Evidence map›Paper›PMID 40129228›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2025

Mental Disorders and Having a First Child Among Young Adults: A Nationwide Register-Based Cohort Study.

Kateryna Golovina, Ripsa Niemi, Mai Gutvilig, Markus Jokela, Marko Elovainio, Christian Hakulinen

Abstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Kateryna GolovinaDepartment of Psychology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0002-4662-9707
Ripsa NiemiDepartment of Psychology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Mai GutviligDepartment of Psychology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Markus JokelaDepartment of Psychology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Marko ElovainioDepartment of Psychology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Christian HakulinenDepartment of Psychology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.

Funding

Academy of FinlandEuropean Research CouncilEuropean Union's Horizon Europe Programme 101094741Helsinki Collegium for Advanced StudiesOtto A. Malm LahjoitusrahastoSuomen Kulttuurirahasto
6 · The paper itself

Abstract

objectiveTo examine associations between mental disorders and time to first childbirth in Finland, and whether partnership status mediates these associations.

designNationwide register-based cohort study.

settingPrimary and secondary healthcare data from Finland. POPULATION: All individuals born in 1980-1995 who were childless and living in Finland at age 16 (n = 1 210 662).

methodsCox proportional hazards models to examine associations between mental disorders and time to first childbirth. Participants were followed until first childbirth, death, emigration, or the end of 2019.

main outcome measuresTime to first live childbirth.

resultsBoth men and women diagnosed with mental disorders had a lower likelihood of becoming parents compared to those without diagnoses. People diagnosed with schizophrenia and intellectual disabilities were the least likely to become parents. Adjusting for partnership status attenuated the associations for all mental disorders. Before age 25, substance use, childhood onset, anxiety, or any mental disorders were associated with a higher likelihood of first childbirth, but after age 30, mental disorders were linked to a lower likelihood of parenthood.

conclusionsAlmost all mental disorders were associated with a lower likelihood of having a first child among young people born in 1980-1995. These findings imply that well-functioning mental health services are important from a fertility perspective.

Indexed as

Mental DisordersAdolescentAdultCohort StudiesFemaleFinlandHumansMalePregnancyProportional Hazards ModelsRegistriesYoung Adultbecoming a parentfertilitymental disorderspartnership statusregister‐based study

Identifiers

PMID40129228
PMCPMC12137792

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.