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年轻人对不孕症可改变风险因素的理解。

Young Adults' Understanding of Modifiable Risk Factors of Infertility.

作者信息

Lim Lauren, Hoppe Meredith, Kennedy Lauren, Gunderson Allison, Wang Lingchen, Etezadi-Amoli Neda

机构信息

Reno School of Medicine, University of Nevada, Reno, Nevada, USA.

School of Public Health, University of Nevada, Reno, Reno, Nevada, USA.

出版信息

Womens Health Rep (New Rochelle). 2024 Oct 22;5(1):815-824. doi: 10.1089/whr.2024.0058. eCollection 2024.

Abstract

OBJECTIVE

Assess the knowledge of young adults regarding modifiable risk factors of infertility.

DESIGN

Web-based validated survey.

SETTING

University of Nevada, Reno (UNR).

SUBJECTS

Undergraduate students at the UNR.

INTERVENTIONS

A survey encompassing participants' demographics, understanding of infertility risk factors, willingness to modify behaviors to prevent infertility, personal significance of fertility, previous sources for fertility knowledge, and preferred sources for fertility education.

MAIN OUTCOME MEASURES

Subject-reported knowledge of modifiable risk factors for infertility and value of fertility.

RESULTS

A total of 427 individuals responded. Thirty-seven percent of females indicated that oral contraceptive pills negatively impact their future fertility and 34.4% were unsure. Regarding prior use of long-acting reversible contraceptives on future fertility, 31.4% of females believed it had a negative impact and 36.9% were unsure of its impact. Only 21.7% of males thought testosterone had a negative impact on fertility. Participants were significantly more likely to avoid certain modifiable risk factors to prevent infertility than they were to avoid excessive alcohol to prevent liver disease ( = 0.008). The largest percentage of women reported obtaining the most information about their fertility from social media.

CONCLUSIONS

Young adults would benefit from and are interested in a better understanding of their fertility and modifiable risk factors for infertility. Obstetrics and gynecology physicians and primary care providers can use these findings to guide education and address misconceptions.

摘要

目的

评估年轻人对不孕症可改变风险因素的了解情况。

设计

基于网络的有效调查问卷。

地点

内华达大学雷诺分校(UNR)。

研究对象

UNR的本科生。

干预措施

一项涵盖参与者人口统计学信息、对不孕症风险因素的理解、改变行为以预防不孕症的意愿、生育的个人意义、以前获取生育知识的来源以及生育教育的首选来源的调查。

主要观察指标

受试者报告的不孕症可改变风险因素的知识以及生育的价值。

结果

共有427人回复。37%的女性表示口服避孕药会对其未来生育能力产生负面影响,34.4%的女性不确定。关于以前使用长效可逆避孕药对未来生育能力的影响,31.4%的女性认为有负面影响,36.9%的女性不确定其影响。只有21.7%的男性认为睾酮会对生育能力产生负面影响。与为预防肝病而避免过量饮酒相比,参与者为预防不孕症而避免某些可改变风险因素的可能性显著更高(P = 0.008)。报告从社交媒体获取最多生育信息的女性比例最高。

结论

年轻人将受益于并对更好地了解自己的生育能力和不孕症可改变风险因素感兴趣。妇产科医生和初级保健提供者可以利用这些研究结果来指导教育并消除误解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3184/11496944/9a31ab795af9/whr.2024.0058_figure1.jpg

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