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Reproductive intentions and knowledge of age-related fertility among Swedish upper secondary school students: A
Helena Tern1, Emma Flivik2, Hanna L Tern2
1Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 117, Lund, SE-221 00, Sweden.
Objective:
To investigate Swedish upper secondary school students' reproductive intentions and knowledge of age-related fertility.
Methods:
A quantitative cross-sectional study was conducted using a web-based survey among upper secondary school students aged 18-20 years from 15 schools in Skåne County, Sweden. A total of 140 participants were included.
Results:
Most participants (79%) reported wanting children in the future, whereas 9% did not and 12% were uncertain. The majority preferred to have two children. Participants demonstrated adequate knowledge regarding peak female fertility. However, confidence in the likelihood of pregnancy at advanced reproductive age and through assisted reproductive technologies was high, and the duration of female fertility was overestimated. Stable relationships, shared parental responsibility, financial stability, and emotional maturity were identified as important factors in decisions regarding parenthood. Women placed greater importance than men on having employment compatible with parenthood.
Conclusion:
Participants demonstrated knowledge gaps regarding age-related fertility decline and success rates in assisted reproduction. These findings highlight the importance of improving fertility awareness and reproductive health education to support informed reproductive decision-making.
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