A national survey on public perceptions of miscarriage.
A national survey on public perceptions of miscarriage.
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DOI：
10.1097/aog.0000000000000859
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发表时间：
2015-06
影响因子：
7.2
通讯作者：
Williams Z
中科院分区：
文献类型：
--
作者：
Bardos J;Hercz D;Friedenthal J;Missmer SA;Williams Z
评估美国调查受访者对流产的患病率、原因和情绪影响的态度和看法。我们于 2013 年 1 月对美国各地 18 至 69 岁的男性和女性进行了一份包含 33 个问题的调查问卷。来自 49 个州的参与者完成了调查问卷：45% 为男性，55% 为女性 (N=1084)。百分之十五的人表示他们或他们的伴侣至少经历过一次流产。 55% 的受访者认为，在所有怀孕中，流产发生率不超过 5%。人们普遍认为的流产原因包括压力事件（76%）、举起重物（64%）、之前使用过宫内节育器（28%）或口服避孕药（22%）。在流产过的人中，37% 的人觉得自己失去了孩子，47% 的人感到内疚，41% 的人表示感觉自己做错了什么，41% 的人感到孤独，28% 的人感到羞愧。当流产原因被发现后，认为自己做错了什么的人减少了百分之十九。百分之七十八的参与者表示想知道流产的原因，即使没有干预措施可以阻止流产的发生。公众人物披露流产事件缓解了 28% 受访者的孤立感。教育水平和性别对流产的看法和理解有重大影响。我们的调查受访者错误地认为流产是一种罕见的妊娠并发症，大多数人认为流产发生在所有妊娠中的 5% 或更少。对于流产的原因也存在广泛的误解。那些经历过流产的人经常感到内疚、孤立和孤独。确定流产的潜在原因可能会影响患者的心理和情绪反应。
To assess attitudes and perceptions of United States survey respondents regarding prevalence, causes, and emotional effects of miscarriage. We used a questionnaire consisting of 33 questions, administered in January of 2013 to men and women across the United States aged 18–69 years. Participants from 49 states completed the questionnaire: 45% male and 55% female (N=1084). Fifteen percent reported they or their partner suffered at least one miscarriage. Fifty-five percent of respondents believed that miscarriage occurred in 5% or less of all pregnancies. Commonly believed causes of miscarriage included a stressful event (76%), lifting a heavy object (64%), previous use of an intrauterine device (28%) or oral contraceptives (22%). Of those who had a miscarriage, 37% felt they had lost a child, 47% felt guilty, 41% reported feeling that they had done something wrong, 41% felt alone, and 28% felt ashamed. Nineteen percent fewer people felt they had done something wrong when a cause for the miscarriage was found. Seventy eight percent of all participants reported wanting to know the cause of their miscarriage, even if no intervention could have prevented it from occurring. Disclosures of miscarriages by public figures assuaged feelings of isolation for 28% of respondents. Level of education and gender had a significant impact on perceptions and understanding of miscarriage. Respondents to our survey erroneously believed that miscarriage is a rare complication of pregnancy with majority believing that it occurred in 5% or less of all pregnancies. There were also widespread misconceptions about causes of miscarriage. Those who had suffered a miscarriage frequently felt guilty, isolated and alone. Identifying a potential cause of the miscarriage may have an effect on patients’ psychological and emotional responses.