International Journal of
Reproductive Biomedicine
Sun, Dec 22, 2024
[Archive]
Volume 21, Issue 1 (January 2023)
IJRM 2023, 21(1): 43-52 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Banaei M, Kariman N, Sharif Nia H, Mokhtarian-Gilani T. The role of the Coronavirus pandemic on childbearing intentions in Iranian women based on path analysis: A cross-sectional study. IJRM 2023; 21 (1) :43-52
URL: http://ijrm.ir/article-1-2501-en.html
URL: http://ijrm.ir/article-1-2501-en.html
1- Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
2- Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,n_kariman@yahoo.com
3- Traditional and Complementary Medicine Research Center, Addiction Institute, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
4- Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,
3- Traditional and Complementary Medicine Research Center, Addiction Institute, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
4- Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract: (1014 Views)
Background: The Coronavirus disease (COVID-19) may lead to couples not being physically and mentally ready to assume a parenting role.
Objective: Given the changes in reproductive behaviors and the lack of accurate information about childbearing factors during the Coronavirus pandemic, this study was conducted to investigates the role of the COVID-19 pandemic in Iranian couples’ childbearing intentions based on the theory of planned behavior model.
Materials and Methods: This cross-sectional study was conducted on 400 married Iranian women from July to October 2020 using official online popular social networks. Data were collected using a demographic checklist and the researcher-made questionnaire, which was designed based on the main constructs of the planned behavior model.
Results: Testing the indirect relationships of the mediation model effect showed a positive relationship between knowledge (β = 0.226, p < 0.001) and subjective norms (β = 0.155, p = 0.001) about COVID-19. Anxiety about COVID-19 mediated the relationship of knowledge (β = 0.105, p = 0.009), attitude (β = -0.125, p = 0.002), subjective norms (β = 0.238, p < 0.001), and perceived behavioral control (β = 0.513, p < 0.001) about COVID-19 with childbearing intentions.
Conclusion: The results showed that COVID-19-induced anxiety can affect the relationship between the components of the theory of planned behavior model and childbearing intentions. Therefore, it is suggested that by designing appropriate interventions through anxiety-reducing and relaxation techniques, a fundamental step can be taken in increasing childbearing desires.
Objective: Given the changes in reproductive behaviors and the lack of accurate information about childbearing factors during the Coronavirus pandemic, this study was conducted to investigates the role of the COVID-19 pandemic in Iranian couples’ childbearing intentions based on the theory of planned behavior model.
Materials and Methods: This cross-sectional study was conducted on 400 married Iranian women from July to October 2020 using official online popular social networks. Data were collected using a demographic checklist and the researcher-made questionnaire, which was designed based on the main constructs of the planned behavior model.
Results: Testing the indirect relationships of the mediation model effect showed a positive relationship between knowledge (β = 0.226, p < 0.001) and subjective norms (β = 0.155, p = 0.001) about COVID-19. Anxiety about COVID-19 mediated the relationship of knowledge (β = 0.105, p = 0.009), attitude (β = -0.125, p = 0.002), subjective norms (β = 0.238, p < 0.001), and perceived behavioral control (β = 0.513, p < 0.001) about COVID-19 with childbearing intentions.
Conclusion: The results showed that COVID-19-induced anxiety can affect the relationship between the components of the theory of planned behavior model and childbearing intentions. Therefore, it is suggested that by designing appropriate interventions through anxiety-reducing and relaxation techniques, a fundamental step can be taken in increasing childbearing desires.
Type of Study: Original Article |
Subject:
Reproductive Physiology
References
1. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun 2020; 109: 102433. [DOI:10.1016/j.jaut.2020.102433] [PMID] [PMCID]
2. Xiang Y-T, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020; 7: 228-229. [DOI:10.1016/S2215-0366(20)30046-8] [PMID]
3. Oshrieh Z, Tehranian N, Ebrahimi E, Keramat A, Hassani M, Kharaghani R. Childbearing intention and its associated factors among adolescent girls: A narrative review. Iran J Nurs Midwifery Res 2019; 25: 7-11. [DOI:10.4103/ijnmr.IJNMR_180_18] [PMID] [PMCID]
4. Cascella M, Rajnik M, Cuomo A, Dulebohn SC, Di Napoli R. Features, evaluation and treatment coronavirus (COVID-19). Treasure Island (FL): Stat Pearls Publishing; 2020.
5. Micelli E, Cito G, Cocci A, Polloni G, Russo GI, Minervini A, et al. Desire for parenthood at the time of COVID-19 pandemic: An insight into the Italian situation. J Psychosom Obstet Gynecol 2020; 41: 183-190. [DOI:10.1080/0167482X.2020.1759545] [PMID]
6. Banaei M, Ghasemi V, Saei Ghare Naz M, Kiani Z, Rashidi-Fakari F, Banaei S, et al. Obstetrics and neonatal outcomes in pregnant women with COVID-19: A systematic review. Iran J Public Health 2020; 49: 38-47. [DOI:10.18502/ijph.v49iS1.3668] [PMID] [PMCID]
7. Fan C, Lu W, Li K, Ding Y, Wang J. ACE2 expression in kidney and testis may cause kidney and testis infection in COVID-19 patients. Front Med 2021; 7: 563893. [DOI:10.3389/fmed.2020.563893] [PMID] [PMCID]
8. He Y, Wang J, Ren J, Zhao Y, Chen J, Chen X. Effect of COVID-19 on male reproductive system: A systematic review. Front Endocrinol 2021; 12: 677701. [DOI:10.3389/fendo.2021.677701] [PMID] [PMCID]
9. Bachrach CA, Morgan SP. A cognitive-social model of fertility intentions. Popul Dev Rev 2013; 39: 459-485. [DOI:10.1111/j.1728-4457.2013.00612.x] [PMID] [PMCID]
10. Pan L, Zhang X, Wang S, Zhao N, Zhao R, Ding B, et al. Determinants associated with self-management behavior among type 2 diabetes patients in China: A structural equation model based on the theory of planned behavior. Int J Clin Health Psychol 2023; 23: 100332. [DOI:10.1016/j.ijchp.2022.100332] [PMID] [PMCID]
11. Caplescu R. Using the theory of planned behaviour to study fertility intentions in Romania. Procedia Economics and Finance 2014; 10: 125-133. [DOI:10.1016/S2212-5671(14)00285-8]
12. Drążkowski D, Trepanowski R. Reactance and perceived disease severity as determinants of COVID-19 vaccination intention: An application of the theory of planned behavior. Psychol Health Med 2022; 27: 2171-2178. [DOI:10.1080/13548506.2021.2014060] [PMID]
13. Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J Psychiatr 2020; 51: 102083. [DOI:10.1016/j.ajp.2020.102083] [PMID] [PMCID]
14. Peterson BD, Pirritano M, Tucker L, Lampic C. Fertility awareness and parenting attitudes among American male and female undergraduate university students. Hum Reprod 2012; 27: 1375-1382. [DOI:10.1093/humrep/des011] [PMID]
15. Ajzen I, Klobas J. Fertility intentions: An approach based on the theory of planned behavior. Demographic Research 2013; 29: 203-232. [DOI:10.4054/DemRes.2013.29.8]
16. Li X, Fan Y, Assanangkornchai S, McNeil EB. Application of the theory of planned behavior to couples' fertility decision-making in Inner Mongolia, China. PloS One 2019; 14: e0.221526. [DOI:10.1371/journal.pone.0221526] [PMID] [PMCID]
17. Williamson LEA, Lawson KL. Young women's intentions to delay childbearing: A test of the theory of planned behaviour. Journal of Reproductive and Infant Psychology 2015; 33: 205-213. [DOI:10.1080/02646838.2015.1008439]
18. Mencarini L, Vignoli D, Gottard A. Fertility intentions and outcomes: Implementing the theory of planned behavior with graphical models. Adv Life Course Res 2015; 23: 14-28. [DOI:10.1016/j.alcr.2014.12.004] [PMID]
19. Vignoli D, Bazzani G, Guetto R, Minello A, Pirani E. Uncertainty and narratives of the future: A theoretical framework for contemporary fertility. In: Schoen R. Analyzing contemporary fertility. Cham: Springer; 2020. [DOI:10.1007/978-3-030-48519-1_3]
20. Malicka I, Mynarska M, Świderska J. Perceived consequences of the COVID-19 pandemic and childbearing intentions in Poland. J Fam Res 2021; 33: 674-702. [DOI:10.20377/jfr-666]
21. Söderberg M, Christensson K, Lundgren I, Hildingsson I. Women's attitudes towards fertility and childbearing - A study based on a national sample of Swedish women validating the attitudes to fertility and childbearing scale (AFCS). Sex Reprod Healthc 2015; 6: 54-58. [DOI:10.1016/j.srhc.2015.01.002] [PMID]
22. Zare Z, Saffari E, Kiaee Tabar R. [Fertility motivations and their relation with attitude towards government incentives for childbearing in women of reproductive age]. J Mazandaran Univ Med Sci 2018; 28: 104-114. (in Persian)
23. Shin H, Lee J, Kim SJ, Jo M. Attitudes towards parenthood and fertility awareness in female and male university students in South Korea. Child Health Nurs Res 2020; 26: 329-337. [DOI:10.4094/chnr.2020.26.3.329] [PMID] [PMCID]
24. Barber JS. Ideational influences on the transition to parenthood: Attitudes toward childbearing and competing alternatives. Social Psychology Quarterly 2001; 64: 101-127. [DOI:10.2307/3090128]
25. Yassa M, Birol P, Yirmibes C, Usta C, Haydar A, Yassa A, et al. Near-term pregnant women's attitude toward, concern about and knowledge of the COVID-19 pandemic. J Matern Fetal Neonatal Med 2020; 33: 3827-3834. [DOI:10.1080/14767058.2020.1763947] [PMID]
26. Voicu M, Bădoi D. Fertility and the COVID-19 crisis: Do gender roles really matter? European Societies 2021; 23 (Suppl.): S199-S214. [DOI:10.1080/14616696.2020.1822537]
27. Liu X, Chen M, Wang Y, Sun L, Zhang J, Shi Y, et al. Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID‐19 outbreak: A cross‐sectional study. BJOG 2020; 127: 1229-1240. [DOI:10.1111/1471-0528.16381] [PMID] [PMCID]
28. Sögüt S, Dolu İ, Cangöl E. The relationship between COVID‐19 knowledge levels and anxiety states of midwifery students during the outbreak: A cross‐sectional web‐based survey. Perspect Psychiatr Care 2021; 57: 246-252. [DOI:10.1111/ppc.12555] [PMID] [PMCID]
29. Bäuerle A, Teufel M, Musche V, Weismüller B, Kohler H, Hetkamp M, et al. Increased generalized anxiety, depression and distress during the COVID-19 pandemic: A cross-sectional study in Germany. J Public Health 2020; 42: 672-678. [DOI:10.1093/pubmed/fdaa106] [PMID] [PMCID]
30. Nandi A, Mazumdar S, Behrman JR. The effect of natural disaster on fertility, birth spacing, and child sex ratio: Evidence from a major earthquake in India. Journal of Population Economics 2018; 31: 267-293. [DOI:10.1007/s00148-017-0659-7]
31. Favre G, Pomar L, Musso D, Baud D. 2019-nCoV epidemic: What about pregnancies? Lancet 2020; 395: e40. [DOI:10.1016/S0140-6736(20)30311-1] [PMID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
