NeJhaddadgar Nazila, Ziapour Arash, Jafarzadeh Mohammad, Ezzati Farahnaz, Rezaei Farshid, Darabi Fatemeh
Social Determinants of Health Research Center Ardabil University of Medical Sciences Ardabil Iran.
Cardiovascular Research Center, Health Institute, Imam-Ali Hospital Kermanshah University of Medical Sciences Kermanshah Iran.
Health Sci Rep. 2023 Oct 4;6(10):e1606. doi: 10.1002/hsr2.1606. eCollection 2023 Oct.
Reluctance to childbearing and then the reduction of the total fertility rate are common experiences of developed countries and many developing countries, including Iran, therefore, the purpose of this study was explaining barriers to childbearing using the risk communication and community engagement (RCCE) strategy.
The study was conducted by action research and according to RCCE during 9 months in Ardabil city. The statistical population consisted of 41 married women aged 15-54 who were eligible for childbearing, these women were purposefully selected from among the people covered by Ardabil health centers and interviewed. Data were collected using open and in-depth interviews by the researcher and analyzed by content analysis.
The results of data analysis led to the extraction of three main categories, personal, familial, and social barriers. The "personal barriers" category was classified into three subcategories, namely mental, belief, and awareness barriers, the "familial barriers" category was classified into two subcategories, namely social and financial barriers, and the "social barriers" category was classified into two subcategories, political and managerial barriers.
According to the results, a set of personal, familial, and social factors could affect childbearing among married women. Identification of these factors can play an effective role in designing educational and managerial programs.
不愿生育进而导致总和生育率下降是包括伊朗在内的发达国家和许多发展中国家的普遍现象，因此，本研究旨在运用风险沟通与社区参与（RCCE）策略解释生育的障碍因素。
本研究采用行动研究法，依据RCCE策略在阿尔达比勒市开展了为期9个月的研究。统计人群包括41名年龄在15 - 54岁之间有生育资格的已婚女性，这些女性是从阿尔达比勒市健康中心覆盖人群中有目的地选取并进行访谈的。数据通过研究者进行的开放式深入访谈收集，并采用内容分析法进行分析。
数据分析结果提炼出了三大类障碍因素，即个人、家庭和社会障碍。“个人障碍”类别分为三个子类别，即心理、信仰和认知障碍；“家庭障碍”类别分为两个子类别，即社会和经济障碍；“社会障碍”类别分为两个子类别，即政治和管理障碍。
根据研究结果，一系列个人、家庭和社会因素会影响已婚女性的生育情况。识别这些因素对设计教育和管理项目可发挥有效作用。
