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Background: Childbearing plays a crucial role in population movements and one of the most important factors in societal development. Nowadays, given the decrease in fertility rates, especially in developed and some developing countries, and the multitude of factors affecting these rates, this study aims to investigate the association of positive body image and childbearing intention in Iran. Methods: This descriptive and cross-sectional study involved all health care centers of Qaen city, eastern Iran. The list of reproductive-age women and men in each center was extracted from the Ministry of Health of Iran's database. Ultimately, 494 individuals were included in the study using available convenience sampling method. Data were collected applying demographic information questionnaire, “body appreciation scale-2 (BAS-2) and childbearing intention questionnaire. Statistical analysis was performed using SPSS.26 software. Results: Of 494 participants in this study, 50 % were men. The average age of the participants was 32.25 years (SD = 8.02). The average age of women was higher than that of men. In this study, the mean and SDs of positive body image score and childbearing intention were 39.49 (SD = 8.14) and 2.36 (SD = 1.63), respectively. In general, a positive and significant correlation was found between age (r = 0.126, p = 0.005), income (r = 0.137, p = 0.002), physical activity (r = 0.127, p = 0.005) and positive body image (r = 0.482, p