Time costs of fertility care: the hidden hardship of building a family.
Time costs of fertility care: the hidden hardship of building a family.
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DOI：
10.1016/j.fertnstert.2013.01.145
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发表时间：
2013-06
影响因子：
6.7
通讯作者：
Smith, James F.
中科院分区：
文献类型：
--
作者：
Wu, Alex K.;Elliott, Peter;Katz, Patricia P.;Smith, James F.
确定不孕夫妇寻求和利用生育护理的时间。前瞻性队列。8社区和学术不孕症的做法。319对夫妇来做生育评估面对面和电话访谈及问卷调查。参与者记录了在访问供应商、旅行、电话和杂项活动上花费的时间日记。参与者还记录了由于与生育护理有关的身体和精神压力而请假的时间。线性回归用于评估生育特征和追求护理所花费的时间之间的关系。319名受试者完成了日记。在18个月的时间内，平均花费在生育护理上的时间为125小时，相当于15.6天，假设每天工作8小时。对于使用基于周期的治疗（CBT）的夫妇，寻求护理的总时间平均为142小时，而使用其他疗法的夫妇为58小时，大部分时间用于提供者访问（73小时）。在对临床和社会人口学特征进行多变量调整后，拥有大学学位和生育治疗强度与追求生育护理的时间增加独立相关。此外，在护理上花费最多时间的夫妇更有可能经历与生育有关的压力。在18个月的观察过程中，寻求生育治疗的夫妇花费了大量时间来实现他们的家庭建设目标。这对夫妇的负担增加了生育治疗已经很大的经济和情感负担，并为这些夫妇面临的困难提供了新的见解。
To determine the time infertile couples spend seeking and utilizing fertility care. Prospective cohort. 8 community and academic infertility practices. 319 couples presenting for a fertility evaluation. Face-to-face and telephone interviews and questionnaires. Participants recorded diaries of time spent on provider visits, travel, telephone, and miscellaneous activities. Participants also recorded time off of work due to the physical and mental stress related to fertility care. Linear regression was used to assess relationship between fertility characteristics and time spent pursuing care. Diaries were completed by 319 subjects. Over an 18 month time period, the average time spent on fertility care was 125 hours, equating to 15.6 days, assuming an 8 hour work day. For couples utilizing cycle-based treatments (CBT), overall time spent pursuing care averaged 142 hours versus 58 hours for couples using other therapies, with the majority of time spent on provider visits (73 hours). After multivariable adjustment for clinical and sociodemographic characteristics, possessing a college degree and intensity of fertility treatment were independently associated with increased time spent pursuing fertility care. Furthermore, couples that spent the most time on care were significantly more likely to experience fertility related stress. Over the course of 18 months of observation, couples pursuing fertility treatment dedicated large amounts of time to attaining their family building goals. This burden on couples adds to the already significant financial and emotional burdens of fertility treatment and provides new insight into the difficulties these couples face.
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影响因子：
6.7
作者：
Katz, Patricia;Showstack, Jonathan;Smith, James F.;Nachtigall, Robert D.;Millstein, Susan G.;Wing, Holly;Eisenberg, Michael L.;Pasch, Lauri A.;Croughan, Mary S.;Adler, Nancy
通讯作者：
Adler, Nancy
影响因子：
6.7
作者：
Smith, James F.;Eisenberg, Michael L.;Katz, Patricia P.
通讯作者：
Katz, Patricia P.
影响因子：
6.1
作者：
Verberg, M. F. G.;Eijkemans, M. J. C.;Macklon, N. S.
通讯作者：
Macklon, N. S.
影响因子：
3
作者：
Norman, GR;Sloan, JA;Wyrwich, KW
通讯作者：
Wyrwich, KW
影响因子：
6.7
作者：
Land, JA;Courtar, DA;Evers, JLH
通讯作者：
Evers, JLH