ArticleFrontiers in public health2026
Predictors of fertility preservation awareness and willingness among college students and the general population in Henan, China: a cross-sectional study.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Fertility preservation (FP) enables individuals to maintain future reproductive potential, yet population-level data on FP awareness and willingness remain limited in inland China. Previous studies have been largely descriptive without quantifying the population-level impact of modifiable determinants. This study identified independent predictors of FP awareness and willingness among college students and the general population in Henan Province, central China, and estimated the population attributable fraction (PAF) of key modifiable factors. Methods: A cross-sectional survey was conducted (May-October 2022) using stratified sampling among college students ( Results: Among college students, FP awareness was 21.1% and willingness 65.3%. Knowledge score was the sole independent predictor of FP awareness (aOR = 2.22, 95%CI: 1.92-2.56; PAF = 62.8%). FP willingness was independently associated with medical major (aOR = 1.62, Conclusion: Knowledge is the primary modifiable predictor of FP awareness and willingness with substantial population-level impact. If confirmed in longitudinal studies, knowledge-centered educational strategies prioritizing non-medical populations, unmarried individuals, and rural residents may substantially reduce current awareness and willingness gaps.
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