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Updated: May 13, 2026

Breakfast Habits among Schoolchildren in the City of Uruguaiana, Brazil
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The Fertility Belief Questionnaire: A Reliability and Validity Study Among a South African Sample.

Siphesihle Mhlanga1, Florence Naab2, Rizwana Roomaney3

  • 1Department of Psychology, Stellenbosch University, Stellenbosch, South Africa snmhlanga@sun.ac.za mhlangasiphesihlen@gmail.com.

Journal of Nursing Measurement
|May 11, 2026
PubMed
Summary

This study adapted the Fertility Belief Questionnaire (FBQ) for South African fertility patients. The revised 23-item FBQ showed acceptable reliability, offering a new tool for assessing fertility beliefs.

Keywords:
adult healthculture/cultural competencyfactor analysisfertility beliefsreilability analysis

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Area of Science:

  • Reproductive Health
  • Psychometrics
  • African Health Systems

Background:

  • Fertility beliefs significantly influence family planning, reproductive health decisions, and gender roles.
  • A scarcity of validated psychometric tools exists for measuring fertility beliefs in African populations.

Purpose of the Study:

  • To evaluate the psychometric properties of the Fertility Belief Questionnaire (FBQ).
  • To adapt and validate the FBQ for use within a South African context.

Main Methods:

  • A cross-sectional study design was employed.
  • Participants were recruited from two fertility clinics.
  • Reliability and factor analyses, including confirmatory factor analysis (CFA) and exploratory factor analysis (EFA), were conducted on the FBQ.

Main Results:

  • The original five-factor structure of the FBQ did not fit the South African data well (CFA results).
  • Exploratory factor analysis identified a revised 23-item FBQ with five subscales: consequences, hope for recovery, illness coherence, personal control, and impact.
  • The revised composite scale exhibited acceptable reliability (Cronbach's alpha = .77).

Conclusions:

  • The adapted FBQ differs from the original 30-item version.
  • The revised FBQ demonstrates potential as a psychometric tool for fertility beliefs in South Africa.
  • Future research should assess the test-retest reliability and convergent validity of the adapted FBQ.