Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1402
7
1
gregorian
2023
10
1
29
3
online
1
fulltext
fa
تبیین مؤلفه های تعیین کننده تصمیم گیری فرزندآوری در زنان و مردان سنین باروری: یک مطالعه کیفی
Exploring the determinants of childbearing decision-making among women and men of reproductive age: A qualitative study
مراقبتهاي مامايي
Midwifery Care
كاربردي
Applicable
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">زمینه و هدف: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">در طی سال‏های اخیـر، تغییرات گسترده‏ای در روند فرزندآوری خـانواده‏ها ایجـاد شـده، به‏طوری که تمایل به فرزندآوری و داشتن فرزندان بیش‏تر در میان خانواده‏های ایرانی با کاهش چشمگیری مواجه بوده است. لذا مطالعه حاضر با هدف تبیین مؤلفه‏های تعیین‏کننده‏ تصمیم‏گیری فرزندآوری در زنان و مردان سنین باروری انجام گرفته است</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">پژوهش حاضر یک مطالعه کیفی با رویکرد تحلیل محتوای قراردادی است. مشارکت‏کنندگان تعداد 19 نفر از زنان و مردان </span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">همسردار سنین باروری ساکن شهر زنجان بودند که در </span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">سال 1402 به روش نمونه‏گیری هدفمند و با رعایت اصل حداکثر تنوع، انتخاب و پس از کسب رضایت آگاهانه وارد مطالعه شدند. داده‏ها با استفاده از مصاحبه‏های نیمه ساختار یافته انفرادی تا زمان رسیدن به اشباع نظری گردآوری و به طور همزمان تحلیل شد. برای مدیریت تحلیل داده‏های متنی از نرم</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">افزار </span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">MAXQDA</span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""> نسخه ۲۰۲۰ استفاده شد</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">: </span></span></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">در طی فرآیند استقرایی تحلیل داده‏ها، هفت طبقه اصلی شامل الگوپذیری اجتماعی، بازاندیشی مدرن در ساختار خانواده، مقتضیات اجتماعی و اقتصادی، دغدغه‏های نوین فرزندپروری، مسؤولیت‏گریزی و آسایش طلبی، تجارب پیشینه ناخوشایند و چالش‏های سنی به عنوان مؤلفه‏های تعیین‏کننده‏ تصمیم‏گیری فرزندآوری استخراج شد.</span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">طبقه مقتضیات اجتماعی و اقتصادی با 505 کد باز بیش</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">ترین مفهوم تکرارشونده در تمام مصاحبه‏ها بود</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">نتیجهگیری: </span></span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">هنجار شدن کم فرزندی در جامعه و تغییر ارزش‏ها و نگرش‏های افراد در راستای معنای فرزند از یک سو و معضلات اقتصادی و اجتماعی از سوی، دیگر افراد را به سوی کم فرزندخواهی سوق داده است. همچنین کم فرزندخواهی پاسخی است به گرایش</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""></span></span></i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">های فردگرایی زنان و مردان و گریز از دغدغه‏های فرزندپروری</span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">Background & Aim:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">In recent years, significant changes have occurred in the dynamics of childbearing within familial context.</span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">Notably, Iranian families have witnessed a noticeable decline in the desire for childbearing and having additional children. The aim of this study was to explore the determinants of childbearing decision-making among women and men of reproductive age</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">Methods & Materials:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">This study adopts a qualitative research design using the conventional content analysis approach in 2023. The participants comprised 19 married women and men of reproductive age living in Zanjan, who were purposively selected to ensure maximum variation. After obtaining informed consent, </span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:#0e101a">the participants </span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">were invited to participate in </span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:#0e101a">individual, semi-structured interviews. Data collection continued until data saturation was reached, with concurrent analysis conducted throughout the process. The textual data were managed using MAXQDA software, version 2020</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:#0e101a">Throughout</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"> <span style="color:#0e101a">the inductive data analysis process, seven main categories emerged as determinants of decision-making about childbearing. These categories included social</span></span></span> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:#0e101a">role modeling, reflection within family structure, social and economic requirements, contemporary concerns in parenting, avoidance of responsibility and comfort-seeking, unpleasant past experiences and age-related challenges. Among these categories, social and economic requirements emerged as the most prevalent concept across all interviews, with a total of 505 open codes associated with this category</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">The normalization of reduced childbearing rates </span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">wit</span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">hin the society, accompanied by shifting values and attitudes towards the significance of children, as well as economic and social problems have contributed to an increasing preference for smaller families. Furthermore, the desire for fewer children can be viewed as a response to the individualistic tendencies of women and men, as well as a means of avoiding parenting concerns</span></span><span lang="EN" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="letter-spacing:-.2pt">.</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
فرزندآوری, باروری, جمعیت, پژوهش کیفی
childbearing, fertility, population, qualitative research
260
280
http://hayat.tums.ac.ir/browse.php?a_code=A-10-930-7&slc_lang=fa&sid=1
Nadia
Jalal Razaghi
نادیا
جلال رزاقی