Alison Swift , Emily Thomas , Kim Larson , Melvin Swanson , Madeline Fernandez-Pineda
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Statistical analysis included descriptive statistics, chi-square test for independence, independent t-tests, and binary logistic regression analysis. Conventional content analysis was conducted on responses to an open-text question about reasons for treatment discontinuation.</p></div><div><h3>Results</h3><p>No differences in infertility-related stress and QoL were found between groups. Explanatory variables of treatment discontinuation included income [odds ratios (OR) 2.50, 95% CI 1.12–5.61], QoL dissatisfaction (OR 2.49, 95% CI 1.33–4.69), and infertility duration three years or greater (OR 2.40, 95% CI 1.30–4.42). Three themes of treatment discontinuation were identified: Covering the Cost; Waiting for a Resolution; Re-envisioning Family Identity.</p></div><div><h3>Conclusion</h3><p>Infertility-related stress and QoL are similar among women who discontinued and who received fertility treatments, highlighting the need for emotional support services for women regardless of their treatment status. During the period of infertility, treatment discontinuation related to cost, waiting for a resolution, or re-envisioning family identity occurred, suggesting opportunities for specific interventions to support women’s mental health needs.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Infertility-related stress, quality of life, and reasons for fertility treatment discontinuation among US women: A secondary analysis of a cross-sectional study\",\"authors\":\"Alison Swift , Emily Thomas , Kim Larson , Melvin Swanson , Madeline Fernandez-Pineda\",\"doi\":\"10.1016/j.srhc.2024.100955\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>Fertility treatments often cause women high levels of stress and low quality of life (QoL). Women discontinue fertility treatments for a variety of reasons, yet little is known about infertility-related stress and QoL among women who discontinue treatments. The purpose of this study was to examine infertility-related stress and QoL among women who discontinued fertility treatments compared to those who continued treatments, and reasons for treatment discontinuation.</p></div><div><h3>Methods</h3><p>A secondary analysis was conducted to examine infertility-related stress and QoL among 70 women who discontinued from fertility treatments compared to 166 women who received fertility treatments. Statistical analysis included descriptive statistics, chi-square test for independence, independent t-tests, and binary logistic regression analysis. Conventional content analysis was conducted on responses to an open-text question about reasons for treatment discontinuation.</p></div><div><h3>Results</h3><p>No differences in infertility-related stress and QoL were found between groups. Explanatory variables of treatment discontinuation included income [odds ratios (OR) 2.50, 95% CI 1.12–5.61], QoL dissatisfaction (OR 2.49, 95% CI 1.33–4.69), and infertility duration three years or greater (OR 2.40, 95% CI 1.30–4.42). Three themes of treatment discontinuation were identified: Covering the Cost; Waiting for a Resolution; Re-envisioning Family Identity.</p></div><div><h3>Conclusion</h3><p>Infertility-related stress and QoL are similar among women who discontinued and who received fertility treatments, highlighting the need for emotional support services for women regardless of their treatment status. 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引用次数: 0
摘要
目标不孕不育治疗通常会给女性带来很大的压力，并降低她们的生活质量（QoL）。妇女中止生育治疗的原因多种多样，但人们对中止治疗的妇女中与不孕症相关的压力和 QoL 却知之甚少。本研究的目的是研究中止生育治疗的女性与继续治疗的女性之间与不孕症相关的压力和 QoL，以及中止治疗的原因。方法对 70 名中止生育治疗的女性与 166 名接受生育治疗的女性之间与不孕症相关的压力和 QoL 进行了二次分析。统计分析包括描述性统计、独立性卡方检验、独立 t 检验和二元逻辑回归分析。对有关中止治疗原因的开放文本问题的回答进行了常规内容分析。中止治疗的解释变量包括收入[几率比（OR）2.50，95% CI 1.12-5.61]、QoL不满意度（OR 2.49，95% CI 1.33-4.69）和不孕症持续时间三年或三年以上（OR 2.40，95% CI 1.30-4.42）。确定了三个中断治疗的主题：结论在停止治疗和接受治疗的妇女中，与不孕不育相关的压力和 QoL 相似，这突出表明，无论妇女的治疗状况如何，她们都需要情感支持服务。在不孕不育期间，因费用、等待解决方案或重新认识家庭身份而中断治疗的情况时有发生，这表明有机会采取特定干预措施来支持妇女的心理健康需求。
Infertility-related stress, quality of life, and reasons for fertility treatment discontinuation among US women: A secondary analysis of a cross-sectional study
Objective
Fertility treatments often cause women high levels of stress and low quality of life (QoL). Women discontinue fertility treatments for a variety of reasons, yet little is known about infertility-related stress and QoL among women who discontinue treatments. The purpose of this study was to examine infertility-related stress and QoL among women who discontinued fertility treatments compared to those who continued treatments, and reasons for treatment discontinuation.
Methods
A secondary analysis was conducted to examine infertility-related stress and QoL among 70 women who discontinued from fertility treatments compared to 166 women who received fertility treatments. Statistical analysis included descriptive statistics, chi-square test for independence, independent t-tests, and binary logistic regression analysis. Conventional content analysis was conducted on responses to an open-text question about reasons for treatment discontinuation.
Results
No differences in infertility-related stress and QoL were found between groups. Explanatory variables of treatment discontinuation included income [odds ratios (OR) 2.50, 95% CI 1.12–5.61], QoL dissatisfaction (OR 2.49, 95% CI 1.33–4.69), and infertility duration three years or greater (OR 2.40, 95% CI 1.30–4.42). Three themes of treatment discontinuation were identified: Covering the Cost; Waiting for a Resolution; Re-envisioning Family Identity.
Conclusion
Infertility-related stress and QoL are similar among women who discontinued and who received fertility treatments, highlighting the need for emotional support services for women regardless of their treatment status. During the period of infertility, treatment discontinuation related to cost, waiting for a resolution, or re-envisioning family identity occurred, suggesting opportunities for specific interventions to support women’s mental health needs.
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