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Factors Affecting Decision-Making to Have Children in Iran: A Qualitative Study
Shirin Shahbazi Sighaldeh1,2, Sakineh Taherkhani3, Fatemeh Bakouei4
1Midwifery and Reproductive Health Department, School of Nursing and Midwifery Tehran Universities of Medical Sciences Tehran Iran.
Health Science Reports
|June 15, 2026
Summary
Childbearing decisions in Iran are influenced by individual, social, economic, and political factors, not just personal choice. Policies should adopt a comprehensive approach, focusing on positive perceptions to support fertility choices.
Area of Science:
- Sociology
- Demography
- Public Health
Background:
- Fertility decisions are complex, influenced by cultural norms and economic conditions.
- Childbearing choices impact individuals, families, and societies.
- This study explores factors influencing childbearing decisions in Iran.
Purpose of the Study:
- To examine components influencing childbearing decisions among women and spouses in Iran.
- To understand personal and shared experiences shaping fertility choices.
- To analyze the interplay of diverse factors on reproductive decisions.
Main Methods:
- Conventional content analysis of face-to-face interviews.
- 64 participants (60 women, 4 husbands) from 7 Iranian cities.
- Thematic analysis of interview data using MAXQDA software.
Main Results:
- Six key categories emerged: individual perceptions, social/cultural factors, lifestyle changes, religious/political beliefs, financial empowerment, and policy support.
- Childbearing decisions result from a complex interplay of these factors.
- Factors can simultaneously facilitate or inhibit decisions based on individual interpretation.
Conclusions:
- Fertility decisions are not solely personal but are shaped by a multidimensional interplay of factors.
- Individual perceptions critically influence how these factors are interpreted.
- Comprehensive, multidimensional fertility policies are recommended, emphasizing positive mindsets.
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