The Relationship between Childbearing Motivations and Fertility Preferences among Female University Students

Document Type : Original Research Article

Authors

1 MSc in Epidemiology, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

2 a) PhD, Global and Women’s Health, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia b) Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 MSc in Midwifery, Department of midwifery, Asadabad School of Medical Sciences, Asadabad, Iran

4 MSc in Counseling in Midwifery, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

5 PhD Student in Reproductive Health, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

6 Associate Professor, Department of Biostatistics, School of Health, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

10.22038/jmrh.2024.72106.2110

Abstract

Background & aim: Motivation for childbearing precedes desires, the number of children, and timing of childbirth.. Consequently, alterations in motivations can influence individual desires and behaviors, especially in light of population growth policies and the importance of childbearing, making it crucial to understand fertility motivation. Therefore,  this study aimed to determine the relationship between childbearing motivations and fertility preferences among female university students.
Methods: This cross-sectional study was conducted from 2020 to 2021 on 220 single female students at Mashhad University of Medical Sciences, Mashhad, Iran. Convenience sampling was used.. Data were collected using a demographic questionnaire, the Miller Childbearing Questionnaire (1995), and the Miller Reproductive Preference Questionnaire (1995). Data analysis was done using descriptive statistics, Pearson correlation, and the Kruskal-Wallis testwith SPSS statistical software (version 16).
Results: The average age of students was 24.15±2.7, and their average desire to have children was 4.46±2.52 (on a scale of 1-10). There was a strong correlation between positive motivation of childbearing and fertility preferences (P<0.01), with an average desired number of children being 2.03±1.02. The study found a significant correlation (P<0.01) between the desired number of children and the desired birth time of the first child. Among the negative motivations for childbearing, fear of parenthood and challenges of childcare were significantly associated with a lower desire for childbearing (P<0.01).
Conclusion: The strong correlation between positive childbearing motivation and fertility preferences suggests that enhancing positive motivations among young individuals prior to marriage may contribute to improving fertility rates within the community.

Keywords

Main Subjects


  1. Gray E, Evans A, Reimondos A. Childbearing desires of childless men and women: when are goals adjusted. Advances in Life Course Research. 2013; 18(2): 141-149.
  2. Piltan F, Rahmanian M. Investigating Factors Affecting the Tendency toward Childbearing among Married Men and Women (Case of Study: Men and Women aged 25 to 45 years Old in Jahrom). Journal of Iranian Social Development Studies. 2015; 7(2): 121-134.
  3. Guedes M, Pereira M, Pires R, Carvalho PS, Canavarro MC. Childbearing Motivations Scale: Construction of a New Measure and its Preliminary Psychometric Properties. Journal of Child and Family Studies. 2015; 24: 180-194.
  4. Khadivzadeh T, Arghavani E, Shakeri MT. Relationship between fertility motivations and preferences in couples. Iranian Journal of Obstetrics, Gynecology and Infertility. 2014; 17: 8-18.
  5. Bagheri A, Saadati M. Modelling childbearing desire: comparison of logistic regression and classification tree approaches. Age. 2019; 4: 7-9.
  6. Baki-Hashemi S, Kariman N, Ghanbari S, Pourhoseingholi M-A, Moradi M. Factors Affecting the Decline in Childbearing in Iran: A Systematic Review. Advances in Nursing & Midwifery. 2018; 27(4): 11-19.
  7. Alhowiti A, Shaqran T. Premarital screening program knowledge and attitude among Saudi University students in Tabuk city 2019. International Journal of Medical Research & Health Sciences. 2019; 8(11): 75-84.
  8. Mirzaei P, Vaez N, Talebian MH. Challenges of Population Policies on Childbearing and Reproductive Health After the Islamic Revolution of Iran. Journal of Health Sciences & Surveillance System. 2022; 10(1): 19-27.
  9. Ladier-Fouladi M. The Islamic Republic of Iran’s new population policy and recent changes in fertility. Iranian Studies. 2021; 54(5-6): 907-930.
  10. Ciritel A-A, De Rose A, Arezzo MF. Childbearing intentions in a low fertility context: the case of Romania. Genus. 2019; 75(1): 4.
  11. Rijken AJ, Liefbroer AC. The Influence of Partner Relationship Quality on Fertility: L’influence de la qualité de la relation avec le partenaire sur la fécondité. European Journal of Population/Revue européenne de Démographie. 2009; 25(1): 27-44.
  12. Rashidi Fakari F, Simbar M, Saei Ghare Naz M, Rashidi Fakari F. Factors related to empowering iranian women’s fertility behaviors: a systematic review. Journal of Obstetrics, Gynecology and Cancer Research. 2022; 3(3): 115-122.
  13. Pezeshki MZ, Zeighami B, Miller WB. Measuring the childbearing motivation of couples referred to the Shiraz Health Center for premarital examinations. Journal of Biosocial Science. 2005; 37(1): 37-53.
  14. Khadivzadeh T, Latifnejad Roudsari R, Bahrami M, Taghipour A, Abbasi Shavazi J. Caring for my family integrity: Fertile couples’ first childbearing experience in the urban society of Mashhad, Iran. Human Fertility. 2015; 18(1): 60-69.
  15. Ahmed GS, Saleh L, Alareed HR, El-Shabrawy EM, Elbahrawe RS. Effects of sociodemographic background on fertility motivation patterns in the Beni-Suef governorate, Upper Egypt. Journal of Taibah University Medical Sciences. 2022; 17(5): 853-860.
  16. Miller WB. Differences between fertility desires and intentions: implications for theory, research and policy. Vienna Yearbook of Population Research. 2011; 9: 75-98.
  17. Rezaee P, Moradi M, Khadivzadeh T, Kimiaei SA, Jamali J. The effect of group counseling based on motivational interview on the motivation of childbearing in the female students of Mashhad University of Medical Sciences. Journal of Midwifery and Reproductive Health. 2022; 10(2): 3278-3289.
  18. Hosseini H, Bagi B. Study of fertility desires of Kurdish women in city of Mahabad. Women's Strategic Studies. 2013; 15(58): 121-161.
  19. Mousavi SF, Ghafelebashi M. A Study of Attitudes towards Childbearing in Young Families of Qazvin City. Woman and Family Studies. 2014; 1(1): 111-134.
  20. Mahmoud Tavousi, Aliasghar Haerimehrizi, Jila Sadighi, Mohammad Esmaeil Motlagh, Mohammad Eslami, Fatemeh Naghizadeh, et al. Fertility desire among Iranians: a nationwide study. Health Monitor Journal of the Iranian Institute for Health Sciences Research. 2017; 16(4): 401-410.
  21. Niazi A, Moradi M, Nouravaran Feizabadi M, Ghasemi Assal S, Bashiri M, Salehi F. Investigating the motivation of students of Lorestan University of Medical Sciences to have children. Navid No. 2023; 25(84): 44-56.
  22. Farrokh-Eslamlou HR, Vahabzadeh Z, Moeini R, Moghaddam Tabrizi F. Pre-marriage couplesfertility attitude following recent childbearing persuasive policies in Iran. Nursing and Midwifery Journal. 2014; 11(10).
  23. Khadivzadeh T, Arghavani E, Shakeri MT. Relationship between fertility motivations and preferences in couples. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2014; 17(114): 8-18.
  24. Miller WB. Childbearing motivation and its measurement. Journal of Biosocial Science. 1995; 27(4): 473-487.
  25. Guedes M, Pereira M, Pires R, Carvalho P, Canavarro MC. Childbearing Motivations Scale: Construction of a New Measure and its Preliminary Psychometric Properties. Journal of Child and Family Studies. 2015; 24(1): 180-194.
  26. Sonkar VK, Narlawar UW, Inamdar IAF, Doibale MK. Consanguineous Marriages and Reproductive Behavior: A Study from Vidarbha Region of Maharashtra. National Journal of Community Medicine. 2013; 4(03): 433-438.
  27. Santhya KG, Ram U, Acharya R, Jejeebhoy SJ, Ram F, Singh A. Associations between early marriage and young women's marital and reproductive health outcomes: evidence from India. International perspectives on Sexual and Reproductive Health. 2010: 132-139.
  28. Behmanesh F, Taghizadeh Z, Vedadhir AA, Ebadi A, Pourreza A, Shavazi MA. Explaining the causes of single child based on women's views: a qualitative study. 2019; 15(3): 279-288.
  29. Pezeshki MZ, Zeighami B, Miller WB. Measuring the childbearing motivation of couples referred to the Shiraz Health Center for premarital examinations. Journal of Biosocial Science. 2005; 37(1): 37-53.
  30. Gharamaleki AF, Mortazi A, Amir Por H. Legitimacy of necessitating of having child in Imamieh Jurisprudence. Jurisprudence the Essentials of the Islamic Law. 2010; 42(1).
  31. Motlagh ME, Taheri M, Eslami M, NASROLLAHPOUR SS. Factors affecting the fertility preferences in Iranian ethnic groups. Nursing And Midwifery Journal. 2016; 14(6): 485-495.
  32. Pradhan A, Pandey S. Fertility desire of working women in Journal of Nepal Health Research Council. 2010; 8(2): 95-98.