دوره 15، شماره 1 - ( 11-1404 )
جلد 15 شماره 1 صفحات 9-1 |
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Yasari F, Montazerian M, Amiri M, Janat S. Investigating the Factors Influencing Childbearing and Fertility
Preferences in Couples Aged 15–45 in Dezful, Iran, with Emphasis on
Access to Emergency Healthcare and Counseling Services. J Emerg Health Care 2026; 15 (1) :1-9
URL: http://intjmi.com/article-1-1351-fa.html
URL: http://intjmi.com/article-1-1351-fa.html
Investigating the Factors Influencing Childbearing and Fertility
Preferences in Couples Aged 15–45 in Dezful, Iran, with Emphasis on
Access to Emergency Healthcare and Counseling Services. . 1404; 15 (1) :1-9
چکیده: (19 مشاهده)
Background: Numerous nations are experiencing a demographic imbalance and are confronting the challenges that arise from it. Projections suggest that the global population is expected to decline by the year 2050. The aim of this study was to clarify the elements that affect young couples' aspirations for parenthood, with a specific focus on the potential role of healthcare access, including emergency obstetric and counseling services, and to gain insight into the fundamental motivations driving these desires. Methods: A cross-sectional study was conducted in 2023 on a sample of Iranian couples attending a premarital counseling clinic in Dezful. A total of 736 couples, aged 15–49 years old, participated. A questionnaire was used to collect data on demographics, attitudes, fertility preferences, behavioral intentions for childbearing, and perceptions of accessibility to essential health services, such as emergency perinatal care and immediate counseling support. Results: Overall, the mean age was 22.9 ± 6.1 years for females and 27.6 ± 5.6 years for males. Findings showed a significant difference between women (32.8%) and men (40.7%) in terms of childbearing intention (P=0.001). There was a significant relationship between childbearing desire and childbearing motives (p=0.001 and r=0.223). Independent t-tests showed a significant difference between the mean scores of marital satisfaction, religious beliefs, and economic status with intention for childbearing (P < 0.05). Furthermore, preliminary analyses indicated that concerns about the availability and quality of emergency health services were tangibly associated with fertility apprehensions among a subset of participants. Conclusion: It seems that the desire to have a child has not increased, and population policies have not led to a significant change in attitude towards having children. The findings suggest that ensuring reliable access to comprehensive healthcare, including emergency medical and psychological services, may be a critical but overlooked factor in fertility decision-making. It appears that merely demonstrating the beauty of parenthood is insufficient without addressing foundational concerns about safety and support.
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