Maher Jacqueline Y, Pal Lubna, Illuzzi Jessica L, Achong Natalie, Lundsberg Lisbet S
Division of Reproductive Endocrinology and Infertility and Pediatric and Adolescent Gynecology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
Department of Obstetrics and Gynecology, Mount Sinai Beth Israel, New York, New York.
F S Rep. 2022 Apr 4;3(2 Suppl):46-54. doi: 10.1016/j.xfre.2022.03.006. eCollection 2022 May.
To evaluate if knowledge and awareness of concepts and concerns pertaining to reproductive health and fertility vary by race/ethnicity among reproductive-aged women in the United States.
A 2013 cross-sectional web-based survey assessed reproductive health-related knowledge, awareness, and perceptions of 1,000 women (18-40 years). Multivariable logistic regression analyses, adjusting for age, education, income, marital status, employment, region, and pregnancy history, examined the association between race/ethnicity and subfertility-related risk factor awareness; knowledge of factors that may affect pregnancy susceptibility; and future fertility-related concerns.
Knowledge and awareness related to reproductive wellness and fertility differed by race/ethnicity in US women. Compared with Caucasians, Hispanic women were less likely to be aware of smoking-related harm to fertility (odds ratio [OR], 0.57; 95% confidence interval [CI], 0.38-0.86); African American women were more aware of the implications of sexually transmitted infections on fertility (OR, 2.13; 95% CI, 1.15-3.94); and Asian women demonstrated greater awareness of a possible relationship between dysmenorrhea and subfertility (OR, 2.05; 95% CI, 1.09-3.86). Asian women consider fertility socially taboo to talk about and a private affair that is difficult to discuss (OR, 2.63; 95% CI, 1.32-5.29 and OR, 1.99; 95% CI, 1.05-3.75, respectively), were more concerned about their future fertility (OR, 2.36; 95% CI, 1.24-4.52), and more likely to perceive a need for future fertility treatment (OR, 2.36; 95% CI, 1.18-4.71).
Among reproductive-aged women in the United States, knowledge, awareness, and perceptions relating to reproductive health vary by race/ethnicity. Our findings suggest race/ethnicity as potential modulators of population perceptions regarding reproductive health and infertility.
NIH ZIA# HD008985.
评估美国育龄妇女对生殖健康和生育相关概念及问题的了解和认识是否因种族/族裔而异。
2013年基于网络的横断面调查评估了1000名年龄在18至40岁之间女性的生殖健康相关知识、认识和看法。多变量逻辑回归分析在对年龄、教育程度、收入、婚姻状况、就业情况、地区和妊娠史进行调整后，研究了种族/族裔与亚生育相关风险因素认识之间的关联；对可能影响受孕易感性因素的了解；以及未来生育相关问题。
美国女性在生殖健康和生育方面的知识和认识因种族/族裔而异。与白人相比，西班牙裔女性不太可能意识到吸烟对生育的危害（比值比[OR]，0.57；95%置信区间[CI]，0.38 - 0.86）；非裔美国女性更了解性传播感染对生育的影响（OR，2.13；95% CI，1.15 - 3.94）；亚洲女性更清楚痛经与亚生育之间可能存在的关系（OR，2.05；95% CI，1.09 - 3.86）。亚洲女性认为生育在社会上是忌讳谈论的话题，是一件难以启齿的私事（分别为OR，2.63；95% CI，1.32 - 5.29和OR，1.99；95% CI，1.05 - 3.75），她们更担心自己未来的生育能力（OR，2.36；95% CI，1.24 - 4.52），并且更有可能认为未来需要进行生育治疗（OR，2.36；95% CI，1.18 - 4.71）。
在美国育龄妇女中，与生殖健康相关的知识、认识和看法因种族/族裔而异。我们的研究结果表明，种族/族裔可能是影响人群对生殖健康和不孕不育认知的潜在调节因素。
NIH ZIA# HD008985。
