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女性冻卵意愿的社会心理决定因素。

Psychosocial determinants of women's intentions and willingness to freeze their eggs.

机构信息

School of Psychology and Counselling, Queensland University of Technology, Brisbane City, Queensland, Australia.

School of Psychology and Counselling, Queensland University of Technology, Brisbane City, Queensland, Australia.

出版信息

Fertil Steril. 2021 Mar;115(3):742-752. doi: 10.1016/j.fertnstert.2020.09.150. Epub 2021 Jan 18.

DOI:10.1016/j.fertnstert.2020.09.150
PMID:33478776
Abstract

OBJECTIVE

To examine the psychosocial factors that influence Australian women's intentions to freeze their eggs.

DESIGN

Initially, a qualitative elicitation study followed by a larger-scale quantitative study.

SETTING

Both studies were conducted online.

PATIENTS

A total of 234 Australian women 25-43 years of age, who identifed as heterosexual, had no children, were open to the idea of having children, were currently not pregnant, and did not have a diagnosis of medical infertility.

INTERVENTION

None.

MAIN OUTCOME MEASURE(S): Intentions and willingness of women to freeze their eggs.

RESULT(S): Hierarchical multiple regression analyses showed that after accounting for demographic variables, there was strong support for the psychosocial predictors of attitude, pressure from others, and control perceptions as predictors of women's intentions to freeze their eggs. Of the additional variables, cognitive bias (influence of the media) was significant, and the final model accounted for 52.7% of variance in women's intentions to freeze their eggs.

CONCLUSION(S): This study was the first to predict women's intentions to freeze their eggs using a well-established decision-making model, the theory of planned behavior. Messages designed to develop a positive attitude toward egg freezing, and to encourage an increased perception of personal control of the egg freezing process, as well as approval from others, could support women to investigate egg freezing, in consultation with appropriate medical advice, as an option when faced with possible future infertility. Effective strategies broaden fertility options for women faced with age-related fertility decline, maximize women's chances of a successful pregnancy, and, critically, prevent the often substantial psychological distress associated with involuntary childlessness.

摘要

目的

研究影响澳大利亚女性冷冻卵子意愿的心理社会因素。

设计

最初是一项定性发掘研究,随后是一项更大规模的定量研究。

地点

两项研究均在网上进行。

患者

共有 234 名年龄在 25-43 岁之间的澳大利亚女性,她们认同异性恋,没有孩子,愿意要孩子,目前没有怀孕,也没有医学不孕的诊断。

干预措施

无。

主要观察指标

女性冷冻卵子的意愿和意愿。

结果

分层多元回归分析显示,在考虑人口统计学变量后,态度、他人压力和控制感等心理社会预测因子强烈支持女性冷冻卵子的意愿。在其他变量中,认知偏差(媒体的影响)具有统计学意义,最终模型解释了女性冷冻卵子意愿的 52.7%。

结论

这项研究首次使用成熟的决策模型——计划行为理论来预测女性冷冻卵子的意愿。旨在培养对卵子冷冻的积极态度、增强对卵子冷冻过程的个人控制感以及获得他人认可的信息,可能会支持女性在咨询适当的医疗建议后,将卵子冷冻作为一种可能的未来不孕的选择进行调查。有效的策略可以拓宽面临生育能力下降的女性的生育选择,最大限度地提高女性成功怀孕的机会,并且可以避免与非自愿不孕相关的大量心理困扰。

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