Kariman Nourossadat, Simbar Masoumeh, Ahmadi Fazlollah, Vedadhir Abou Ali
Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
The Research Center for Safe Motherhood, Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Iran Red Crescent Med J. 2014 Feb;16(2):e13629. doi: 10.5812/ircmj.13629. Epub 2014 Feb 5.
Decision making for timing motherhood is one of the vital aspects of reproductive health. Separating sexual relationship from having a child has led to a different and unprecedented lifestyle in human history.
The objective of this study was to determine the socioeconomic and emotional factors predicting decision making for timing motherhood among Iranian women using the statistical softwares of IBM SPSS 21 and LISREL 8.8.
This cross-sectional study enrolled 820 primiparous women from different hospitals across the country using multistage random sampling method in 2013. The tools of the study were enrich marital satisfaction, socioeconomic status, perceived social support, hopefulness, and life regard index. The data was analyzed using SPSS 20 and LISREL 8.8.
The results revealed that among direct pathways, marital age (β = 0.62) was the most effective predictor of timing motherhood. The hopefulness had an inverse association with timing motherhood through inverse effect of marital satisfaction. Moreover, marital satisfaction (β = -0.09), perceived social support (β = -0.09), and life regard index (β = 0.01) had an inverse effect on timing motherhood. Marital satisfaction had a non-causal effect of 0.024.
Marital age, and socioeconomic status had a direct association, and hopefulness and marital satisfaction had an indirect one with Iranian women's decision for timing motherhood. Therefore, this is the responsibility of policy-makers and healthcare providers to advise women by providing appropriate interventions and facilities.
生育时机的决策是生殖健康的重要方面之一。将性关系与生育分开导致了人类历史上一种不同的、前所未有的生活方式。
本研究的目的是使用IBM SPSS 21和LISREL 8.8统计软件，确定预测伊朗女性生育时机决策的社会经济和情感因素。
本横断面研究于2013年采用多阶段随机抽样方法，从全国不同医院招募了820名初产妇。研究工具包括婚姻满意度、社会经济地位、感知社会支持、希望感和生活满意度指数。使用SPSS 20和LISREL 8.8对数据进行分析。
结果显示，在直接路径中，结婚年龄（β = 0.62）是生育时机最有效的预测因素。通过婚姻满意度的反向作用，希望感与生育时机呈负相关。此外，婚姻满意度（β = -0.09）、感知社会支持（β = -0.09）和生活满意度指数（β = 0.01）对生育时机有反向影响。婚姻满意度的非因果效应为0.024。
结婚年龄和社会经济地位与伊朗女性生育时机的决策有直接关联，希望感和婚姻满意度与生育时机的决策有间接关联。因此，政策制定者和医疗服务提供者有责任通过提供适当的干预措施和设施为女性提供建议。
