Kudesia Rashmi, Chernyak Elizabeth, McAvey Beth
Division of Reproductive Endocrinology and Infertility, Albert Einstein College of Medicine, Hartsdale, New York.
Division of Reproductive Endocrinology and Infertility, Albert Einstein College of Medicine, Hartsdale, New York.
Fertil Steril. 2017 Oct;108(4):711-717. doi: 10.1016/j.fertnstert.2017.07.1158. Epub 2017 Sep 11.
To create, validate, and use a fertility awareness survey based on current U.S.
Cross-sectional study.
Not applicable.
PATIENT(S): Phase 1 included U.S. women ages 18-45; phase 2 included female medical students and obstetrics and gynecology trainees at two urban academic programs.
INTERVENTION(S): Survey including demographics, the Fertility & Infertility Treatment Knowledge Score (FIT-KS) instrument, and General Nutrition Knowledge Questionnaire.
MAIN OUTCOME MEASURE(S): Knowledge of natural fertility and infertility treatments.
RESULT(S): The FIT-KS was validated through detailed item and validity analyses. In phase 1, 127 women participated; their median age was 31 years, and 43.7% had children. Their mean FIT-KS score was 16.2 ± 3.5 (55.9% correct). In phase 2, 118 medical trainees participated; their median age was 25 years, and 12.4% had children. Their mean FIT-KS score was 18.8 ± 2.1 (64.9% correct), with year of training correlating to a higher score (r=0.40). Participant awareness regarding lifestyle factors varied, but it was particularly low regarding the effects of lubricants. The majority underestimated the spontaneous miscarriage rate and overestimated the fecundability of 40-year-old women. There was general overestimation of success rates for assisted reproductive technologies, particularly among medical trainees.
CONCLUSION(S): The FIT-KS is validated to current U.S. data for use in both general and medical populations as a quick assessment of fertility knowledge. The knowledge gaps demonstrated in this study correlate with national trends in delayed childbearing and time to initiate treatment. For medical trainees, these results raise concerns about the quality of fertility counseling they may be able to offer patients. Greater educational outreach must be undertaken to enhance fertility awareness.
基于美国当前情况创建、验证并使用一项生育意识调查。
横断面研究。
不适用。
第一阶段纳入年龄在18 - 45岁的美国女性；第二阶段纳入两个城市学术项目中的女性医学生以及妇产科实习生。
调查包括人口统计学信息、生育与不孕治疗知识得分（FIT - KS）工具以及一般营养知识问卷。
自然生育和不孕治疗知识。
通过详细的条目和效度分析对FIT - KS进行了验证。在第一阶段，127名女性参与；她们的中位年龄为31岁，43.7%育有子女。她们的FIT - KS平均得分为16.2 ± 3.5（正确率为55.9%）。在第二阶段，118名医学实习生参与；她们的中位年龄为25岁，12.4%育有子女。她们的FIT - KS平均得分为18.8 ± 2.1（正确率为64.9%），培训年份与得分较高相关（r = 0.40）。参与者对生活方式因素的认知各不相同，但对润滑剂的影响认知尤其低。大多数人低估了自然流产率，高估了40岁女性的受孕能力。对辅助生殖技术的成功率普遍存在高估，尤其是在医学实习生中。
FIT - KS已根据美国当前数据进行验证，可用于普通人群和医学人群，作为对生育知识的快速评估。本研究中显示的知识差距与全国延迟生育和开始治疗时间的趋势相关。对于医学实习生而言，这些结果引发了对他们可能为患者提供的生育咨询质量的担忧。必须开展更大规模的教育推广活动以提高生育意识。
