Positive body image and childbearing intention: A cross-sectional study.

Background: Childbearing plays a crucial role in population movements and one of the most important factors in societal development. Nowadays, given the decrease in fertility rates, especially in developed and some developing countries, and the multitude of factors affecting these rates, this study aims to investigate the association of positive body image and childbearing intention in Iran. Methods: This descriptive and cross-sectional study involved all health care centers of Qaen city, eastern Iran. The list of reproductive-age women and men in each center was extracted from the Ministry of Health of Iran's database. Ultimately, 494 individuals were included in the study using available convenience sampling method. Data were collected applying demographic information questionnaire, "body appreciation scale-2 (BAS-2) and childbearing intention questionnaire. Statistical analysis was performed using SPSS.26 software. Results: Of 494 participants in this study, 50 % were men. The average age of the participants was 32.25 years (SD = 8.02). The average age of women was higher than that of men. In this study, the mean and SDs of positive body image score and childbearing intention were 39.49 (SD = 8.14) and 2.36 (SD = 1.63), respectively. In general, a positive and significant correlation was found between age (r = 0.126, p = 0.005), income (r = 0.137, p = 0.002), physical activity (r = 0.127, p = 0.005) and positive body image (r = 0.482, p < 0.001) with childbearing intention. After categorizing childbearing intention into two groups, "less than 2 children" and "2 children and more", the results of simple regression modeling showed that age, income, physical activity, body appreciation, bachelor's education and being an employee are associated with intention to have two or more children. Using multiple logistic regression modeling, a statistically significant association was observed between the childbearing intention at an older age, (OR = 1.07, p < 0.001) as well as positive body image (OR = 1.20, p < 0.001). Conclusions: The findings indicated a significant and positive association between positive body image and couples' fertility intention. In other words, alongside external factors, internal factors such as body appreciation can influence childbearing intention and population growth rate, which highlights the importance of considering internal factors in childbearing intention.