Volume 23, Issue 3 (9-2025)                   Nursing and Midwifery Journal 2025, 23(3): 55-62 | Back to browse issues page

Research code: A-10-4454-1
Ethics code: IR.UMSU.REC.1403.058


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Rabieepoor S, Ebrahimi M, Alinejad V, Rostami S. The Relationship Between Attitudes Toward Menstruation and Fertility Preferences Among Women Preparing for Marriage in Salmas, 2024: A Cross-Sectional Study. Nursing and Midwifery Journal 2025; 23 (3) :55-62
URL: http://unmf.umsu.ac.ir/article-1-5406-en.html
1- Department of Reproductive Health, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2- Department of Statistics and Epidemiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
3- School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran , saharrostami.04.60@gmail.com
Abstract:   (220 Views)
Background Population growth in Iran has fluctuated across decades; over the past two decades, the country’s fertility rate has remained below the replacement level (fewer than two children per woman). One of the key factors influencing future demographic trends and fertility levels is the childbearing preferences of individuals of reproductive age. Acceptance of motherhood, gender role attitudes, and attitudes toward menstruation are among the factors that may shape fertility preferences. This study aimed to examine the relationship between attitudes toward menstruation and fertility preferences among women preparing for marriage in 2024.
Methods This descriptive cross-sectional correlational study was conducted on 200 women preparing for marriage who attended the premarital counseling center in Salmas. Participants were selected through convenience sampling until the required sample size was reached. Data were collected using a personal information questionnaire, the Miller Fertility Preferences Questionnaire (1995), and the Morse Menstrual Attitude Questionnaire. Data analysis was performed using SPSS software, version 23.
Results The mean age of participants was 22.46 ± 6.31 years, and the mean score of menstrual attitude was 173.68 ± 8.1. More than 60% (63.5%) of the women reported a moderate desire for childbearing. Findings from the ANOVA test indicated no significant differences in menstrual attitude scores across any of the fertility preference items (p > 0.05).
Conclusion In this study, women preparing for marriage showed a relatively positive attitude toward menstruation; however, no significant association was found between menstrual attitudes and fertility preferences. It appears that fertility preferences may be shaped more by social and cultural influences than by biological attitudes. Strengthening reproductive health education during the premarital period may support more informed decision-making among couples regarding childbearing.

 
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Type of Study: Research | Subject: Midwifery

References
1. Mohammad Peikanpour, Sajjad Esmaeli, Nazila Yousefi, Ahmad Aryaeinezhad, Hamidreza Rasekh. A review of achievements and challenges of Iran's health transformation plan. Payesh 2018; 17 (5) :481-494. doi: 10.1016/j.jval.2018.09.1094. [DOI:10.1016/j.jval.2018.09.1094]
2. Erfani A JR, Kalantari A. Individualism and Fertility Intentions. Journal of Population Association of Iran. 2020;15:239-64. [google scholar]
3. Kaboudi M, Karim H, Ramezankhani A, Kaboudi B, Manouchehri H, Hajizadeh E. A survey on fertility trend of the women born in Kermanshah in‎ 1956-95‎. Journal of Clinical Research in Paramedical Sciences 2015;3(4):286-93.(Persian). [google scholar]
4. Motlagh ME, Taheri M, Eslami M. Factors affecting the fertility preferences in Iranian ethnic groups. Nursing And Midwifery Journal. 2016;14(6):485-95.(Persian). [google scholar]
5. Pezeshki MZ, Zeighami B, Miller WB. Measuring the childbearing motivation of couples referred to the Shiraz Health Center for premarital examinations. J Biosoc Sci. 2005;37(1):37-53. doi: 10.1017/S0021932003006485. [DOI:10.1017/S0021932003006485] [PMID]
6. Rabiepoor S, Valizadeh R, S. B. Study of Menstrual Attitudes and Knowledge among Postmenarcheal Students, in Urmia, North West of Iran. Int J Pediatr. 2017;5(5):4991-5001. doi: 10.22038/ijp.2017.21905.1831. [google scholar]
7. Beyeza-Kashesya J, Neema S, Ekstrom AM, Kaharuza F. "Not a Boy, Not a Child": A qualitative study on young people's views on childbearing in Uganda. Afr J Reprod Health. 2010;14(1). [google scholar]
8. Miller WB, Bard DE, Pasta DJ, Rodgers JL. Biodemographic modeling of the links between fertility motivation and fertility outcomes in the NLSY79. Demography. 2010;47(2):393-414. doi: 10.1353/dem.0.0107. [DOI:10.1353/dem.0.0107] [PMID] [PMCID]
9. McDonald P. Gender Equity in Theories of Fertility Transition. Popul Dev Rev. 2000;26:427-39. doi: 10.1111/j.1728-4457.2000.00427.x. [DOI:10.1111/j.1728-4457.2000.00427.x]
10. Hashimoto M, Nishiyama M, Nakae K, NODA T. The relationship between lifestyle and anxiety levels in adolescent girls. Japanese Journal of Health and Human Ecology. 2001;67(3):127-37. doi: 10.3861/jshhe.67.127. [DOI:10.3861/jshhe.67.127]
11. Mokhtari N, Salavati A, Azmoude E. The relationship between gender role and attitude toward menstruation with female sexual function: A cross-sectional study. Int J Reprod Biomed. 2020;18(10):847-54. doi: 10.18502/ijrm.v13i10.7769. [DOI:10.18502/ijrm.v13i10.7769] [PMID] [PMCID]
12. Çevirme AS, Cevirme H, Karaoğlu L, Uğurlu N, Korkmaz Y. The perception of menarche and menstruation among Turkish married women: Attitudes, experiences, and behaviors. Soc Behav Pers. 2010;38(3):381-93. doi: 10.2224/sbp.2010.38.3.381. [DOI:10.2224/sbp.2010.38.3.381]
13. Mohamadirizi S, Kordi M, Shakeri MT. The relationship between perimenstrual symptoms and menstrual attitude in high-school girls in Mashhad city in years 2011-2012. Iranian journal of obstetrics, gynecology, and infertility. 2012;15(8):25-31. [google scholar]
14. Anjum F, Zehra N, Haider G, Rani S, Siddique AA, Munir AA. Attitudes towards menstruation among young women. Pak J Med Sci. 2010;26(3):619-22. [URL]
15. Batres C, Perrett DI. Early menarche is associated with preference for masculine male faces and younger preferred age to have a first child. Evol Psychol. 2016;14(2):1474704916637876. doi: 10.1177/1474704916637876. [DOI:10.1177/1474704916637876] [PMCID]
16. Miller WB. Childbearing motivation and its measurement. J Biosoc Sci. 1995;27(4):473-87. doi: 10.1017/S0021932000023087. [DOI:10.1017/S0021932000023087] [PMID]
17. Niazi A, Moradi M, Nouravaran Feizabadi M, Ghasemi Assal S, Bashiri M, Salehi F. Investigating the motivation of students of Lorestan University of Medical Sciences to have children. Navid No. 2023;25(84):44-56. [google scholar]
18. Khadivzadeh T, Arghavani E, Shakeri MT. Relationship between fertility motivations and preferences in couples. Iranian journal of obstetrics, gynecology, and infertility. 2014;17(114):8-18. [google scholar]
19. Morse JM, D. Kieren, and J. Bottorff. The adolescent menstrual attitude questionnaire, part I: Scale construction. Health Care Women Int. 1993;14(1):39-62. https://doi.org/10.1080/07399339309516025 [DOI:10.1080/07399339309516026] [PMID]
20. Rabiepoor S. Sexual health textbook. Tehran: Heydari; 2020.
21. Wong LP, Khoo EM. Menstrual-related attitudes and symptoms among multi-racial Asian adolescent females. Int J Behav Med. 2011;18:246-53. doi: 10.1007/s12529-010-9091-z. [DOI:10.1007/s12529-010-9091-z] [PMID]
22. Kissling EA, & Chang, Y. A cross-cultural analysis of menstrual attitudes in the 21st century. Soc Sci Med. 2023;320:115688. [google scholar]
23. Ameade EPK, Garti HA. Relationship between female university students' knowledge on menstruation and their menstrual hygiene practices: a study in Tamale, Ghana. Adv Prev Med. 2016;2016(1):1056235. doi: 10.1155/2016/1056235. [DOI:10.1155/2016/1056235] [PMID] [PMCID]
24. Abbasi E, Sadr A, Rest M, Mohamed Khan Kermanshahi S. Knowledge, attitude and practice of female high school students in Ilam province in relation to personal hygiene (Hygiene during Menstruation). Psychological Achievements. 2013;20(2):93-116. [google scholar]
25. shobeiri F, ebrahimi r, ezzati araste poor f, nazari m. The Effect of Group Education on Symptoms Associated with Premenstrual Syndrome in University Female Students of Medical Sciences. Nursing and Midwifery Journal. 2016;14(3):263-70. [google scholar]
26. Motlagh ME, Taheri M, Eslami M, nasrollapour shirvani sD. Factors Affecting the Fertility Preferences in Iranian Ethnic Groups. Nursing and Midwifery Journal. 2016;14(6):485-95. [google scholar]
27. Tavousi M, Motlagh ME, Eslami M, Haerimehrizi A, Hashemi A, Montazeri A. Fertility desire and its correlates: a pilot study among married citizens living in Tehran, Iran. Payesh. 2015;14(5):697-702. [google scholar]
28. Hosseini H, Bagi B. Study of fertility desires of Kurdish women in city of Mahabad. Women's Strategic Studies. 2013;15(58):121-61. [google scholar]
29. Enayat H, Parnian L. The study of cultural globalization and tendency to fertility. Sociology of Women. 2013;4(2):109-36. [google scholar]
30. Kiyanpour N, Rahman Zadeh SA, Hashem Zehi N. Factors affecting childbearing with an emphasis on virtual social networks. The Women and Families Cultural-Educational. 2023;18(64). [google scholar]
31. Johnston-Robledo I, Sheffield K, Voigt J, Wilcox-Constantine J. Reproductive shame: Self-objectification and young women's attitudes toward their reproductive functioning. Women Health. 2007;46(1):25-39. doi: 10.1300/J013v46n01_03. [DOI:10.1300/J013v46n01_03] [PMID]
32. Ramazani A, Faraji A, Fatemi M, Solooki M. The Effects of Pre-marriage Education and Consultation on Knowledge and Attitude of Couples Regarding to Reproductive Health. Tolooebehdasht. 2013;11(3):56-65. [google scholar]

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