Document Type : Original Article

Authors

1 Department of Public Health, Torbat Jam Faculty of Medical Sciences, Torbat Jam, Iran

2 Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran

3 Department of Public Health, Khomein University of Medical Sciences, Khomein, Iran

10.30476/jhsss.2023.97055.1692

Abstract

Background: Iran has witnessed a significant and rapid decline in fertility rates over the past few decades, a phenomenon referred to as the reproductive revolution. One crucial factor influencing fertility rates is the preference for a child’s gender, which can impact family size. This study aimed to determine the gender preference and desired family size among marriage candidates in Southern Iran in 2021.
Methods: This cross-sectional study involved 744 marriage candidates from Jahrom County, Fars province, Iran, selected through convenience sampling. Data were collected using a researcher-developed questionnaire. Experts confirmed the questionnaire’s face validity and its reliability was established with a Cronbach’s alpha of 0.81.
Results: Of the participants, 54.6% were women, 86.8% resided in urban areas, and 60.6% had a diploma or lower educational level. The mean age at first marriage was 26.86±8.22 years, and the mean desired number of children was 2.09±1.10. The preference for a boy as the first child was 24.6% among men and 22.9% among women, while the preference for a girl was 17.4% among men and 24.1% among women (P=0.084). Furthermore, 46.4% of men and 47.8% of women believed they would continue having children if they did not have a son (P=0.72). Factors such as gender, age, education, occupation, monthly income, and place of residence showed no association with the preference for a boy as the first child (P>0.05).
Conclusion: On average, marriage candidates desired two children. There was a slight preference for boys. It is recommended that adolescents and young adults receive appropriate education about gender equality in schools and universities to mitigate gender bias and discrimination at the community level.

Highlights

Vahid Rahmanian (Google Scholar)

Nader Sharifi (Google Scholar)

Keywords

  1. Gupta GR, Oomman N, Grown C, Conn K, Hawkes S, Shawar YR, et al; Gender Equality, Norms, and Health Steering Committee. Gender equality and gender norms: framing the opportunities for health. Lancet. 2019; 393(10190):2550-2562. doi: 10.1016/S0140-6736(19)30651-8. PMID: 31155276.
  2. Khosla R, Banerjee J, Chou D, Say L, Fried ST. Gender equality and human rights approaches to female genital mutilation: a review of international human rights norms and standards. Reprod Health. 2017; 14(1):59. doi: 10.1186/s12978-017-0322-5. PMID: 28499386; PMCID: PMC5429526.
  3. Chun Ha. ‘Not a bowl of rice, but tender loving care': from aborting girls to preferring daughters in South Korea. Asian Popul Stud. 2022; 18(2):169--89. doi: 10.1080/17441730.2021.1944408.
  4. Qadir F, Khan MM, Medhin G, Prince M. Male gender preference, female gender disadvantage as risk factors for psychological morbidity in Pakistani women of childbearing age-a life course perspective. BMC public health. 2011; 11(1):1-13. doi: 10.1186/1471-2458-11-745. PMID: 21958069; PMCID: PMC3195096.
  5. Das Gupta M. Is banning sex-selection the best approach for reducing prenatal discrimination? Asian popul stud. 2019;15(3):319-36. doi: 10.1080/17441730.2019.1671015. PMID: 34046078; PMCID: PMC8153244.
  6. Asadullah MN, Mansoor N, Randazzo T, Wahhaj Z. Is son preference disappearing from Bangladesh? World Develop. 2021; 140:105353. doi: 10.1016/j.worlddev.2020.105353.
  7. Javed R, Mughal M. Changing patterns of son preference and fertility in Pakistan. J Int Develop. 2022.34(6):1086-1109. doi: 10.1002/jid.3618.
  8. Rai P, Paudel IS, Ghimire A, Pokharel PK, Rijal R, Niraula SR. Effect of gender preference on fertility: cross-sectional study among women of Tharu community from rural area of eastern region of Nepal. Reprod Health. 2014;11(1):15. doi: 10.1186/1742-4755-11-15. PMID: 24528888; PMCID: PMC3927821.
  9. Kugler AD, Kumar S. Preference for boys, family size, and educational attainment in India. Demography. 2017;54(3):835--59. doi: 10.1007/s13524-017-0575-1. PMID: 28484996; PMCID: PMC5486858.
  10. Razeghi Nasrabad HB, Alimondegari M. Gender Preference and its Influence on Fertility Intention in the low-Fertility Context of Tehran, Iran. J Mid Reprod Health. 2019;7(4):1962-70. doi: 10.22038/jmrh.2019.38096.1422
  11. Razeghi Nasrabad HB, Saraei H. A Cohort Analysis of Women's Attitude towards Value of Children in Semnan Province. Women Develop 2014;12(2):229-50. doi: 10.22059/jwdp.2014.52357.
  12. Mehri N, Messkoub M, Kunkel S. Trends, Determinants and the Implications of Population Aging in Iran. Ageing Int. 2020;45(4):327--43. doi: 10.1007/s12126-020-09364-z.
  13. Kiriti TW, Tisdell C. Family size, economics and child gender preference: a case study in the Nyeri district of Kenya. Int j soc economic. 2005; 32(6):492-509. doi: 10.1108/03068290510596989.
  14. Laksono AD, Soedirham O, Saptandari P, Wulandari RD. Study of family size among tenggerese in Indonesia. Int J Innov, Creat Change. 2020; 13(4):964-78.
  15. Marco-Gracia FJ. Adapting family size and composition: childhood mortality and fertility in rural Spain, 1750–1949. J Interd His. 2021;51(4):509-31. doi: 10.1162/jinh_a_01626.
  16. Ambrosetti E, Angeli A, Novelli M. Ideal family size and fertility in Egypt: An overview of recent trends. Statistica. 2019;79(2):223-44. doi: 10.6092/issn.1973-2201/8811.
  17. Van Winkle Z, Leopold T. Family size and economic well-being following divorce: The United States in comparative perspective. Soc Sci Res. 2021;96:102541. doi: 10.1016/j.ssresearch.2021.102541. Epub 2021. PMID: 33867016.
  18. Bongaarts J. Can family planning programs reduce high desired family size in sub-Saharan Africa? I Int Perspect Sex Reprod Health. 2011;37(4):209-16. doi: 10.1363/3720911. PMID: 22227628.
  19. Muhoza DN, Broekhuis A, Hooimeijer P. Variations in desired family size and excess fertility in East Africa. Int j popul res. 2014;2(1):1-11. doi: 10.1155/2014/486079.
  20. Bongaarts J, Casterline J. Fertility transition: is sub-Saharan Africa different? Popul Dev Rev. 2013;38(Suppl 1):153-163. doi: 10.1111/j.1728-4457.2013.00557.x. PMID: 24812439; PMCID: PMC4011385.
  21. Jafari HP, Fazli M. Attitude of the Hamadanian young couples about family size, sex ratio and birth order of their asked children. Iran J Pub Health. 2000;29(4):165-172.
  22. Bhaskar V. Sex selection and gender balance. American Economic Journal: Microeconomics. 2011;3(1):214--44. doi: 10.1257/mic.3.1.214.
  23. Arnold F. Sex preference and its demographic and health implications. Int family plan perspect. 1992.9(1):93-101.
  24. Marleau JD, Saucier J-F. Preference for a first-born boy in Western societies. J Biosoc Sci. 2002;34(1):13--27. PMID: 11814210.
  25. Mussino E, Miranda V, Ma L. Changes in sex ratio at birth among immigrant groups in Sweden. Genus. 2018;74(1):1--15. doi: 10.1186/s41118-018-0036-8. Epub 2018 Sep 3. PMID: 30237588; PMCID: PMC6133054.
  26. Goli S, Mavisakalyan A, Rammohan A, Vu L. Conflicts and son preference: Micro-level evidence from 58 countries. Econ Hum Biol. 2022;46:101146. doi: 10.1016/j.ehb.2022.101146. PMID: 35605477.
  27. Le K, Nguyen M. Son preference and health disparities in developing countries. SSM Popul Health. 2022;17:101036. doi: 10.1016/j.ssmph.2022.101036. PMID: 35128024; PMCID: PMC8804262.
  28. Nafisi N, Zarghami H, Shiri M. Examining the willingness to have children on the eve of marriage and some related factors in Iran. Popul Q. 2017;22(91):1-9.
  29. Yaghoob F, Ashkaran R. Demographic and socio-cultural study of gender preference in Iran. J Appli Soc. 2018;29(4):59--78. doi: 10.22108/jas.2018.104836.1134.
  30. Khatib Shahidi M, F FA. Parental Preferences over Children's Sex: The Case Study of Iran. J Plan  2018;23(1):29--57.
  31. Majbouri M. Twins, family size and female labour force participation in Iran. Appli Econ. 2019;51(4):387-97.
  32. Ntoimo LFC. Family size preferences among women in a union in Nigeria and associated factors. Int J Popul Stud. 2022;7(1):51-65. doi: 10.18063/ijps.v7i1.1318.
  33. Fathi E. The trend of marriage in Iran with an emphasis on the results of the population and housing censuses. statistics. 2014;2(2):7-10.
  34. Moradi G, Safarian M. Social and economic factors related to increasing the marriage age of young people (case study of Kermanshah city). Q Soc Stud Youth. 2012;7(3):81-108.