Evidence map›Paper›PMID 42381840›Full record

ReviewIndian journal of psychiatry2026

Beyond parenthood: A comprehensive narrative review of voluntary childlessness in contemporary India.

Lija Prince, Mangesh Jabade, Husain Nadaf

Abstract readReview
In one paragraph

Review in Indian journal of psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Lija PrinceDepartment of Obstetrics and Gynecology Nursing, Symbiosis College of Nursing, Symbiosis International (Deemed) University, Pune, Maharashtra, India.
Mangesh JabadeDepartment of Community Health Nursing, Symbiosis College of Nursing, Symbiosis International (Deemed) University, Pune, Maharashtra, India.
Husain NadafDepartment of Community Health Nursing, Symbiosis College of Nursing, Symbiosis International (Deemed) University, Pune, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Voluntary childlessness-the conscious decision by individuals or couples to remain childfree-is an increasingly visible yet underexplored phenomenon in India. While globally recognized as an expression of reproductive autonomy, in India it unfolds within a complex web of cultural expectations, pronatalist pressures, and institutional blind spots. As societal norms shift in response to urbanization, gender equity, and global influences, the decision to remain childfree demands critical academic and policy attention. Aims: This review aims to examine the sociocultural, psychological, and policy dimensions of voluntary childlessness in India from 2015 to 2025. Methods: It synthesizes interdisciplinary scholarship to explore motivations, stigma, mental health outcomes, intersectional disparities, and institutional responses. Literature was sourced from major academic databases, national datasets, policy reports, and digital ethnographic platforms. A structured screening process and thematic synthesis were employed to identify key domains, including motivations, stigma, psychological outcomes, intersectionality, and policy gaps. Results: Voluntary childlessness in India is driven by diverse factors including lifestyle aspirations, economic considerations, environmental ethics, gender autonomy, and health-related concerns. While many voluntarily childfree individuals report high life satisfaction and relational well-being, they also face stigma rooted in cultural, religious, and familial expectations. These experiences are deeply stratified by caste, class, gender, sexuality, and region. Policy structures in healthcare, employment, and welfare remain ill-equipped to support this demographic, reflecting institutional pronatalism and heteronormativity. Voluntary childlessness is no longer an aberration but a legitimate expression of modern selfhood in India. It challenges dominant narratives around fulfilment, care, and social contribution. Conclusion: Addressing this shift requires inclusive policies, destigmatizing discourse, and a reproductive justice framework that protects both the right to parent and the right not to parent.

Indexed as

Childlessnessmental healthreproductive behaviorreproductive rightssocial stigma

Identifiers

PMID42381840
PMCPMC13318346

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.