Factors Influencing Childbearing Intentions in Young Couples Attending Premarital Counseling in Southeast Iran: A Conventional Content Analysis

AuthorAlireza Ganjalien
AuthorMehdi Rezvaniaminen
AuthorMostafa Peyvanden
AuthorKimia Ghasemzadehen
AuthorReza Nezam Doosten
OrcidAlireza Ganjali [0000-0003-1577-1548]en
OrcidMehdi Rezvaniamin [0000-0003-4951-7767]en
OrcidMostafa Peyvand [0000-0002-3213-2134]en
OrcidKimia Ghasemzadeh [0009-0001-0489-879X]en
OrcidReza Nezam Doost [0009-0009-9990-8521]en
Issued Date2026-02-28en
AbstractBackground: Iran has experienced a sustained decline in fertility. Understanding how newly married couples navigate childbearing decisions is critical for policy and counseling. Objectives: To explore factors shaping childbearing intentions among couples attending premarital counseling in Zahedan, Iran. Methods: We conducted a qualitative study using conventional content analysis (CCA) in 2024. Maximum-variation purposive sampling recruited 18 couples (36 individuals) from a university-affiliated premarital counseling center. Data were generated through in-depth, semi-structured individual interviews until information saturation. Verbatim transcripts were anonymized. Analysis proceeded inductively: Familiarization, line-by-line open coding, grouping codes into sub-categories, abstraction into main categories, and identification of an overarching (central) category. Trustworthiness was ensured via member checking, independent co-coding, an audit trail, reflexivity, and peer debriefing. This report was developed in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Results: One central category — “Deliberate childbearing: Decision-making contingent on readiness and capability” — organized five main categories: Economic-livelihood, bio-psychological, work-education, cultural-family, and personal preferences. Conclusions: Multilevel strategies that improve economic security, support education-work-family balance, and enhance premarital counseling content may better align couples’ goals with fertility policies.en
DOIhttps://doi.org/10.5812/healthscope-167107en
URIhttps://brieflands.com/journals/healthscope/articles/167107en
KeywordReproductive Behavioren
KeywordFertilityen
KeywordPremarital Counselingen
KeywordQualitative Researchen
KeywordIranen
KeywordContent Analysisen
PublisherBrieflandsen
TitleFactors Influencing Childbearing Intentions in Young Couples Attending Premarital Counseling in Southeast Iran: A Conventional Content Analysisen
TypeResearch Articleen

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