Islamic lifestyle with a focus on health

Islamic lifestyle with a focus on health

Factors Affecting the Reluctance to have Children in the Staff of Hamadan University of Medical Sciences

Authors
1 Ph.D in Health Policy, Hamadan University of Medical Sciences, Hamadan, Iran
2 Assistant Professor, Department of Medical Library and Information, Hamadan University of Medical Sciences, Hamadan, Iran.
3 Chancellor for Management and Resources Development and planning, Hamadan University of Medical Sciences, Hamadan, Iran
4 Department of Biostatistics, School of Public Health and Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
5 Expert of the Audit Board, Hamadan University of Medical Sciences, Hamadan, Iran
6 Amen Health Technology and Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
7 Assistant Professor, Department of Health Economics and Management, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract
Purpose: In recent years, demographic changes have occurred 
dramatically in the world. One of the most important of these 
changes has been the unprecedented decrease in fertility in 
most regions of the world. In Iran, with the expansion of 
modernity processes, many aspects of life have changed that 
including the attitude of families towards having children. 
Severe decrease in fertility has been a common phenomenon 
in recent decades.
Materials and Methods: This descriptive-analytical study 
was conducted cross-sectional in 2022. The target population 
consisted of married employees of childbearing age of 
administrations and assistants covered by Hamadan University 
of Medical Sciences, who were selected by census method. 
The data collection tool was a researcher-made checklist with 
demographic and specialized questions in accordance with the 
objectives of the study and in the dimensions of personal, 
economic, social and physical and mental health. The data 
were analyzed using descriptive statistics, Pearson's 
correlation coefficient, independent t test and one-way 
analysis of variance.
Findings: In this study, women made up the largest percentage 
of participants (54.4%). In terms of ethnicity, the majority of 
the participants were Fars. The education of 50% of the 
participants was graduate or higher. In this study, economic 
factors and then social factors showed the greatest impact on 
not wanting to have children.
Conclusion: The findings of our study indicate that various 
factors play an important role in the formation of fertility 
tendencies, the most important of which were economic and 
social factors. Also, the results showed that aggressive policies 
without education and acculturalization cannot be effective in 
increasing the desire to have children, but the adoption of any 
demographic and educational promotion policy should be 
implemented by considering all factors and in the long term. 
Keywords

1. Pourreza A, Sadeghi A, Amini-Rarani 
M, Khodayari-Zarnaq R, Jafari H. 
Contributing factors to the total fertility rate 
declining trend in the Middle East and 
North Africa: a systemic review. Journal of 
Health, Population and Nutrition. 
2021;40(1):1-7.
2. Reshadat S, Zanganeh A, Saeidi S, 
Rajabi Gilan N, Bavandpour E, Ghasemi S. 
Factors related to total fertility in 
Kermanshah city. J Kermanshah Univ Med 
Sci. 2014;18(11):666-73.[In Persian].
3. Strulik H, Vollmer S. Long-run trends 
of human aging and longevity. Journal of 
Population Economics. 2013;26(4):1303-
23.
4. Wang H, Abbas KM, Abbasifard M, 
Abbasi-Kangevari M, Abbastabar H, AbdAllah F, et al. Global age-sex-specific 
fertility, mortality, healthy life expectancy 
(HALE), and population estimates in 204 
countries and territories, 1950–2019: a 
comprehensive demographic analysis for 
the Global Burden of Disease Study 2019. 
The Lancet. 2020;396(10258):1160-203.
5. Ayazi R, Amini L, Montazeri A, 
Haghani S. Factors Related to Childbearing 
Willingness in the Women Attending the 
Health Centers in Arak, Iran (2019). Iran 
Journal of Nursing. 2021;34(130):15-24.[In 
Persian].
6. Motlagh ME, Taheri M, Eslami M. 
Factors affecting the fertility preferences in 
Iranian ethnic groups. Nursing And 
Midwifery Journal. 2016;14(6):485-95. [In 
Persian].
7. Sadatpiltan F RM. Sociological 
investigation of factors affecting the desire 
to have children of married women and 
men. Journal of Iranian Social 
Development Studies. 2015;7(2):121-34. 
[In Persian].
8. Mobasheri M, Alidosti M, Heidari 
Soureshjani S, Khosravi F, Khalafeyan P, 
Jalilian M. Determination of the most 
important factors influencing the fertility 
patterns of single child and without child 
families in Shahr-e-kord city in 2013. 
Scientific Journal of Ilam University of 
Medical Sciences. 2013;21(6):63-70. [In 
Persian].
9. Registration. NOfC. population 
statistics yearbook, 2016 to 2020. 2021:1-
90.[In Persian].
10. Sarac M, Koc I. Re: Prevalence and 
Risk Factors of Infertility in Turkey: 
Evidence from Demographic and Health 
Surveys, 1993-2013. Journal of Urological 
Surgery. 2018;5(4):229-30.
11. Orsal DDK, Goldstein JR, editors. The 
increasing importance of economic 
conditions on fertility. Annual Meeting of 
the Population Association of America, 
Dallas, Texas; 2010.
12. Adhikari R. Demographic, socioeconomic, and cultural factors affecting 
fertility differentials in Nepal. BMC 
pregnancy and childbirth. 2010;10(1):1-11.
13. Rahman A, Islam A, Yeasmin S. 
Influencing Factors of Fertility in 
Developing Countries: Evidence from 16 
DHS Data. Journal of International 
Women's Studies. 2020;21(6):416-26.
14. Wang Q, Sun X. The role of sociopolitical and economic factors in fertility 
decline: a cross-country analysis. World 
Development. 2016;87:360-70.
15. Erfani A, Shojaei J. Reasons for 
intending to have no children in Tehran, 
Iran. Community Health. 2019;6(2):116-
29.
16. Torabi F, Sheidani R. A study of 
effective factors in tendency to fewer 
childbearing of 15-49 year old women 
residents of Tehran. Journal of Woman and 
Family Studies. 2019;7(2):31-67. [In 
Persian].
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 8 / 9
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فصلنامه علمی-پژوهشی سبک زندگی اسالمی با محوریت سالمت دوره ،6 زمستان 1401
17. Hosseini H, Bagi B. Reasons behind 
contraception discontinuation and 
switching among married women between 
15 and 49 in Mahabad city (2012). Journal 
of Kermanshah University of Medical 
Sciences. 2013;17(9).
18. Zheng Y, Yuan J, Xu T, Chen M, Liang 
H, Connor D, et al. Socioeconomic status 
and fertility intentions among Chinese 
women with one child. Human Fertility. 
2016;19(1):43-7.
19. Eshaghi M, Mohebbi F, Papi Nezhad 
S, Jahandar Z. Challenges childbearing 
women in a qualitative study. Journal of 
Women in Development & Politics. 
2014;12(1):111-34.
20. Enayat H, Parnian L. The study of 
cultural globalization and tendency to 
fertility. 2013.
21. Dwivedi V, Sediadie T, Ama N. 
Factors affecting children ever born (CEB) 
in Botswana: application of Poisson 
regression model. Research Journal of 
Mathematical and Statistical Sciences. 
2016;4(10):1-9.
22. Snopkowski K, Towner MC, Shenk 
MK, Colleran H. Pathways from education 
to fertility decline: a multi-site comparative 
study. Philosophical Transactions of the 
Royal Society B: Biological Sciences. 
2016;371(1692):20150156.
23. Zhu C, Yan L, Wang Y, Ji S, Zhang Y, 
Zhang J. Fertility intention and related 
factors for having a second or third child 
among childbearing couples in shanghai, 
China. Frontiers in Public Health. 2022;10.
24. Sabermahani A, Goudarzi R, Nasiri S. 
Factors affecting fertility rate in Iran (panel 
data 1966-2013): a survey study. Journal of 
family & reproductive health. 
2017;11(3):138.
25. Sharma MP. The determinants of 
fertility among women of reproductive age 
in Nepal. Journal of Development and 
Administrative Studies. 2015;23(1-2):55-
68.
26. Khadivzadeh T, Rahmanian SA, 
Esmaily H. Young women and men's 
attitude towards childbearing. Journal of 
Midwifery and Reproductive Health. 
2018;6(3):1336-47.