{"title":"The impact of sociocultural and psychological stress on the outcome of assisted reproductive technology in remarried families.","authors":"Jiajia Zhai, Shibin Zhao, Guimin Hao","doi":"10.1080/0167482X.2024.2351809","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>In China, there is a unique type of second marriage (SM) family where the woman is remarried, and the man is experiencing his first marriage. Additionally, the woman is older than the man. Therefore, these families experience many challenges: psychological, emotional, and societal pressure. Such family is a typical sample for studying sociocultural and psychological stress influencing on outcome of assisted reproductive technology (ART). This study aimed to investigate the impact of social psychological stress on the live birth outcomes AR.</p><p><strong>Methods: </strong>In this retrospective cohort, second marriage (SM) families who visited the Second Hospital of Hebei Medical University reproductive center between January 2012 to December 2022 were screened, and 561s marriage families (the SM group) with 5600 first marriage (FM) families (the FM group) were included undergoing their first ART cycles. The primary outcome of this study was the live birth rate (LBR).</p><p><strong>Results: </strong>The live birth rate (LBR) of SM group (30.7%) is lower than that of the FM group (43.6%) (<i>p</i> < 0.01). After adjustment by logistic regression, the second marriage group (OR = 1.269, 95%CI 1.031-1.562, <i>p</i> = 0.025) were independent factors associated with the outcome of live birth. After propensity score matching (PSM), the live birth rate of SM group (28.7%) is lower than the FM group (35.9%) (0 = 0.011).</p><p><strong>Conclusion: </strong>The SM family experience higher levels of social and psychological pressure, which lead to lower level of LBR than FM family.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychosomatic Obstetrics & Gynecology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/0167482X.2024.2351809","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/11 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: In China, there is a unique type of second marriage (SM) family where the woman is remarried, and the man is experiencing his first marriage. Additionally, the woman is older than the man. Therefore, these families experience many challenges: psychological, emotional, and societal pressure. Such family is a typical sample for studying sociocultural and psychological stress influencing on outcome of assisted reproductive technology (ART). This study aimed to investigate the impact of social psychological stress on the live birth outcomes AR.
Methods: In this retrospective cohort, second marriage (SM) families who visited the Second Hospital of Hebei Medical University reproductive center between January 2012 to December 2022 were screened, and 561s marriage families (the SM group) with 5600 first marriage (FM) families (the FM group) were included undergoing their first ART cycles. The primary outcome of this study was the live birth rate (LBR).
Results: The live birth rate (LBR) of SM group (30.7%) is lower than that of the FM group (43.6%) (p < 0.01). After adjustment by logistic regression, the second marriage group (OR = 1.269, 95%CI 1.031-1.562, p = 0.025) were independent factors associated with the outcome of live birth. After propensity score matching (PSM), the live birth rate of SM group (28.7%) is lower than the FM group (35.9%) (0 = 0.011).
Conclusion: The SM family experience higher levels of social and psychological pressure, which lead to lower level of LBR than FM family.
目的：在中国，有一种独特的二婚（SM）家庭，即女方再婚，男方经历初婚。此外，女方的年龄比男方大。因此，这些家庭面临着许多挑战：心理、情感和社会压力。这类家庭是研究影响辅助生殖技术（ART）结果的社会文化和心理压力的典型样本。本研究旨在探讨社会心理压力对 AR 活产结果的影响：在这项回顾性队列研究中，研究人员筛选了2012年1月至2022年12月期间在河北医科大学第二医院生殖中心就诊的二婚（SM）家庭，并纳入了561个二婚家庭（SM组）和5600个初婚（FM）家庭（FM组），这些家庭正在接受第一个ART周期。研究的主要结果是活产率（LBR）：结果：SM 组（30.7%）的活产率（LBR）低于 FM 组（43.6%）（P = 0.025）。经过倾向得分匹配（PSM）后，SM 组（28.7%）的活产率低于 FM 组（35.9%）（0 = 0.011）：结论：SM 家庭承受着更大的社会和心理压力，这导致他们的 LBR 水平低于 FM 家庭。
期刊介绍：
The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.
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