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TOPICS

Results for Topics : "Fertility"


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Socio-demographic determinants of fertility intention among reproductive-age adults in urban Malaysia
Item Type: Scientific Poster
Author: 
Sivarimuthu, Shattish and
Li Ping, Wong and
Ismail, Maslinor and
Anuar, Farah Nurulhuda and
R Selvasingam, Ruthashini and
Saadudin, Arini Dahlia and
Md Zin, Nurul Nadia and
Author: 
Editor: 
Year:  00/11/2025
Abstract:  Malaysia’s total fertility rate (TFR) dropped to 1.6 children per woman in 2022, with Kuala Lumpur reporting the lowest at 1.2, well below the replacement level. Sustained low fertility threatens future labour force replacement, healthcare sustainability, and family support sustems. Urban pressures such as high living costs, work-life imbalance, and housing challenges further discourage childbearing. Despite these concerns, there remains limited empirical evidence on how socio-demographic factors influence fertility intentions in Malaysia’s Urban population. This study examines the socio-demographic determinants of fertility intention among adults in Kuala Lumpur, Malaysia’s lowest-fertility region.
 
 
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Low fertility, high stakes: demographic and economic implications of Malaysia’s fertility decline and the case for a National Fertility Insurance Policy
Item Type: Scientific Poster
Author: 
Tusimin, Maiza and
Abdul Hayl, Noor Shaheeran and
Author: 
Editor: 
Year:  00/11/2025
Abstract:  Malaysia’s fertility rate has fallen to 1.6 births per woman (2024), below replacement level for more than a decade. This decline is driven by delayed marriage, economic pressures, and limited financial support for infertility care. Infertility affects 1 in 6 adults globally, yet treatment in Malaysia remains largely self-funded, leading to inequalities in access and increased emotional and economic burden. Understanding these barriers is critical to strengthen national demographic resilience. Conclusion, Malaysia’s fertility decline is a multidimensional issue requiring urgent clinical, policy, and economic intervention. The National Fertility Insurance (NFI) framework presents a strategic, sustainable, equitable policy mechanism to improve reproductive health access, sustain population growth, and strengthen socioeconomic resilience. Strategic investment in fertility care can safeguard Malaysia’s socioeconomic future.
 
 
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Apabila bilangan yang diinginkan berkurang: perubahan keinginan kesuburan dalam kalangan wanita Malaysia, 2004-2014
Item Type: Conference or Workshop Item
Author: 
Ismail, Najihah and
Hazlan, Nurmira Nabilla and
Author: 
Editor: 
Year:  00/11/2025
Abstract:  The desire to have more children in Malaysia has declined as many people choose to have smaller families. Employment status is not a strong predictor. Education level was not a factor in 2004 in determining the desire for children, but in 2014, education influenced the desire. It is expected that the desire to have children will continue to decline in line with the reported decline in the Total Fertility Rate (TFR). Malaysia needs to plan measures and policies to prevent the negative effects of low fertility rates in the future. Malaysia needs an advocacy strategy that emphasizes the importance of having more children across age and ethnicity; government policies that directly and indirectly impact the desire to have one or more children (e.g. financial incentives, subfertility treatment, family-friendly workplaces, and a reformed early childhood education system)
 
 
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Exploring environmental contaminants and dietary pattern in relation to infertility in reproductive age women
Item Type: Scientific Poster
Author: 
Sharif, Razinah and
Zainal, Nurdina Afiqah and
Yahya, Hanis Mastura and
Shahril, Mohd Razif and
Abu, Muhammad Azrai and
Author: 
Editor: 
Year:  00/11/2024
Abstract:  Identifying modifiable lifestyle factors, such as diet, that influence human fertility is of major clinical and public health significance. Medical treatment for impaired fecundity is also on the rise. The use of assisted reproductive technologies in Malaysia has steadily increased. This study aims to explore environmental contaminants and dietary pattern in Malaysian reproductive age women. This case control study will involve cross-sectional analysis of 128 women with infertility, with matched 256 regular cycling women from a community-based cohort. Sociodemographic data, mental health, physical activity and dietary intake for 7 days were obtained from interviews using questionnaires. Anthropometric measurements including weight, height, BMI, and body fat percentage were collected. Physical activity data showed that infertile women have lower physical activity compared to those in control and higher stress and depression. Data analysis using multivariate tests showed that an increase in one unit of BMI increased the risk of infertility in women by 1.15 times [Adjusted OR=1.147 (95% CI= 1.059-1.243)])(p<0.01).Meanwhile, high intake of folic acid will reduce the risk of infertility in women by1.0% [Adjusted OR=0.990 (95% CI= 0.981-1.000)] (p<0.05). Likewise, highselenium intake also reduced the risk of infertility in women by 3.0% [Adjusted OR=0.972 (95% CI= 0.949-0.996)] (p<0.05). Significant differences were observed in Anti Mullerian Hormone levels, FSH, LH, lipid peroxidation, advanced glycation end products, inflammatory markers, micronucleus frequency (chromosomal damage), insulin (HOMA-IR), fasting insulin, lipid profile and fasting blood glucose. Based on the hair heavy metal analysis, it was observed that zinc, selenium, calcium and chromium is lower in case group as compared to the control group. On the other hand, lead, copper and cadmium were observed to be higher in case as compared to control. It was observed that urinary bisphenol A and Phtalate metabolites are higher in case group. Di-(2-ethylhexyl) phthalate (DHEP), MEHHP, Mono (2-ethyl-5-hydroxyhexyl) phthalate and MEOHP, mono (2-ethyl-5-oxohexyl) phthalate are detected in our case group. For paraben, only methyl paraben were higher in the cases but not other paraben metabolites. Per- and polyfluorinated substances) concentration observed is not significant. Based on the metabolomic analysis, the pathway with the highest impact factor was the synthesis and degradation of ketone bodies, with an impact factor of 0.60. This indicates that this pathway is very important in the metabolic network and has a significant impact on the overall system. Other pathways with high impact factors include Phenylalanine, tyrosine and tryptophan biosynthesis (0.5), Taurine and hypotaurine metabolism (0.42), Phenylalanine metabolism (0.35), Histidine metabolism (0.32), Cysteine and methionine metabolism (0.274), Glycine, serine and threonine metabolism (0.271), and glyoxylate and dicarboxylate metabolism (0.21). Based on our findings, risk factors which include BMI, intake of folic acid and selenium have a significant relationship with the risk of infertility in women. We have also shown that there is existence of endocrine disrupting chemicals affecting infertility but the cause or the source of contamination is still unknown. Pathway related to ketone bodies and tricarboxylic acid is involved showing the relationship with healthier weight for better reproductive outcome. We have also showed that higher genomic instability and inflammation was observed in those infertile showing that managing dietary and lifestyle related to it is very crucial. Therefore, healthy lifestyle practices need to be improved, targeted and personalized to reduce the risk of infertility in women.
 
 
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