RNSurveyInternational journal of community based nursing and midwifery2017

The Relationship of Socio-Demographic Factors, Fertility Behavior and Child's Perceived Value with Fertility.

Elham Azmoude, Haniye Behnam, Saeede Barati-Far and 1 others

PMID 28409166

WHAT IT FOUND

Among 241 Iranian women, 52.7% had no fertility intention.

Having more children, children of both sexes and higher perceived childbearing costs were linked with lower intention.

Key findings

0152.7% of the women had no fertility intention.

02Fertility intention was significantly lower in women who had children of both sexes than in women who did not.

03Higher perceived childbearing costs were linked with lower fertility intention.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was cross-sectional, so it can show associations at one time but not cause and effect. Participants were convenience sampled from health centres in one Iranian city, so the results may not apply to other populations. Fertility intention was measured by one self-reported question about the next three years, not by actual births. The logistic regression model accounted for only 46% of fertility intention, leaving much unexplained. The results text and the reported means disagree about number of children, and the conclusion also conflicts with some regression results, so those associations are unclear. Respondents may have understood questionnaire items differently. No significant differences were found for education, employment, income, child death, previous childbirth experience or contraception type.

The easy way to misread this

Do not read this as evidence that lowering perceived childbearing costs will increase fertility intention. The study is a cross-sectional survey of stated intentions, not a trial of any intervention.

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