DOI QR코드

DOI QR Code

Reproductive Health Promotion Behavior of Infertility Women and Normal Women

난임 및 정상 여성의 생식건강증진행위

  • Received : 2019.05.20
  • Accepted : 2019.06.11
  • Published : 2019.06.20

Abstract

Purpose: To compare reproductive health promoting behaviors (RHPBs) of infertile women with those of normal women and identify effects of RHPB on infertility. Methods: A total of 148 females (73 infertile women and 75 normal women) were enrolled in this study. Measurements included their general characteristics and RHPB using self-report questionnaires. Data were analyzed with descriptive statistics, ${\chi}^2$ test, ANCOVA, and hierarchical logistic regression using SPSS. Results: There were significant difference in incomes, number of family, number of term deliveries, and number of abortions according to infertility diagnosis. Mean duration of infertility was 32.16 months. Only 12.32% women had known cause of infertility. The most common cause of infertility was unknown. Mean RHPB score was 3.98 for infertile women and 4.41 for normal women. In logistic regression, total RHPB (odds ratio [OR], 0.21) and safe sex of RHPB (OR, 0.66) were significant factors influencing infertility. Infertile women's total RHPB and subcategories of RHPB (safe sex behavior and sexual transmitted disease [STD] prevention) were lower than those of normal women. Conclusion: For infertility women, RHPB-related intervention programs are needed, especially information about safe sex behavior and STD prevention.

Keywords

References

  1. Kim ST, Seong SC. 2017 National health insurance statistical yearbook. Wonju: Health Insurance Review & Assessment Service; 2018. p. 803.
  2. Hwang NM, Lee SY, Jang IS, Park SI, Kang AR. Evaluation and analysis on 2015 national supporting program for infertile couples. Sejong: Korea Institute for Health and Social Affairs; 2016. p. 238.
  3. Berek SJ. Berek and Novak's gynecology. 15th ed. Philadelphia: Lippincott Williams & Wilkins; 2014.
  4. Kumar N, Singh AK. Trends of male factor infertility, an important cause of infertility: A review of literature. Journal of Human Reproductive Sciences. 2015;8(4):191-196. https://doi.org/10.4103/0974-1208.170370
  5. Karaca A, Unsal G. Psychosocial problems and coping strategies among Turkish women with infertility. Asian Nursing Research. 2015;9(3):243-250. https://doi.org/10.1016/j.anr.2015.04.007
  6. Hanson B, Johnstone E, Dorais J, Silver B, Peterson CM, Hotaling J. Female infertility, infertility-associated diagnoses, and comorbidities: a review. Journal of Assisted Reproduction and Genetics. 2017;34(2):167-177. https://doi.org/10.1007/s10815-016-0836-8
  7. Jo HY, Kim YH, Son HM. Development of a scale to measure reproductive health promoting behavior of undergraduates. Korean Journal of Health Education and Promotion. 2014;31(5):29-43. https://doi.org/10.14367/kjhep.2014.31.5.29
  8. Wang Y, Sun Y, Di W, Kuang YP, Xu B. Association between induced abortion history and later in vitro fertilization outcomes. International Journal of Gynaecology and Obstetrics. 2018;141(3):321-326. https://doi.org/10.1002/ijgo.12481
  9. Price MJ, Ades AE, Soldan K, Welton NJ, Macleod J, Simms I, et al. The natural history of Chlamydia trachomatis infection in women: a multi-parameter evidence synthesis. Health technology assessment. 2016;20(22):1-250.
  10. Lee SY. 2018 National report on fertility, family health & welfare. Sejong: Korea Institute for Health and Social Affairs; 2018. p. 511.
  11. Joeng JE, Seo JO, Park HY, Kim YK, Yun AR. Research proposal on the clinical cause and support plan of infertility. Ilsan: NHIS Ilsan Hospital Institute of Health Insurance & Clinical Research; 2017. p. 64.
  12. Hoenderboom BM, van Benthem BHB, van Bergen JEAM, Dukers-Muijrers NHTM, Götz HM, Hoebe CJPA, et al. Relation between Chlamydia trachomatis infection and pelvic inflammatory disease, ectopic pregnancy and tubal factor infertility in a Dutch cohort of women previously tested for chlamydia in a chlamydia screening trial. Sexually Transmitted Infections. 2019;95(4):300-306. https://doi.org/10.1136/sextrans-2018-053778
  13. UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research. Development and research training in human reproduction (HRP). Annual technical report 2015. Geneva: World Health Organization; 2016. p. 244.
  14. Ahn SH, Cho KM. Personal hygiene practices related to genito-urinary tract and menstrual hygiene management in female adolescents. Korean Journal of Women Health Nursing. 2014;20(3):215-224. https://doi.org/10.4069/kjwhn.2014.20.3.215
  15. Kim J, Han SH. Health status, reproductive health problems, and the degree of prenatal management in married working women. Korean Journal of Women Wealth Nursing. 2004;10(3):226-234. https://doi.org/10.4069/kjwhn.2004.10.3.226
  16. Kim BG, Sung MH. The effect of sexual knowledge, sexual behavior and self-efficacy on their reproductive health promoting behaviors in female college students. Journal of East-West Nursing Research. 2017;23(1):18-25. https://doi.org/10.14370/jewnr.2017.23.1.18
  17. Ji EM, Choi SY, Je NJ. A structural equation modeling on reproductive health promoting behavior of unmarried women: based on the theory of planned behavior. Korean Journal of Women Wealth Nursing. 2016;22(4):210-220. https://doi.org/10.4069/kjwhn.2016.22.4.210
  18. Jung YJ, Kim HY. Factors influencing infertility-related quality of life in women undergoing assisted reproductive techniques: Focusing on depression and resilience. Korean Journal of Women Wealth Nursing. 2017;23(2):117-125. https://doi.org/10.4069/kjwhn.2017.23.2.117
  19. Ying L, Wu LH, Loke AY. The effects of psychosocial interventions on the mental health, pregnancy rates, and marital function of infertile couples undergoing in vitro fertilization: a systematic review. Journal of Assisted Reproduction and Genetics. 2016;33(6):689-701. https://doi.org/10.1007/s10815-016-0690-8
  20. Lee SR. Preconception care and policy recommendations for unmarried women of childbearing age: focusing on medical service use and online reproductive health information. Sejong: Korea Institute for Health and Social Affairs; 2014. p. 301.
  21. Yang SR, Yeo JH. Effects of irrational parenthood cognition, post traumatic stress disorder and spousal support on quality of life of infertile women. Korean Journal of Women Health Nursing. 2017;23(2):145-153. https://doi.org/10.4069/kjwhn.2017.23.2.145
  22. Lee SH, Lee IY, Kim EA. Experience of taking oral contraceptives in adult women. Korean Journal of Women Wealth Nursing. 2017;23(4):265-275. https://doi.org/10.4069/kjwhn.2017.23.4.265
  23. Kang YS, Hwang HN. A study on sexual knowledge, sexual attitudes, and reproductive health promoting behaviors in male and female college students. Journal of East-West Nursing Research. 2017;23(1):9-17. https://doi.org/10.14370/jewnr.2017.23.1.9
  24. Kim MS, Eo YS. A study on reproductive health promoting behavior among male and female undergraduate students of one university. Journal of East-West Nursing Research. 2015;21(2):140-147. https://doi.org/10.14370/jewnr.2015.21.2.140
  25. Lee EJ. A grounded theory analysis on unmarried women's experiences and perceptions of visit to the hospital specialized in obstetrics and gynecology. Korea Science & Art forum. 2015;20:349-364. https://doi.org/10.17548/ksaf.2015.06.20.349
  26. Min JW, Cha HW. The effect of fear and social norm on unmarried woman's intention of visiting gynecology hospital - application of extended theory of planned behavior and interpersonal communication. Korean Journal of Journalism & Communication Studies. 2017;61(1):217-250. https://doi.org/10.20879/kjjcs.2017.61.1.007
  27. Lee YR, Chu MS. Trends in reproductive health-related research on women in Korea: a systematic review of published studies since 1995. Journal of Korean Academic Society of Home Care Nursing. 2015;22(2):237-245.
  28. United Nations Population Fund. Sexual & reproductive health [Internet]. NewYork: United Nations Population Fund; 2015 [cited 2019 Feb 1]. Available from: http://www.unfpa.org/sexual-reproductive-health.
  29. Tsevat DG, Wiesenfeld HC, Parks C, Peipert JF. Sexually transmitted diseases and infertility. American Journal of Obstetrics and Gynecology. 2017;216(1):1-9. https://doi.org/10.1016/j.ajog.2016.08.008