Infertility treatment and fertility-specific distress: A longitudinal analysis of a population-based sample of U.S. women.
Infertility treatment and fertility-specific distress: A longitudinal analysis of a population-based sample of U.S. women.
复制标题
DOI：
10.1016/j.socscimed.2011.04.023
复制
发表时间：
2011-07
影响因子：
5.4
通讯作者：
Shreffler, Karina M.
中科院分区：
文献类型：
--
作者：
Greil, Arthur L.;McQuillan, Julia;Lowry, Michele;Shreffler, Karina M.
由于对不孕女性的研究通常使用基于临床的治疗寻求者样本，因此很难弄清楚痛苦在多大程度上是不孕本身状况的结果，以及在多大程度上是不孕治疗经验的结果。我们使用全国生育障碍调查（美国女性的两波全国概率样本）来阐明不孕症和不孕症治疗对生育特异性困扰的影响。我们使用一系列方差分析，对 266 名不孕女性进行了检查，她们在三年后的第一波和第二波中都经历过不孕。我们根据八组不孕妇女是否接受过治疗以及是否活产进行了比较。在第一波中，未接受治疗且没有活产的不孕女性报告的痛苦程度低于仅在第一波中接受治疗的女性，无论她们的不孕症发作后是否有活产。在第 2 波中，未接受治疗的女性的生育特异性困扰显着低于在第 1 波或第 1 波和第 2 波中接受治疗的女性，无论随后是否有活产。此外，在未接受治疗的不孕女性中，生育特异性困扰并没有随着时间的推移而增加。与未接受治疗或仅接受第 1 波治疗的女性相比，接受第 2 波治疗但随后没有活产的女性的生育特异性困扰的增加显着更高。这些模式表明，不孕症治疗与痛苦程度的相关性高于与不孕症本身状态相关的痛苦程度。
Because research on infertile women usually uses clinic-based samples of treatment seekers, it is difficult to sort out to what extent distress is the result of the condition of infertility itself and to what extent it is a consequence of the experience of infertility treatment. We use the National Survey of Fertility Barriers, a two-wave national probability sample of U.S. women, to disentangle the effects of infertility and infertility treatment on fertility-specific distress. Using a series of ANOVAs, we examine 266 infertile women who experienced infertility both at Wave 1 and at Wave 2, three years later. We compare eight groups of infertile women based on whether or not they have received treatment and on whether or not they have had a live birth. At Wave 1, infertile women who did not receive treatment and who had no live birth reported lower distress levels than women who received treatment at Wave 1 only, regardless of whether their infertility episode was followed by a live birth. At Wave 2, women who received no treatment have significantly lower fertility-specific distress than women who were treated at Wave 1 or at Waves 1 and 2, regardless of whether there was a subsequent live birth. Furthermore, fertility-specific distress did not increase over time among infertile women who did not receive treatment. The increase in fertility-specific distress was significantly higher for women who received treatment at Wave 2 that was not followed by a live birth than for women who received no treatment or for women who received treatment at Wave 1 only. These patterns suggest that infertility treatment is associated with levels of distress over and above those associated with the state of being infertile in and of itself.
登录
查看更多内容
影响因子：
5.4
作者：
Greil, AL
通讯作者：
Greil, AL
影响因子：
2.3
作者：
Daniluk, JC
通讯作者：
Daniluk, JC
DOI：
10.1080/14647270500282644
发表时间：
2006-03-01
期刊：
Human fertility (Cambridge, England)
影响因子：
--
作者：
Culley, Lorraine A;Hudson, Nicky;Johnson, Mark R D
通讯作者：
Johnson, Mark R D
DOI：
10.3109/01674829409025640
发表时间：
1994-09-01
影响因子：
3.1
作者：
BERG, BJ
通讯作者：
BERG, BJ
影响因子：
6.7
作者：
Boivin, J;Schmidt, L
通讯作者：
Schmidt, L