Priyanka Krishnamoorthy, Sendilkumar Balasundaram, Indra Sambasivam, Tamilchudar Raju, K Srividhya, L Gayathri
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Convenience sampling was used, and data were collected via the Depression Anxiety Stress Scale (DASS-21), Coping Inventory for Stressful Situations (CISS), and WHOQOL-BREF quality of life scale. Statistical analysis was performed using the trial version of IBM, SPSS-16.</p><p><strong>Results: </strong>Significant differences were found between rural and urban women. There was a significant association between area (urban vs rural) and physical health (χ<sup>2</sup> = 67.862, df = 3, <i>P</i> < 0.001). Urban participants generally reported better physical health than rural participants. A significant association was found between area and psychological health (χ<sup>2</sup> = 46.645, df = 3, <i>P</i> < 0.001), with urban participants showing better psychological health compared to their rural counterparts. A strong association was found between area and social relationships (χ<sup>2</sup> = 99.885, df = 2, <i>P</i> < 0.001). Urban participants reported better social relationships, while rural participants reported lower levels of social support. Significant differences in environmental health were also observed between urban and rural participants (χ<sup>2</sup> = 74.523, df = 2, <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>This study highlights disparities in mental health outcomes and coping effectiveness between rural and urban infertile women. Urban women benefit from better healthcare and support, whereas rural women face challenges with healthcare access and coping strategies. Targeted interventions are needed to improve healthcare and psychological support for rural populations to reduce the emotional burden of infertility.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3332-3337"},"PeriodicalIF":1.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488157/pdf/","citationCount":"0","resultStr":"{\"title\":\"Psychological distress, coping mechanisms, and quality of life among infertile women in rural and urban Salem: A cross-sectional study.\",\"authors\":\"Priyanka Krishnamoorthy, Sendilkumar Balasundaram, Indra Sambasivam, Tamilchudar Raju, K Srividhya, L Gayathri\",\"doi\":\"10.4103/jfmpc.jfmpc_284_25\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Infertility is a major stressor for women, influenced by healthcare access, social stigma, and support systems. This study compares stress levels, coping strategies, and quality of life between infertile women in rural and urban Salem.</p><p><strong>Objectives: </strong>To assess stress levels, coping mechanisms, and quality of life among infertile women in rural and urban areas and to explore challenges and coping effectiveness in these regions.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 125 infertile women from rural and urban Salem attending fertility clinics. Convenience sampling was used, and data were collected via the Depression Anxiety Stress Scale (DASS-21), Coping Inventory for Stressful Situations (CISS), and WHOQOL-BREF quality of life scale. Statistical analysis was performed using the trial version of IBM, SPSS-16.</p><p><strong>Results: </strong>Significant differences were found between rural and urban women. There was a significant association between area (urban vs rural) and physical health (χ<sup>2</sup> = 67.862, df = 3, <i>P</i> < 0.001). Urban participants generally reported better physical health than rural participants. A significant association was found between area and psychological health (χ<sup>2</sup> = 46.645, df = 3, <i>P</i> < 0.001), with urban participants showing better psychological health compared to their rural counterparts. A strong association was found between area and social relationships (χ<sup>2</sup> = 99.885, df = 2, <i>P</i> < 0.001). Urban participants reported better social relationships, while rural participants reported lower levels of social support. Significant differences in environmental health were also observed between urban and rural participants (χ<sup>2</sup> = 74.523, df = 2, <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>This study highlights disparities in mental health outcomes and coping effectiveness between rural and urban infertile women. 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引用次数: 0
摘要
背景：不孕症是妇女的主要压力源，受医疗保健可及性、社会污名和支持系统的影响。这项研究比较了塞勒姆农村和城市不孕妇女的压力水平、应对策略和生活质量。目的：评估农村和城市地区不孕妇女的压力水平、应对机制和生活质量，探讨这些地区面临的挑战和应对效果。方法：对来自塞勒姆农村和城市就诊的125名不孕妇女进行横断面研究。采用方便抽样法，通过抑郁焦虑压力量表（DASS-21）、压力情境应对量表（CISS）和WHOQOL-BREF生活质量量表收集数据。采用试用版IBM SPSS-16进行统计分析。结果：农村妇女与城市妇女之间存在显著差异。区域（城市与农村）与身体健康之间存在显著相关性（χ2 = 67.862, df = 3, P < 0.001）。城市参与者普遍报告的身体健康状况优于农村参与者。区域与心理健康之间存在显著关联（χ2 = 46.645, df = 3, P < 0.001），城市参与者比农村参与者表现出更好的心理健康。地区与社会关系之间存在较强的相关性（χ2 = 99.885, df = 2, P < 0.001）。城市参与者报告了更好的社会关系，而农村参与者报告了较低的社会支持水平。城市和农村参与者在环境健康方面也存在显著差异（χ2 = 74.523, df = 2, P < 0.001）。结论：本研究突出了农村和城市不育妇女在心理健康结果和应对效果方面的差异。城市妇女受益于更好的保健和支持，而农村妇女则在获得保健和应对战略方面面临挑战。需要有针对性的干预措施，以改善对农村人口的保健和心理支持，以减轻不孕症的情感负担。
Psychological distress, coping mechanisms, and quality of life among infertile women in rural and urban Salem: A cross-sectional study.
Background: Infertility is a major stressor for women, influenced by healthcare access, social stigma, and support systems. This study compares stress levels, coping strategies, and quality of life between infertile women in rural and urban Salem.
Objectives: To assess stress levels, coping mechanisms, and quality of life among infertile women in rural and urban areas and to explore challenges and coping effectiveness in these regions.
Methods: A cross-sectional study was conducted among 125 infertile women from rural and urban Salem attending fertility clinics. Convenience sampling was used, and data were collected via the Depression Anxiety Stress Scale (DASS-21), Coping Inventory for Stressful Situations (CISS), and WHOQOL-BREF quality of life scale. Statistical analysis was performed using the trial version of IBM, SPSS-16.
Results: Significant differences were found between rural and urban women. There was a significant association between area (urban vs rural) and physical health (χ2 = 67.862, df = 3, P < 0.001). Urban participants generally reported better physical health than rural participants. A significant association was found between area and psychological health (χ2 = 46.645, df = 3, P < 0.001), with urban participants showing better psychological health compared to their rural counterparts. A strong association was found between area and social relationships (χ2 = 99.885, df = 2, P < 0.001). Urban participants reported better social relationships, while rural participants reported lower levels of social support. Significant differences in environmental health were also observed between urban and rural participants (χ2 = 74.523, df = 2, P < 0.001).
Conclusions: This study highlights disparities in mental health outcomes and coping effectiveness between rural and urban infertile women. Urban women benefit from better healthcare and support, whereas rural women face challenges with healthcare access and coping strategies. Targeted interventions are needed to improve healthcare and psychological support for rural populations to reduce the emotional burden of infertility.
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