Reproductive anxiety and fertility intentions: Gender differences in social mentality among university students

Xinwei Liao, Jing He, Chaoye Cao

Abstract

Reproductive anxiety has emerged as an important concern among university students, shaping their perceptions of fertility, family formation, and future life planning. This study explored the gendered experiences of reproductive anxiety and its influence on fertility intentions among male and female university students. A qualitative research design was adopted, using semi-structured interviews with 30 students aged 18–25 years, equally divided by gender. Thematic analysis revealed that reproductive anxiety is strongly influenced by gender norms, socioeconomic uncertainty, family expectations, and changing social roles. Female students reported greater anxiety regarding the timing of motherhood, biological limitations, and the challenge of balancing education, career, and family responsibilities. Male students, while less vocal about fertility concerns, expressed anxiety mainly in relation to financial readiness and the social expectation of becoming future providers. The findings further showed that family pressure, cultural beliefs, and media portrayals intensify reproductive concerns, while these anxieties also contribute to stress, self-doubt, and uncertainty in long-term planning. The study concludes that reproductive anxiety is a multidimensional issue requiring greater academic, psychological, and policy attention. Universities should introduce gender-sensitive counseling and awareness programs to support students in navigating reproductive concerns and informed fertility decision-making.

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References

Li J, Huang C, Yang Y, Liu J, Lin X and Pan J. How nursing students' risk perception affected their professional commitment during the COVID-19 pandemic: The mediating effects of negative emotions and moderating effects of psychological capital. Humanities and Social Sciences Communications. 2023;10(1):195.

Ma Y and Bennett D. Analyzing predictors of perceived graduate employability from sufficiency and necessity perspectives. Higher Education. 2024;88(6):2375-2397.

Hu YL, Zhang YJ, Lv XY, Liu RL, Zhong ZH, Fu LJ, Bao MH, Geng LH, Xu HJ, Yu SM and Ding YB. Impact of Omicron Variant Infection on Female Fertility and Laboratory Outcomes: A Self-Controlled Study. American Journal of Reproductive Immunology. 2024;92(5):e70012.

Yang J, Yao YL, Lv XY, Geng LH, Wang Y, Adu-Gyamfi EA, Wang XJ, Qian Y, Chen MX, Zhong ZH, Li RY, Wan Q and Ding YB. The Safety and Efficacy of Inactivated COVID-19 Vaccination in Couples Undergoing Assisted Reproductive Technology: A Prospective Cohort Study. Vaccine. 2025; 45:126635.

Kang S, Jin S, Mao X, He B and Wu C. CD4+T and CD8+T Cells in Uterus Exhibit Both Selective Dysfunction and Residency Signatures. Journal of Immunology Research. 2024;2024(1):5582151.

Yang J, Yao YL, Lv XY, Geng LH, Wang Y, Adu-Gyamfi EA and Ding YB. The Safety and Efficacy of inactivated COVID-19 vaccination in couples undergoing assisted reproductive technology: A prospective cohort study. Vaccine. 2025; 45:126635.

Fei Z and Wang Y. Parental gender preferences and fertility ideals in China. Acta Psychologica. 2026; 264:106523.

ESHRE Capri Workshop Group. The influence of social factors on gender health. Human Reproduction. 2016;31(8):1631-1637.

Brinton MC, Bueno X, Oláh L and Hellum M. Postindustrial Fertility Ideals, Intentions, and Gender Inequality: A Comparative Qualitative Analysis. Population & Development Review. 2018;44(2).

Ren Y, Xie Y, Xu Q, Long M, Zheng Y, Li L and Niu C. University students' fertility awareness and its influencing factors: a systematic review. Reproductive health. 2023;20(1):85.

Zhang C, Wei L, Zhu Y, Teng L, Zhang W, Xu J and Wong LP. Fertility intentions among young people in the era of China's three–child policy: a national survey of university students. BMC pregnancy and childbirth. 2022;22(1):637.

Yao L, Li M, Tao L, Xiao L and Li Y. Negative social media exposure and Chinese unmarried young adult's fertility intention: the mediating role of fertility anxiety and gender differences. Personality and Individual Differences. 2025; 241:113192.

Okine R, Hughes LM, Smith G, Bonus ML, Feinberg EC and Bernardi LA. Undergraduate students have low fertility knowledge and high anxiety regarding future fertility: An opportunity for education. Heliyon. 2023;9(3).

Tegegne WA. Self-esteem, peer pressure, and demographic predictors of attitude toward premarital sexual practice among first-year students of Woldia University: Implications for psychosocial intervention. Frontiers in psychology. 2022; 13:923639.

Cherepiekhina OA, Kravchenko TV, Turubarova AV, Bulanov VA and Zalevska OY. Psychological dimensions of female students' reproductive health: universities, digital care, and demographic futures. Reproductive Health of Woman. 2025;83(7).

Smith DG, Ross A, HogenEsch E, Okine R, Bonus ML, Feinberg EC and Bernardi LA. Anxiety, attitudes, and education about fertility among medical students in the United States. BMC Medical Education. 2023;23(1):147.

Maeda E, Nakamura F, Kobayashi Y, Boivin J, Sugimori H, Murata K and Saito H. Effects of fertility education on knowledge, desires and anxiety among the reproductive-aged population: findings from a randomized controlled trial. Human Reproduction. 2016;31(9):2051-2060.

Szcześniak M, Timoszyk-Tomczak C, Łoś J and Grzeczka M. Future anxiety and the motives for postponing parenthood: generational time perspective and life satisfaction as mediators. Frontiers in Psychology. 2025; 15:1441927.

Peng L, Jiang Y, Ye J and Xiong Z. The impact of empathy on prosocial behavior among college students: The mediating role of moral identity and the moderating role of sense of security. Behavioral Sciences. 2024;14(11):1024.

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