University students’ fertility awareness and its influencing factors: a systematic review

Abstract

Introduction In recent years, a growing number of researchers have begun to study fertility awareness (FA). Evidence suggests that college students in their reproductive years have a common understanding of fertility, risk factors for infertility, and assisted reproductive technologies. Therefore, this systematic review summarizes these studies and explores the factors affecting college students’ fertility awareness. Methods A systematic literature search of databases (PUBMED/MEDLINE, Cochrane, Web of Science, Embase, and EBSCO) was conducted from inception to September 2022. Studies that assessed the levels of fertility awareness and factors influencing college students were considered for the review. The qualities of the included studies were evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. This systematic review is reported according to the preferred reporting items for systematic review (PRISMA) guidelines. Results Twenty-one articles met the eligibility criteria and were included. The preliminary results showed that participants reported low to moderate FA. Female medical students demonstrated higher levels of fertility awareness. The association between age, years of education, and FA was insufficient. Conclusion The results of the current study suggest that increased FA interventions are warranted, especially for the male, non-medical student population. Governments and educational institutions should strengthen education programs for young students on reproductive health to help them raise awareness about childbirth, and society should provide family support for young people.

Awareness, Attitude, and Fertility Desire in Elective Oocyte Cryopreservation of Adults in Four Areas of China

“…Currently, the acceptability of eOC is an ongoing discussion in China. 17,24,25 At the same time, discussions are being conducted on how the health care system should deal with ART in general, and more specifically, whether it should be covered by public health insurance. Sound ART policies in general, and OC policies in particular, will need to be based in part on the estimates of the demand for these services and the attitudes among population groups towards reproductive technologies.…”

“…34 Within China, the allocation of health resources is unbalanced among the provinces and between the developed provinces and developing areas. [24][25][26][27] Therefore, basic medical services should be the priority of health resources in China.…”