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Iranian Journal of Public Health، جلد ۵۴، شماره ۸، صفحات ۱۶۸۹-۱۷۰۰
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عنوان انگلیسی Determinants of Childbearing: Behavioral Change Models and Theories: A Systematic Review
چکیده انگلیسی مقاله The decline in total fertility rate (TFR) below replacement levels has significant implications for public health. This comprehensive narrative review aimed to examine behavioral change models and theories pertinent to childbearing decisions. Articles published between 1977 and 2024 were retrieved from from domestic databases (Magiran, SID) and international databases (Web of Science, Scopus, ProQuest, PubMed, MEDLINE), as well as Google Scholar using relevant keywords. Out of 90 articles initially identified, 36 met the inclusion criteria and were selected for analysis. Existing behavioral change models in health education have limitations in motivating couples to increase childbearing. These models do not fully address complex and multifaceted factors such as socio-economic and cultural influences. Furthermore, there is a need for more rigorous and comprehensive evaluations of the effectiveness of interventions based on these models. Evidence-based educational programs, tailored incentive policies, and rigorous model evaluation are essential to promote positive attitudes towards parenthood. Future interventions should assess the applicability of novel theories to optimize fertility program outcomes, with a particular focus on the role of public health. Further research is needed to investigate innovative models for explaining and changing childbearing behaviors.
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نویسندگان مقاله | Tayebeh Mokhtari Sorkhani
Social Determinants of Health Research Center, Non-Communicable Diseases Research Institute, Department of Health Edu-cation and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran


| Mahshid Bokaie
Research Center for Nursing and Midwifery Care, Department of Midwifery, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran


| Farzan Madadizadeh
Center for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran


| Manoj Sharma
1. Department of Social and Behavioral Health, School of Public Health, University of Nevada (UNLV), Las Vegas, United States 2. Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, United States


| Bendaoud Nadif
ESEF, Sultan Moulay Slimane University, Beni Mellal, Morocco


| Seyed Saeed Mazloomy Mahmoodabad
Social Determinants of Health Research Center, Non-Communicable Diseases Research Institute, Department of Health Edu-cation and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
نشانی اینترنتی https://ijph.tums.ac.ir/index.php/ijph/article/view/37038
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