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中国深圳不孕女性中耻辱感的预测因素:一项横断面研究

Predictors of Stigma Among Women with Infertility: A Cross-Sectional Study in Shenzhen, China.

作者信息

Li Juanhua, Chen Xiaoxuan, Wang Chi-Zhi, Ye Yangliu, Tian Xiaofei, Gao Ling-Ling

机构信息

Department of Obstetrics and Gynecology, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, 518107, People's Republic of China.

Reproductive Medicine Center, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, 518107, People's Republic of China.

出版信息

Patient Prefer Adherence. 2025 Aug 30;19:2687-2696. doi: 10.2147/PPA.S541661. eCollection 2025.

Abstract

PURPOSE

The issue of infertility is a worldwide challenge, estimated to affect approximately 50 million couples. Infertility is a stressful event for women and may result in stigma. This study aimed to investigate stigma and its predictors in Chinese women with infertility.

PATIENTS AND METHODS

A cross-sectional study was conducted in Shenzhen, China, from November 2022 to April 2023. Two hundred seventy-five women with infertility completed the Mandarin version of the Infertility Stigma Scale (ISS), the Mandarin version of the Fertility Problem Inventory (M-FPI), and a socialdemographic data sheet. Descriptive statistics were used for demographic and infertility-related characteristics and study variables. The predictors of stigma were subjected to univariate and multivariate analyses.

RESULTS

Although the women with infertility had an average mild level of stigma (54.00 [38.00, 68.00]), 26.9% (n = 74) and 4.7% (n = 13) of the women had a moderate and severe level of stigma, respectively. The women had an average moderate level of infertility-related stress (143.00 [122.00, 157.00]), with 7.3% (n = 20) of women having severe infertility-related stress. The predictors of stigma in women with infertility were the dimensions of social concern, relationship concern, and need for parenthood of infertility-related stress.

CONCLUSION

This study found that stigma and infertility-related stress were prevalent in Chinese women with infertility. Psychosocial strategies aimed at reducing infertility-related stress may help mitigate perceived stigma in this population.

摘要

目的

不孕症问题是一项全球性挑战,据估计约影响5000万对夫妇。不孕症对女性来说是一个压力事件,可能会导致耻辱感。本研究旨在调查中国不孕症女性中的耻辱感及其预测因素。

患者与方法

于2022年11月至2023年4月在中国深圳进行了一项横断面研究。275名不孕症女性完成了中文版不孕症耻辱感量表(ISS)、中文版生育问题量表(M-FPI)以及一份社会人口学数据表。描述性统计用于人口统计学和不孕症相关特征及研究变量。对耻辱感的预测因素进行单因素和多因素分析。

结果

尽管不孕症女性的耻辱感平均处于轻度水平(54.00[38.00,68.00]),但分别有26.9%(n = 74)和4.7%(n = 13)的女性耻辱感处于中度和重度水平。这些女性的不孕症相关压力平均处于中度水平(143.00[122.00,157.00]),其中7.3%(n = 20)的女性有严重的不孕症相关压力。不孕症女性耻辱感的预测因素是社会关注、关系关注以及不孕症相关压力中的为人父母需求维度。

结论

本研究发现耻辱感和不孕症相关压力在中国不孕症女性中普遍存在。旨在减轻不孕症相关压力的心理社会策略可能有助于减轻该人群中感知到的耻辱感。

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