Barden-O'Fallon J
Carolina Population Center, University of North Carolina at Chapel Hill, CB#8120, 206 W. Franklin Street, Chapel Hill, North Carolina 27516, USA.
Hum Reprod. 2005 Aug;20(8):2229-36. doi: 10.1093/humrep/dei008. Epub 2005 Mar 31.
This study examines the demographic, fertility preference, health/infection and behavioural factors associated with self-reported fertility problems and infertility treatment-seeking in a rural district of Malawi.
Data come from a population-based survey of 678 women and 362 men.
Having a higher ideal number of children than actual number of children, i.e. a 'child deficit', is highly associated with women's reported fertility impairment and treatment-seeking. Other factors associated with women's infertility treatment-seeking are being educated and reporting infertility in self or spouse. In contrast, being in a polygamous union, having exchanged money or goods for sex, and having multiple sex partners are significantly associated with men's reported fertility impairment. Significant factors associated with men's infertility treatment-seeking are having no education, having a long waiting time to pregnancy and having a 'child deficit'.
There is a sex difference in which factors are associated with reported fertility impairment. Fertility preference variables are more often significantly related to women's reported fertility impairment, whereas sexual behaviours are more often significantly related to men's reported fertility impairment.
本研究调查了马拉维一个农村地区与自我报告的生育问题及寻求不孕治疗相关的人口统计学、生育偏好、健康/感染和行为因素。
数据来自对678名女性和362名男性的基于人群的调查。
理想子女数高于实际子女数，即“子女赤字”，与女性报告的生育障碍及寻求治疗密切相关。与女性寻求不孕治疗相关的其他因素包括受过教育以及自我或配偶报告不孕。相比之下，处于一夫多妻制婚姻、以金钱或物品交换性行为以及有多个性伴侣与男性报告的生育障碍显著相关。与男性寻求不孕治疗相关的显著因素包括未受过教育、怀孕等待时间长以及有“子女赤字”。
在与报告的生育障碍相关的因素方面存在性别差异。生育偏好变量更常与女性报告的生育障碍显著相关，而性行为更常与男性报告的生育障碍显著相关。
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