Evidence map›Paper›PMID 41024121›Full record

SynthesisBMC women's health2025

Screens and society: how media narratives influence fertility and reshape childbearing choices; a systematic review.

Fatemeh Hadadian, Mina Abbasi, Tahereh Parsajam, Arezoo Haseli, Negin Rostami

Abstract readSystematic Review
In one paragraph

Synthesis in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fatemeh HadadianDepartment of Community Health, Medical Surgical Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.ORCID 0000-0002-0772-1658
Mina AbbasiSchool of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID 0000-0001-6712-4356
Tahereh ParsajamSchool of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.ORCID 0009-0002-9207-1350
Arezoo HaseliFamily Health and Population Growth Research Center, Health Policy and Promotion Research Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran. Ar_haseli@yahoo.com.ORCID 0000-0003-1487-633X
Negin RostamiStudent Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Funding

Deputy for Research and Technology, Kermanshah University of Medical Sciences 4030015
6 · The paper itself

Abstract

introductionDeclining fertility rates pose a significant challenge to global demographic stability. Factors such as shifting societal norms, economic constraints, and women’s empowerment intersect with media influence to shape reproductive behaviors. This systematic review examines the multifaceted role of media including television, radio, social networks, and online platforms in affecting fertility intentions, contraceptive use, and childbearing decisions.

methodsFollowing PRISMA guidelines, a comprehensive search was conducted across PubMed, Scopus, Web of Science, and Google Scholar until 4 May 2025. Keywords related to fertility, media, and reproductive behaviors were used. Eligible studies included quantitative/qualitative designs in English, while reviews, RCT, case studies, and non-population-based research were excluded. Two authors independently screened titles, abstracts, and full texts, with a third resolving discrepancies. The methodological quality of the studies was evaluated using the AXIS and JBI checklists, with 64.3% classified as high quality and 32.2% as moderate.

resultsOut of 1,990 initial records, 27 studies from various countries were analyzed. The results of the study indicated that exposure to mass media was positively associated with the adoption of modern contraceptives. Additionally, media plays a dual role in influencing fertility intentions, family planning use, knowledge and attitude, antenatal care utilization, and childbearing and maternal health decisions, depending on the content, context, and social norms.

conclusionsKey findings reveal that media consistently promotes contraceptive use. Media’s impact on fertility intentions are context-dependent. Geographical and cultural nuances are critical, as media’s impact on social norms varies. Despite methodological limitations, the evidence underscores media’s potential as a public health tool. Policymakers must leverage media to align with public health goals, mitigate economic anxiety in news coverage, and foster global initiatives for youth education. REGISTRATION: The review study was officially registered on the PROSPERO website (CRD420251045938) and received approval from the jury. Available from https://www.crd.york.ac.uk/PROSPERO/view/CRD420251045938 .

Indexed as

Choice BehaviorContraception BehaviorFertilityMass MediaReproductive BehaviorDigital MediaFamily Planning ServicesFemaleHealth Knowledge, Attitudes, PracticeHumansMedia ExposureChildbearingDecision-makingFertilityMediaRadioSocial networksTelevision

Identifiers

PMID41024121
PMCPMC12482673

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.