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不孕夫妇不孕相关压力的流行情况和预测因素:来自约旦和被占领巴勒斯坦领土的横断面研究。

Prevalence and predictive factors for infertility-related stress among infertile couples: A cross-sectional study from Jordan and the occupied Palestinian territories.

机构信息

From the Department of Clinical Pharmacy (Jaber, Basheer), Faculty of Pharmacy, Zarqa University, Zarqa, from the Department of Clinical Pharmacy (Albsoul-Younes), University of Jordan, Amman, from the Department of Pharmacology (Elsalem); from the Department of Obstetrics and Gynecology (Hamadneh), Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan, from the Department of Clinical Pharmacy (Dweib), Faculty of Pharmacy, Hebron University, Hebron, Palestine, and from the Department of Medical Laboratory Technology (Ahmedah), Faculty of Applied Medical Sciences, King Abdulaziz University, Rabigh, Kingdom of Saudi Arabia.

出版信息

Saudi Med J. 2022 Oct;43(10):1149-1156. doi: 10.15537/smj.2022.43.10.20220411.

Abstract

OBJECTIVES

To assess the level of infertility-related stress, associated socio-economic, and demographic factors among infertile couples living in Jordan and those living under the chronic Israeli-Palestinian conflict in the occupied Palestinian territories.

METHODS

A cross-sectional study was carried out in a number of fertility and reproductive clinics in Jordan and occupied Palestinian territories over a period of 6 months. Trained clinical pharmacists interviewed the identified couples.

RESULTS

A total of 443 participants were interviewed. Three variables were significantly and independently associated with global stress scores. The need of parenthood appears higher in women than men among infertile couples in Jordan and Palestine (=0.005). The country of origin (<0.001) made the greatest contribution of unique variance followed by family type (=0.035). Additionally, a significant contribution to the model was carried out by the number of clinicians who followed up on the case (=0.013). The average total cost of treatment since the problem had been diagnosed was 2936±4529 Jordanian dinar, which may be of concern to both Jordanians and Palestinians given the limited resources available in developing nations.

CONCLUSION

This study shows a significant degree of stress among infertile couples. The place of origin, family structure, and presence of medical insurance had a significant impact on the infertility global stress score. This study emphasizes the necessity for specific psychological therapies that are currently lacking in public healthcare practices in both Jordan and Palestine.

摘要

目的

评估生活在约旦的不孕夫妇和生活在被占领的巴勒斯坦领土中慢性以巴冲突下的不孕夫妇的不孕相关压力水平以及相关社会经济和人口统计学因素。

方法

在约旦和被占领的巴勒斯坦领土的多个生育和生殖诊所进行了为期 6 个月的横断面研究。经过培训的临床药剂师对确定的夫妇进行了访谈。

结果

共访谈了 443 名参与者。三个变量与全球压力评分显著且独立相关。在约旦和巴勒斯坦的不孕夫妇中,女性比男性更需要成为父母(=0.005)。原籍国(<0.001)做出了最大的独特方差贡献,其次是家庭类型(=0.035)。此外,对模型的贡献还包括负责随访病例的临床医生人数(=0.013)。自问题诊断以来的平均治疗总费用为 2936±4529 约旦第纳尔,考虑到发展中国家资源有限,这可能令约旦人和巴勒斯坦人感到担忧。

结论

本研究表明不孕夫妇存在相当程度的压力。原籍国、家庭结构和医疗保险的存在对不孕全球压力评分有重大影响。本研究强调了在约旦和巴勒斯坦的公共医疗保健实践中目前缺乏特定心理疗法的必要性。

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