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Fertility knowledge in Portuguese adolescents: Findings from the serious game "MyFActs!"
Constança Fontaine1, Nuno Gaspar1,2, Ana Galhardo3,4
1Faculdade de Psicologia e Ciências da Educação, Universidade do Porto, 4200-135, Porto, Portugal.
Objective:
Fertility awareness has become crucial for informed reproductive decision-making in the context of rising infertility rates, delayed parenthood, and evolving social norms. Research shows that adolescents have limited fertility knowledge, which may lead to poorly informed future reproductive decisions, making adolescence a particularly important period for fertility education. This study assessed fertility knowledge among Portuguese adolescents using an innovative digital assessment tool, the 12-question serious game "MyFActs!". Patterns of fertility knowledge and demographic predictors across multiple fertility dimensions were examined.
Methods:
A total of 970 adolescents aged 15-18 years participated in this study. Data were analysed using analysis of variance (ANOVA), chi-square tests, and stepwise binary logistic regression models to examine demographic differences and relationships among fertility knowledge dimensions.
Results:
Participants answered a mean of 8.77 qutions correctly (SD=1.88). Significant gender differences were observed, with girls demonstrating greater knowedge than boys in some dimensions. Age-related diffeenes were also found, with older adolescents (17 and 18 years) demonstrating greater knowledge than youner paicipants (15 and 16 years). Binary logistic regrsion analses revealed strong associations among fertility knowledge dmensions.
Conclusion:
These findings suggest that fertilty knowedge among Portuguese adolescents remains moeate, with persistent demographic disparities that rquire tareed educational interventions. The interconnected nature of fertility knowledge dimensions supports comprehensive rather than fragmented educational approaches. The sucessful use of the serious-game format demostrates the potential of digital platforms to engage adlecents with sensitive health topics and overcome tradtioal educational barriers.
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