Attitudes toward fertility and childbearing among female University students

Main Article Content

Derya Yüksel KOÇAK
Nuriye Büyükkayacı Duman
Rukiye HOBEK AKARSU

Abstract

BACKGROUND
In recent years, there has been a significant decrease in childbearing rates in many parts of the world. Young people who delay their marriage plans for various reasons also indirectly delay their childbearing to advanced ages. Postponed childbearing may lead to increased health risks for both mother and child. This study aimed to determine attitude towards fertility and childbearing in female university students.


METHODS
This cross-sectional study involved 259 female university students. The data were collected with Attitudes Toward Fertility and childbearing Scale (AFCS). Data were analyzed using t test and one-way ANOVA.


RESULTS
In the study 92.7% of the students wanted to become a future mother. The importance of fertility for the future mean score of the students with low income level (21.56±8.14) was found to be lower than the students with medium (25.80±6.51) and high income level (25.29±4.37) (p<0.05). The importance of fertility for the future mean score of only-child students (22.57±7.09) was lower than that of the other students (25.82±6.45). The importance of fertility for the future mean score of the students who did not have a date was also found to be lower than the students who had a date (p<0.05).


CONCLUSION
In the study, students with a low income level, who are an only child and who do not have a date during the study care less about fertility for the future. Also, students with a single-parent family, with siblings, and no previous sexual intercourse identify childbearing more with female identity.

Article Details

How to Cite
KOÇAK, D. Y. ., Büyükkayacı Duman, N., & HOBEK AKARSU, R. (2023). Attitudes toward fertility and childbearing among female University students. Universa Medicina, 42(2), 195–205. https://doi.org/10.18051/UnivMed.2023.v42.195-205
Section
Original Articles

References

United Nations Department of Economic and Social Affairs Population Division. World fertility and family planning 2020: highlights. New York: United Nations Department of Economic and Social Affairs Population Division; 2020.

Hacettepe University Population Studies Institute. Turkey demographic and health survey 2017. Ankara: Hacettepe University; 2018. Turkish.

United Nations Department of Economic and Social Affairs Population Division. World population prospects: the 2012 revision: highlights and advance tables. New York: United Nations Department of Economic and Social Affairs Population Division; 2013.

Pedro J, Brandão T, Schmidt L, Costa ME, Martins MV. What do people know about fertility? A systematic review on fertility awareness and its associated factors. Ups J Med Sci 2018;123:71-81. doi: 10.1080/03009734.2018.1480186.

Budgeon S. Individualized femininity and feminist politics of choice. European J Women’s Studies 2015;22:303-18. https://doi.org/10.1177/135050681557660.

Mills M, Rindfuss RR, McDonald P, Te Velde E. Why do people postpone parenthood? Reasons and social policy incentives. Hum Reprod Update 2011;17:848-60. doi: 10.1093/humupd/dmr026.

Delbaere I, Verbiest S, Tydén T. Knowledge about the impact of age on fertility: a brief review. Ups J Med Sci 2020;125:167-174. doi: 10.1080/03009734. 2019.1707913.

Söderberg M, Lundgren I, Christensson K, Hildingsson I. Attitudes toward fertility and childbearing scale: an assessment of a new instrument for women who are not yet mothers in Sweden. BMC Pregnancy Childbirth 2013;13:197. https://doi.org/10.1186/1471-2393-13-197.

Chan CHY, Chan THY, Peterson BD, Lampic C, Tam MYJ. Intentions and attitudes towards parenthood and fertility awareness among Chinese university students in Hong Kong: a comparison with Western samples. Hum Reprod 2015;30:364-72. doi: 10.1093/humrep/deu324.

Hickman LC, Fortin C, Goodman L, Liu X, Flyckt R. Fertility and fertility preservation: knowledge, awareness and attitudes of female graduate students. Eur J Contracept Reprod Health Care 2018;23:130-8. doi: 10.1080/13625187.2018. 1455085.

Myrskylä M, Margolis R. Happiness: before and after the kids. Demography 2014;51:1843-66. doi: 10.1007/s13524-014-0321-x.

Sørensen NO, Marcussen S, Backhausen MG, et al. Fertility awareness and attitudes towards parenthood among Danish university college students. Reprod Health 2016;13:146. doi: 10.1186/s12978-016-0258-1.

Garcia D, Brazal S, Rodriguez A, Prat A, Vassena R. Knowledge of age-related fertility decline in women: a systematic review. Eur J Obstet Gynecol Reprod Biol 2018;230:109-18. doi: 10.1016/j.ejogrb.2018.09.030.

Arslan S, Okcu G, Coþkun A, Temiz F. Women’s perception of pregnancy and the affecting factors. HSP 2019;6:179-92. doi: 10.17681/hsp. 432333.

Gemicioðlu S, Þahin H, Emrah ER. Türkiye’de Doðurganlýk Analizi: Gelecekteki Doðurganlýk Tercihlerinin Önemi. Sosyoekonomi 2019;27:223-34.

Aºci Ö, Gökdemir F, Altuntaº G. Views of nursing students regarding having children and their status of liking children. Int Refer J Nurs Res 2017;10:18-35. doi: 10.17371/UHD2017.2.02.

Tydén T, Svanberg AS, Karlström PO, Lihoff L, Lampic C. Female university students’ attitudes to future motherhood and their understanding about fertility. Eur J Contracept Reprod Health Care 2006;11:181-9. doi: 10.1080/13625180600557803.

Akoku DA, Achombwom Vukugah T, Abena Tihnje M, Bigweh Nzubepie I. Childbearing intentions, fertility awareness knowledge and contraceptive use among female university students in Cameroon. PLoS ONE 2022;17: e0276270. https://doi.org/10.1371/journal.pone. 0276270.

Damar E. The validity and reliability study of the Turkish version of the attitudes toward fertility and childbearing scale (AFCS). Manisa Celal Bayar University. 2019.

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 cale (AFCS). Sex Reprod Healthc 2018;6:54-8. doi: 10.1016/j.srhc. 2015.01.002.

Prior E, Lew R, Hammarberg K, Johnson L. Fertility facts, figures and future plans: an online survey of university students. Hum Fertil (Cam) 2018; 22:283-90. doi:10.1080/14647273.2018.1482569.

Stevenson EL, Gispanski L, Fields K, Cappadora M, Hurt M. Knowledge and decision making about future fertility and oocyte cryopreservation among young women. Hum Fertil (Cam) 2021;24: 112-21. https://doi.org/10.1080/14647273.2018. 1546411.

Alfaraj S, Aleraij S, Morad S, et al. Fertility awareness, intentions concerning childbearing, and attitudes toward parenthood among female health professions students in Saudi Arabia. Int J Health Sci (Qassim) 2019;13:34.

Asci O, Gökdemir F. Adaptation of attitudes toward fertility and childbearing scale to Turkish. Kocaeli Med J 2021;10:194-205. doi: 10.5505/ktd.2021.48902.

Pimal N, Gürsoy E. Üniversite Öðrencilerinin Gelecekte Çocuk Sahibi Olmaya Ýliþkin Düþünceleri ve Etkileyen Faktörler. Dokuz Eylül Üniversitesi Hemþirelik Fakültesi Elektronik Dergisi 2020;13:148-59. https://doi.org/10.46483/deuhfed.675721.

Koçyiðit OT. Ýnfertilite ve sosyo-kültürel etkileri. Ýnsanbilim dergisi 2012;1:27-37.

Kostak MA. Hemþirelik ve ebelik öðrencilerinin çocuk sevme durumlari, çocuk saðliði ve hastaliklari hemþireliði dersinin çocuk sevme durumlarina etkisi ve etkileyen faktörler. Cumhuriyet Hemþirelik Dergisi 2013;2:50-6.

Eriksson C, Larsson M, Tydén T. Reflections on having children in the future—interviews with highly educated women and men without children. Upsala J Med Sci 2012;117:328-35. https://doi.org/10.3109/03009734.2012.654862.

Ciritel AA, De Rose A, Arezzo MF. Childbearing intentions in a low fertility context: the case of Romania. Genus 2019;75:1-25. doi: 10.1186/s41118-018-0046-6.

Hurley EG, Ressler IB, Young S, et al. Postponing childbearing and fertility preservation in young professional women. South Med J 2018;111:187-91. doi: 10.14423/SMJ.0000000000000789.

Williamson LE, Lawson KL, Downe PJ, Pierson RA. Informed reproductive decision-making: the impact of providing fertility information on fertility knowledge and intentions to delay childbearing. J Obstet Gynaecol Canada 2014;36:400-5. https://doi.org/10.1016/S1701-2163(15)30585-5.

Bektas M, Ayar D, Bektas Ý, Selekoglu Y, Kudubes A, Altan S. Determining the factors that influence nursing students’ affection for children. J Pediatr Res 2015;2:37-41. doi: 10.4274/jpr.47966.