Kusuma Berli, Harzif Achmad Kemal, Maidarti Mila, Saroyo Yudianto Budi, Winarto Hariyono, Meutia Alfa Putri
Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia - dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
Reproductive Immunoendocrinology Division, Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia - dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
PLoS One. 2025 Apr 24;20(4):e0312456. doi: 10.1371/journal.pone.0312456. eCollection 2025.
The prevalence of infertility among reproductive-age couples in Indonesia is around 10-15%. Lack of understanding, misleading myths, and negative attitudes could result in improper behavior. This study aims to reveal the discrepancy between perception and behavior towards infertility in urban and rural areas in Indonesia.
A cross-sectional study using an internet-based questionnaire was given to 408 individuals, divided into two groups, Java and outside Java, representing urban and rural populations. The study included Indonesian citizens over 18 who were willing to participate, encompassing individuals of both genders, regardless of their fertility status. All participants completed the questionnaire from October 2020 to April 2021.
Half of the respondents from both groups consider infertility a disease. All respondents have excellent access to information. Although more than 80% of subjects from each group had been exposed to infertility information, a better understanding was observed in the urban community. Most subjects answered that smoking is the leading risk factor for infertility, followed by stress and advanced age. More respondents in rural areas have the wrong perception that stress causes infertility. Furthermore, they seek unwarranted advice, as 19.5% came to midwives and only 9.1% came to general practitioners. This study showed that 35.6% of subjects in the urban group and 41.6% in the rural group are considered late to seek healthcare assistance. Most respondents from both groups accept using Assisted Reproductive Technology and fertility-enhancing drugs as treatment options.
Infertility misconceptions are more prevalent in rural groups than in urban groups. Fertility education among both groups needs to be improved to optimize the chance of conceiving and having a healthy baby.
印度尼西亚育龄夫妇的不孕不育患病率约为10%-15%。缺乏了解、误导性的传言和消极态度可能导致不当行为。本研究旨在揭示印度尼西亚城乡地区对不孕不育的认知与行为之间的差异。
采用基于互联网问卷的横断面研究，对408人进行了调查，分为爪哇岛组和爪哇岛以外组，分别代表城市和农村人口。该研究纳入了18岁以上愿意参与的印度尼西亚公民，涵盖男女两性，无论其生育状况如何。所有参与者在2020年10月至2021年4月期间完成了问卷。
两组中均有一半的受访者认为不孕不育是一种疾病。所有受访者都能很好地获取信息。尽管每组中超过80%的受试者都接触过不孕不育相关信息，但城市社区的了解程度更高。大多数受试者回答吸烟是不孕不育的主要危险因素，其次是压力和高龄。农村地区更多的受访者存在错误认知，认为压力会导致不孕不育。此外，他们寻求不必要的建议，因为19.5%的人去找助产士，只有9.1%的人去找全科医生。本研究表明，城市组中35.6%的受试者和农村组中41.6%的受试者被认为寻求医疗帮助较晚。两组中的大多数受访者都接受使用辅助生殖技术和提高生育能力的药物作为治疗选择。
农村人群中对不孕不育的误解比城市人群中更为普遍。两组的生育教育都需要改进，以优化受孕和生育健康宝宝的机会。
