Predictors of infertility-related concerns in a Canadian survey of men and women seeking fertility treatment.


Journal

Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280

Informations de publication

Date de publication:
09 2020
Historique:
received: 08 11 2019
revised: 26 02 2020
accepted: 17 03 2020
pubmed: 11 4 2020
medline: 15 12 2020
entrez: 11 4 2020
Statut: ppublish

Résumé

To examine if and how factors associated with infertility-related concerns and opportunity to discuss concerns differ between male and female fertility patients. A cross-sectional survey of 313 female and 254 male patients recruited from Canadian fertility clinics. An online survey asked about sociodemographic characteristics, psychological distress, the severity of psychosocial concerns on a scale of 0 (not concerned) to 5 (very concerned) related to fertility treatment, and their opportunity and desire to discuss concerns with healthcare providers (HCPs). For women, higher stress, educational attainment and being childless were associated with higher concern (F(6, 287) = 14.73, p < .001). For men, higher stress, being religious and longer treatment duration were associated with higher concern (F(8, 222) = 9.87, p < .001). No significant difference existed between men's and women's average concern scores (t(558) = -1.62, p = .11) or opportunity to discuss concerns (t(149) = 0.28, p = .78). Our results indicate an unmet need and desire for support among subgroups of patients who were concerned about psychosocial issues related to infertility, but did not have the opportunity to discuss these issues with HCPs. There is a need to tailor resources to address the concerns of male and female fertility patients from diverse sociodemographic backgrounds and with different fertility histories.

Identifiants

pubmed: 32273146
pii: S0738-3991(20)30150-6
doi: 10.1016/j.pec.2020.03.016
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Pagination

1812-1820

Subventions

Organisme : CIHR
ID : TE1-138296
Pays : Canada
Organisme : CIHR
ID : MOP – 136880
Pays : Canada

Informations de copyright

Copyright © 2020 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None.

Auteurs

Eden Noah Gelgoot (EN)

Department of Psychiatry, McGill University, Montréal, Canada; Department of Psychiatry, Jewish General Hospital, Montréal, Canada.

Margot Kelly-Hedrick (M)

Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, USA.

Skye A Miner (SA)

Department of Psychiatry, Jewish General Hospital, Montréal, Canada; Department of Sociology, McGill University, Montréal, Canada.

Stephanie Robins (S)

Department of Psychiatry, Jewish General Hospital, Montréal, Canada; Lady Davis Institute for Medical Research, Montréal, Canada.

Peter Chan (P)

McGill University Health Centre, Montréal, Canada; Department of Surgery, McGill University, Montréal, Canada.

Carolyn Ells (C)

Lady Davis Institute for Medical Research, Montréal, Canada; Department of Medicine, Biomedical Ethics Unit, McGill University, Montréal, Canada.

Hananel Holzer (H)

McGill University Health Centre, Montréal, Canada; Department of Medicine, Biomedical Ethics Unit, McGill University, Montréal, Canada; Department of Obstetrics and Gynecology, McGill University, Montréal, Canada; Hebrew University School of Medicine, Jerusalem, Israel; Fertility Department, Obstetrics & Gynecology Division, Hadassah University Hospitals, Jerusalem, Israel.

Kirk Lo (K)

Department of Surgery, Mount Sinai Hospital, Toronto, Canada; Department of Surgery, University of Toronto, Toronto, Canada.

Neal Mahutte (N)

Montreal Fertility Centre, Montréal, Canada.

Sophia Ouhilal (S)

Montreal Fertility Centre, Montréal, Canada.

Togas Tulandi (T)

McGill University Health Centre, Montréal, Canada; Department of Obstetrics and Gynecology, McGill University, Montréal, Canada; Department of Obstetrics and Gynecology, Jewish General Hospital, Montréal, Canada.

Phyllis Zelkowitz (P)

Department of Psychiatry, McGill University, Montréal, Canada; Department of Psychiatry, Jewish General Hospital, Montréal, Canada; Lady Davis Institute for Medical Research, Montréal, Canada. Electronic address: phyllis.zelkowitz@mcgill.ca.

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