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感知到的不孕威胁与女性的预期生育意愿:个人感知到的障碍和促进因素的中介作用。

Perceived Threat of Infertility and Women's Intention to Anticipate Childbearing: The Mediating Role of Personally Perceived Barriers and Facilitators.

机构信息

Faculty of Psychology and Education Sciences, University of Porto, R. Alfredo Allen, 4200-135, Porto, Portugal.

Centre for Psychology at University of Porto, 4200-135, Porto, Portugal.

出版信息

J Clin Psychol Med Settings. 2021 Sep;28(3):457-467. doi: 10.1007/s10880-020-09743-3. Epub 2020 Oct 1.

DOI:10.1007/s10880-020-09743-3
PMID:33006104
Abstract

To study the role of perceived threat of infertility, barriers, and facilitators in intention to anticipate childbearing, a cross-sectional study was conducted with 240 women desiring to have children and committed in a heterosexual relationship. Participants answered an online survey between July 2016 and February 2018. Results showed that perceiving infertility as a strong barrier and being willing to use fertility treatment as a facilitator fully mediated the effect of perceived threat on intention to anticipate childbearing. In conclusion, women who perceive themselves at risk of being infertile will consider, to a higher degree, infertility as a strong barrier to achieve their reproductive life plan or will report higher willingness to use fertility treatments, which in turn would increase intentions to anticipate childbearing. Since evidence showed lack of fertility awareness, intervention initiatives should target these mediators.

摘要

为了研究对不孕不育的感知威胁、障碍和促进因素在期望生育意愿中的作用,本研究采用横断面研究方法,对 240 名有生育意愿且处于稳定异性恋关系的女性进行了研究。参与者于 2016 年 7 月至 2018 年 2 月期间在线回答了调查问卷。结果表明,将不孕不育视为严重障碍以及愿意使用生育治疗作为促进因素,完全中介了感知威胁对期望生育意愿的影响。总之,那些认为自己有不孕不育风险的女性会更倾向于将不孕不育视为实现其生殖生活计划的一个严重障碍,或者更愿意使用生育治疗,这反过来又会增加她们期望生育的意愿。由于缺乏生育意识的证据,干预措施应该针对这些中介因素。

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本文引用的文献

1
What do people know about fertility? A systematic review on fertility awareness and its associated factors.人们对生育能力了解多少?生育意识及其相关因素的系统评价。
Ups J Med Sci. 2018 Jun;123(2):71-81. doi: 10.1080/03009734.2018.1480186. Epub 2018 Jun 29.
2
An experimental evaluation of the benefits and costs of providing fertility information to adolescents and emerging adults.为青少年和刚成年者提供生育信息的益处和成本的实验评估。
Hum Reprod. 2018 Jul 1;33(7):1247-1253. doi: 10.1093/humrep/dey107.
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Poor knowledge of age-related fertility decline and assisted reproduction among healthcare professionals.
一项针对英国女性生育态度、期望生育年龄以及 COVID-19 大流行影响的在线调查。
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医疗保健专业人员对与年龄相关的生育能力下降和辅助生殖的了解不足。
Reprod Biomed Online. 2017 Jan;34(1):32-37. doi: 10.1016/j.rbmo.2016.09.013. Epub 2016 Oct 18.
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Men's knowledge, attitudes and behaviours relating to fertility.男性的生育知识、态度和行为。
Hum Reprod Update. 2017 Jul 1;23(4):458-480. doi: 10.1093/humupd/dmx005.
5
Fertility awareness and attitudes towards parenthood among Danish university college students.丹麦大学生的生育意识及对为人父母的态度。
Reprod Health. 2016 Dec 13;13(1):146. doi: 10.1186/s12978-016-0258-1.
6
Effects of fertility education on knowledge, desires and anxiety among the reproductive-aged population: findings from a randomized controlled trial.生育教育对育龄人群知识、愿望和焦虑的影响:一项随机对照试验的结果
Hum Reprod. 2016 Sep;31(9):2051-60. doi: 10.1093/humrep/dew133. Epub 2016 Jun 14.
7
Male psychological adaptation to unsuccessful medically assisted reproduction treatments: a systematic review.男性对医学辅助生殖治疗失败的心理适应:系统评价。
Hum Reprod Update. 2016 Jun;22(4):466-78. doi: 10.1093/humupd/dmw009. Epub 2016 Mar 23.
8
Knowledge, attitudes, and intentions toward fertility awareness and oocyte cryopreservation among obstetrics and gynecology resident physicians.妇产科住院医师对生育力意识和卵母细胞冷冻保存的知识、态度及意向
Hum Reprod. 2016 Feb;31(2):403-11. doi: 10.1093/humrep/dev308. Epub 2015 Dec 17.
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Women's intentions to use fertility preservation to prevent age-related fertility decline.女性使用生育力保存来预防与年龄相关的生育力下降的意图。
Reprod Biomed Online. 2016 Jan;32(1):121-31. doi: 10.1016/j.rbmo.2015.10.007. Epub 2015 Oct 30.
10
Realizing a desired family size: when should couples start?实现理想的家庭规模:夫妻应该何时开始?
Hum Reprod. 2015 Sep;30(9):2215-21. doi: 10.1093/humrep/dev148. Epub 2015 Jul 15.