Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 17666, United Arab Emirates.
Department of Medical Microbiology & Immunology, RAK College of Medical Sciences, RAK Medical and Health Sciences University, Ras Al Khaimah P.O. Box 11172, United Arab Emirates.
Int J Environ Res Public Health. 2023 Jan 17;20(3):1692. doi: 10.3390/ijerph20031692.
This study describes the primary and secondary infertility in patients attending fertility clinics and reports factors associated with primary infertility. A cross-sectional survey was conducted in two fertility clinics in Abu Dhabi Emirate, United Arab Emirates (UAE) between December 2020 and May 2021. The collected information covered sociodemographic, lifestyle, medical, and fertility-related characteristics. The mean age and age at marriage (±SD) of the 928 patients were 35.7 (±6.7) and 25.2 (±6.3) years, respectively. Of the total, 72.0% were obese and overweight, 26.6% reported a consanguineous marriage, and 12.5% were smokers. Secondary infertility (62.5%) was more frequent than primary infertility (37.5%). Primary infertility was inversely associated with age (aOR, 0.94, 95% CI: 0.91-0.98) and not being overweight (aOR, 0.6, 95% CI: 0.4-0.9) while positively associated with a nationality other than Middle Eastern nationality (aOR, 1.9, 95% CI: 1.1-3.3), married for ≤5 years (aOR, 6.0, 95% CI: 3.9-9.3), in a nonconsanguineous marriage (aOR, 2.4, 95% CI: 1.5-3.9), having a respiratory disease (aOR, 2.3, 95% CI: 1.1-4.6), an increased age at puberty (aOR, 1.2, 95% CI: 1.0-1.3), and self-reported 6-<12 months (aOR, 2.4, 95% CI: 1.2-5.1) and ≥12 months (aOR, 3.4, 95% CI: 1.8-6.4) infertility. Patients with primary infertility were more likely to be diagnosed with infertility of an ovulation, tubal, or uterine origin (aOR, 3.9, 95% CI: 1.9-7.9). Secondary infertility was more common than primary infertility. Several preventable fertility-related risk factors including overweight, smoking, and diabetes were found to be common among the fertility clinic attendees.
本研究描述了在生育诊所就诊的患者的原发性和继发性不孕，并报告了与原发性不孕相关的因素。2020 年 12 月至 2021 年 5 月，在阿拉伯联合酋长国阿布扎比酋长国的两家生育诊所进行了横断面调查。收集的信息包括社会人口统计学、生活方式、医学和生育相关特征。928 名患者的平均年龄和初婚年龄（±SD）分别为 35.7（±6.7）岁和 25.2（±6.3）岁。其中，72.0%为肥胖和超重，26.6%报告有近亲结婚，12.5%为吸烟者。继发性不孕（62.5%）比原发性不孕（37.5%）更为常见。原发性不孕与年龄呈负相关（OR，0.94，95%CI：0.91-0.98），与体重正常呈正相关（OR，0.6，95%CI：0.4-0.9），而与非中东国籍呈正相关（OR，1.9，95%CI：1.1-3.3），初婚年龄≤5 年（OR，6.0，95%CI：3.9-9.3），非近亲结婚（OR，2.4，95%CI：1.5-3.9），患有呼吸道疾病（OR，2.3，95%CI：1.1-4.6），青春期年龄较大（OR，1.2，95%CI：1.0-1.3），自我报告的 6-<12 个月（OR，2.4，95%CI：1.2-5.1）和≥12 个月（OR，3.4，95%CI：1.8-6.4）不孕。原发性不孕患者更有可能被诊断为排卵、输卵管或子宫来源的不孕（OR，3.9，95%CI：1.9-7.9）。继发性不孕比原发性不孕更为常见。在生育诊所就诊的患者中，发现了一些可预防的与生育相关的风险因素，包括超重、吸烟和糖尿病。
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