, or other relatives were more likely to enroll their children in nurseries than those in which the caregiver was the infant's parent(OR = 6.913,95% CI:3.540 – 13.497;OR = 8.912,95% CI:4.653 – 17.068). Conclusion The supply of childcare services should accurately grasp the demands of service users, increase the number of inclusive childcare institutions, meet parents' demands for environment and safety as well as childcare costs, and effectively enhance the accessibility of childcare service supply.