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Ghodrati A, Aghagholizadeh Z, Saba N. Mental health and its role in youth willingness to marry and have children: A systematic review. JRHMS 2024; 3 (4) :1-6
URL: http://jrhms.thums.ac.ir/article-1-102-en.html

The decline in marriage and fertility rates in many countries has become a major demographic challenge, and mental health is considered one of the key factors influencing youth attitudes and decision-making. Neglecting mental health may reduce the effectiveness of population policies.

In this systematic review, the target population included young people aged 18–35 whose mental health status (levels of depression, anxiety, life satisfaction, and self-efficacy) was compared across groups with higher and lower psychological well-being. Databases searched included PubMed, Scopus, Google Scholar, SID, and IranDoc. Keywords were: Mental Health, Youth, Marriage, Childbearing, Fertility, Psychological Well-being, and their Persian equivalents. The review process was conducted and reported based on PRISMA 2020 guidelines. The search covered the period from 2010 to 2025. Out of 1,127 identified studies, after removing duplicates and screening titles and abstracts, 39 studies were included.

Positive mental health was associated with increased willingness to marry and have children. Psychological problems such as anxiety, depression, and stress reduced the desire to form a family. Social and economic support played a moderating role, and cultural context showed a mediating effect.

Mental health is a fundamental factor in decisions related to marriage and childbearing, and population policies that overlook this component may be ineffective. Psychological interventions, life-skills training, and strengthened social support are recommended.