Volume 21, Issue 1 (4-2025)
J Health Syst Res 2025, 21(1): 54-63 |
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Research code: 4000827
Ethics code: IR.MUMS.REC.1401.222
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Forghani T, Shirin B, Rezaei-Sharif F, Zolfaghari H. Investigation of the Desire to Have Children and its Relationship with Health Literacy and Spiritual Health in Married Women of Fariman City, Iran. J Health Syst Res 2025; 21 (1) :54-63
URL: http://hsr.mui.ac.ir/article-1-1710-en.html
URL: http://hsr.mui.ac.ir/article-1-1710-en.html
1- Student Research Committee AND Department of Health Education and Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
2- Fariman Health Center, Mashhad University of Medical Sciences, Fariman, Iran
3- PhD Student, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
4- Student of Medicine, School of Medicine, Bojnurd University of Medical Sciences, Bojnurd, Iran
2- Fariman Health Center, Mashhad University of Medical Sciences, Fariman, Iran
3- PhD Student, Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
4- Student of Medicine, School of Medicine, Bojnurd University of Medical Sciences, Bojnurd, Iran
Abstract: (468 Views)
Background: The decrease in childbearing gradually pushes the age structure of the population out of youth and towards old age. This study aimed at investigating the desire to have children and its relationship with health literacy and spiritual health in married women of Fariman City, Iran, in 2023.
Methods: In this cross-sectional descriptive-analytical study, 357 married women were selected by multi-stage sampling method. Data were collected based on 4 questionnaires including demographic information, desire for fertility, health literacy, and spiritual health, and were analyzed using SPSS software and descriptive and analytical tests.
Findings: The average score of health literacy was 76.89 ± 23.16 (adequate), the average score of willingness to have children was 100.207 ± 12.77, and the average score of spiritual health was 72.53 ± 7.11 (moderate). The results did not show a significant relationship between health literacy and the desire to have children and spiritual health; however, there was a positive and significant relationship between the desire to have children and spiritual health (P = 0.042, r = 0.108). The variables of women's place of residence, education, and occupation had a significant relationship with spiritual health, and the variables of women's education and age had a significant relationship with health literacy (P < 0.001). The most important causes of delay in having children were expressed as economic factors (52.4%), personal factors (32.5%), and cultural factors (5.3%). There was a significant relationship between occupation, income, and education with unwillingness to have children (P < 0.001).
Conclusion: It seems that solving economic problems (employment and income level) as the most important reason for reluctance to have children can lead to an increase in having children. In order to achieve this goal, the joy of becoming a parent can be promoted through promoting spiritual health, and people's negative views on having more children can be corrected in various possible ways, and health interventions can be carried out to increase women's spiritual health.
Methods: In this cross-sectional descriptive-analytical study, 357 married women were selected by multi-stage sampling method. Data were collected based on 4 questionnaires including demographic information, desire for fertility, health literacy, and spiritual health, and were analyzed using SPSS software and descriptive and analytical tests.
Findings: The average score of health literacy was 76.89 ± 23.16 (adequate), the average score of willingness to have children was 100.207 ± 12.77, and the average score of spiritual health was 72.53 ± 7.11 (moderate). The results did not show a significant relationship between health literacy and the desire to have children and spiritual health; however, there was a positive and significant relationship between the desire to have children and spiritual health (P = 0.042, r = 0.108). The variables of women's place of residence, education, and occupation had a significant relationship with spiritual health, and the variables of women's education and age had a significant relationship with health literacy (P < 0.001). The most important causes of delay in having children were expressed as economic factors (52.4%), personal factors (32.5%), and cultural factors (5.3%). There was a significant relationship between occupation, income, and education with unwillingness to have children (P < 0.001).
Conclusion: It seems that solving economic problems (employment and income level) as the most important reason for reluctance to have children can lead to an increase in having children. In order to achieve this goal, the joy of becoming a parent can be promoted through promoting spiritual health, and people's negative views on having more children can be corrected in various possible ways, and health interventions can be carried out to increase women's spiritual health.
Type of Study: Research |
Subject:
education health and promotion
Received: 2023/12/14 | Accepted: 2024/05/20 | Published: 2025/04/4
Received: 2023/12/14 | Accepted: 2024/05/20 | Published: 2025/04/4
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