Awareness and attitude towards fertility and parenthood: a comparative study among medical students in Saudi Arabia

Main Article Content

Fehmida Tehsin
Sayed Ibrahim Ali
Ghadah Al Qarni

Abstract

OBJECTIVE:  To compare the awareness, attitudes towards fertility, and intentions for parenthood between preclinical and clinical medical students.


METHODS:  An online cross-sectional study was conducted among preclinical and clinical medical students of King Faisal University, Al Ahsa Saudi Arabia. The study was conducted during the first semester of the academic year of a medical bachelor's degree program, utilizing a convenience sampling technique. A total of 225 students, comprising 148 from the 3rd year and 77 from the 4th year blocks, voluntarily completed self-reported questionnaires. Data analysis was performed using IBM SPSS version-26.


RESULTS: The mean age of participants was 21.56±1.55 years, with a slightly higher representation of females (54.2%) compared to males (45.8%). Among the participants, 45.8% were married, and only 11.1% had children, while the majority expressed a desire to have children (73.8%) within the age range of 25-29 years. A significant proportion (44.9%) indicated a preference for 2-3 children. In terms of childcare, most participants agreed to its necessity. Interestingly, females across both academic years showed similar responses regarding the possibility of combining work/study, with almost equal numbers agreeing or remaining undecided. Clinical students exhibited greater fertility knowledge compared to preclinical students, with no significant differences observed based on gender. Furthermore, participants with a family history of infertility were more inclined to consider both IVF and adoption (p-value = 0.0001).


CONCLUSION: Clinical-year medical students showed improved understanding of female fertility decline and infertility causes, coupled with positive attitudes towards parenthood at a suitable reproductive age, preferring smaller families.

Article Details

How to Cite
Tehsin, F., S. I. Ali, and G. A. Qarni. “Awareness and Attitude towards Fertility and Parenthood: A Comparative Study Among Medical Students in Saudi Arabia”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 16, no. 1, Mar. 2024, pp. 16-24, doi:10.35845/kmuj.2024.23374.
Section
Original Articles

References

Fledderjohann J. Difficulties conceiving and relationship stability in sub-Saharan Africa: the case of Ghana. Eur J Population 2017;33(1):129-52. https://doi.org/10.1007/s10680-016-9401-5

Raine‐Fenning N. Subfertility. In: D. Keith Edmonds, Christoph Lees, Tom Bourne, editors. Dewhurst’s Textbook of Obstetrics & Gynecology. West Sussex: Wiley Blackwell: 2018. P.1342-65

Altiparmak S, Aksoy DY. The effects of fertility-supporting health training on healthy lifestyle behaviors and infertility self-efficacy in infertile women: A quasi-experimental study. Eur J Integr Med 2018;20:146-53. https://doi.org/10.1016/j.eujim.2018.05.005

Gerrits T, Van Rooij F, Esho T, Ndegwa W, Goossens J, Bilajbegovic A, et al. Infertility in the Global South: Raising awareness and generating insights for policy and practice. Facts Views Vis in ObGyn 2017;9(1):39-44.

Donkor ES, Naab F, Kussiwaah DY. “I am anxious and desperate”: psychological experiences of women with infertility in The Greater Accra Region, Ghana. Fertil Res Pract 2017;3:6 https://doi.org/10.1186/s40738-017-0033-1

Amiri M, Khosravi A, Chaman R, Sadeghi Z, Raei M, Jahanitiji M A, et al. Social consequences of ınfertility on families in İran. Global J Health Sci 2015;8(5):89-95. https://doi.org/10.5539/gjhs.v8n5p89

Polis CB, Otupiri E, Hindin M, Chiu DW, Keogh SC, Aidoo C, et al. Prevalence and Correlates of Perceived Infertility in Ghana. Stud Fam Plann 2020;51:207-24. https://doi.org/10.1111/sifp.12136

Bala R, Singh V, Rajender S, Singh K. Environment, lifestyle, and female infertility. Reprod Sci 2021;28(3):617-38. https://doi.org/10.1007/s43032-020-00279-3

Atijosan A, Adeyeye O, Ogungbayi O. “Knowledge and Perception Regarding Infertility among University Students in ile-ife: A View through Gender Lens.” Covenant J Business Soc Sci 2019;10(1):14. https://doi.org/10.20370/0tcm-n551

Alaee S, Yousefinan E, Talaiekhozani A, Ziaee GR, Hamayoon H. Infertility Knowledge, Attitudes, and Beliefs among Iranian College Students. J Environ Treat Tech 2019;7(2):183-6. https://dx.doi.org/10.4314/ahs.v18i1.22

Özerdoğan N, Yilmaz B. Turkish University seniors’ knowledge of and opinions on fertility and expectations of having children. Afri Health Sci 2018;18(1):172-9. https://dx.doi.org/10.4314/ahs.v18i1.22

Sørensen NO, Marcussen S, Backhausen MG, Juhl M, Schmidt L, Tydén T, et al. Fertility awareness and attitudes towards parenthood among Danish university college students. Reprod Health 2016;13:146. https://doi.org/10.1186/s12978-016-0258-1

Brittany R, Martin SF. Infertility Knowledge, Attitudes, and Beliefs of College Students in Grenada. Sci J Public Health 2015;3(3):353-60.

Khraif RM, Salam AA, Al-Mutairi A, Elsegaey I, Al Jumaah A. Education's impact on fertility: The case of King Saud University women, Riyadh. Middle East Fertil Soc J 2017; 22:125-31. https://doi.org/10.1016/j.mefs.2016.12.002

Meissner 16 C, Schippert C, vonVersen-Höynck F. Awareness, knowledge, and perceptions of infertility, fertility assessment, and assisted reproductive technologies in the era of oocyte freezing among female and male university students. J Assist Reprod Genet 2016;33:719-29. https://doi.org/10.1007/s10815-016-0717-1

Alfaraj S, Aleraij S, Morad S, Alomar N, Rajih HA, Alhussain H, et al. Fertility awareness, intentions concerning childbearing, and attitudes toward parenthood among female health professions students in Saudi Arabia. Int J Health Sci (Qassim) 2019;13(3):34-9.

Khalil N, Hassan I, Saeed H. Fertility awareness among medical and non-medical undergraduate university students in Al-Iraqia University, Baghdad, Iraq. Am J Med Sci Med 2015;3:74-8. http://dx.doi.org/10.12691/ajmsm-3-6-1

Mogilevkina I, Stern J, Melnik D, Getsko E, Tydén T. Ukrainian medical students' attitudes to parenthood and knowledge of fertility. Euro J Contracept Reprod Health Care 2016;21:189-94. https://doi.org/10.3109/13625187.2015.1130221

Abiodun O, Alausa K, Olasehinde O. Ignorance could hurt: an assessment of fertility awareness, childbirth intentions and parenting attitudes among university students. Int J Adolesc Med Health 2016;30(2):20160091. https://doi.org/10.1515/ijamh-2016-0091

Vujčić I, Radičević T, Dubljanin E, Maksimović N, Grujičić S. Serbian medical students' fertility awareness and attitudes towards future parenthood. Eur J Contracept Reprod Health Care 2017;22(4):291-7. https://doi.org/10.1080/13625187.2017.1368478

Chan CH, Chan TH, Peterson BD, Lampic C, Tam MY. Intentions and attitudes towards parenthood and fertility awareness among Chinese university students in Hong Kong: a comparison with Western samples. Hum Reprod 2015;30(2):364-372. https://doi.org/10.1093/humrep/deu324

Prior E, Lew R, Hammarberg K, Johnson L. Fertility facts, figures and future plans: an online survey of university students. Hum Fertility 2019;22(4):283-90. https://doi.org/10.1080/14647273.2018.1482569

Delbaere I, Pitsillos T, Group TGC, Tydén T, Kerckhof L, Iliadis SI. Fertility awareness and parenthood intentions among medical students in three European countries. Eur J Contracept Rep Health Care 2021;26(4):312-22. https://doi.org/10.1080/13625187.2021.1901877

Place JM, Peterson BD, Horton B, Sanchez M. Fertility awareness and parenting intentions among Mexican undergraduate and graduate university students. Hum Fertility 2020;25(2):397-406. https://doi.org/10.1080/14647273.2020.1817577