Sheidanik Sepideh, Savabi-Esfahani Mitra, Shahverdi-Asadabadi Zohreh
Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2022 Jan 25;27(1):18-23. doi: 10.4103/ijnmr.IJNMR_450_20. eCollection 2022 Jan-Feb.
The birth of a child with an intellectual disability is a common event. The fertility desire plays an important role in healthy reproductive programs. This study was conducted to compare the fertility desire and related factors in mothers with intellectually disabled and healthy children.
The present study was a descriptive, cross-sectional study. The sample size consisted of 348 mothers with healthy and intellectually disabled children (174 per group). Sampling was performed at normal (six schools) and special primary schools (twelve schools) in Isfahan, Iran using stratified random sampling method. Attitude, subjective norms, perceived behavior control, and gender preference were assessed using a researcher-made questionnaire and psychological well-being using Ryff questionnaire. Data were analyzed by descriptive statistics, Independent -test, Mann-Whitney U test, Chi-square test, and Logistic regression using SPSS 24.
In this study, 21.84% of mothers with healthy children and 13.79% of mothers with intellectually disabled children were willing to have other children. The fertility desire in mothers with intellectually disabled and healthy children decreased as their numbers of children (CI 95% =0.14-0.42) and age increased (CI 95% =0.80-0.93) by 0.87 and 0.24, respectively. There was statistically significant difference in mean score of psychological well-being between the two groups of mothers with fertility desire ( = 0.017). There was no statistically significant difference in mean score of attitude, subjective norms, perceived behavior control, and gender preference ( > 0.05).
Apparently the awareness of fertility desire and related factors in mothers with healthy and intellectually disabled children may be helpful in healthy fertility counseling.
生育一名智障儿童是常见事件。生育意愿在健康生殖计划中起着重要作用。本研究旨在比较智障儿童母亲和健康儿童母亲的生育意愿及相关因素。
本研究为描述性横断面研究。样本量包括348名智障儿童母亲和健康儿童母亲（每组174名）。采用分层随机抽样方法，在伊朗伊斯法罕的普通小学（6所）和特殊小学（12所）进行抽样。使用研究者编制的问卷评估态度、主观规范、感知行为控制和性别偏好，使用Ryff问卷评估心理健康。数据采用描述性统计、独立样本t检验、曼-惠特尼U检验、卡方检验，并使用SPSS 24进行逻辑回归分析。
在本研究中，21.84%的健康儿童母亲和13.79%的智障儿童母亲愿意再生育。智障儿童母亲和健康儿童母亲的生育意愿随着孩子数量（95%CI =0.14 - 0.42）和年龄（95%CI =0.80 - 0.93）分别增加0.87和0.24而降低。两组有生育意愿的母亲在心理健康平均得分上存在统计学显著差异（P = 0.017）。在态度、主观规范、感知行为控制和性别偏好的平均得分上无统计学显著差异（P > 0.05）。
显然，了解健康儿童母亲和智障儿童母亲的生育意愿及相关因素可能有助于进行健康的生育咨询。
