Mirzaei Masoud, Namiranian Nasim, Dehghani Firouzabadi Razieh, Gholami Somaye
Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Int J Reprod Biomed. 2018 Nov;16(11):683-688.
Infertility is a serious health problem that affects the individual, her/his family, and the community. Infertility is defined as failure to achieve clinical pregnancy after at least 12 months of unprotected coitus.
The purpose of this study was to investigate the prevalence of primary and secondary infertility and the associated factors in Yazd Greater Area during 2014-2015.
This is a cross-sectional analytic study using Yazd Health Study data which was conducted on 10,000 people. We studied 2611 women between 20-49 yr old who lived in Yazd Greater Area. Data were collected using a validated questionnaire. Anthropometrics were collected using standardized instruments.
Among women participating in the study, 135 cases of infertility were documented and the overall prevalence of infertility was 4.73% (95% CI: 3.94%-5.59%), among them 2.6% (95% CI: 2.4-3.8%) had primary and 2.1% (95% CI: 1.8-3.4%) had secondary infertility. In this study, infertility was significantly correlated with age (r=0.051, p=0.032), educational level (r=-0.41, p=0.001), body mass index (r=-0.012, p=0.018), waist circumference (r=0.027, p=0.022), history of abortion (r=0.099, p=0.026), and family history of infertility (r=0.121, p=0.001).
The results of our study showed that the prevalence of infertility among women living in Yazd was lower compared to the other regions in Iran. Female factors were the main cause of infertility in central part of Iran.
不孕症是一个严重的健康问题，会影响个人、其家庭及社区。不孕症的定义为在至少12个月无保护性交后未实现临床妊娠。
本研究旨在调查2014 - 2015年亚兹德大地区原发性和继发性不孕症的患病率及其相关因素。
这是一项横断面分析研究，使用了对10000人进行的亚兹德健康研究数据。我们研究了居住在亚兹德大地区的2611名年龄在20 - 49岁之间的女性。数据通过一份经过验证的问卷收集。人体测量数据使用标准化仪器收集。
参与研究的女性中，记录到135例不孕症病例，不孕症的总体患病率为4.73%（95%置信区间：3.94% - 5.59%），其中原发性不孕症患病率为2.6%（95%置信区间：2.4 - 3.8%），继发性不孕症患病率为2.1%（95%置信区间：1.8 - 3.4%）。在本研究中，不孕症与年龄（r = 0.051，p = 0.032）、教育水平（r = -0.41，p = 0.001）、体重指数（r = -0.012，p = 0.018）、腰围（r = 0.027，p = 0.022）、流产史（r = 0.099，p = 0.026）以及不孕症家族史（r = 0.121，p = 0.001）显著相关。
我们的研究结果表明，与伊朗其他地区相比，居住在亚兹德的女性不孕症患病率较低。女性因素是伊朗中部不孕症的主要原因。
