DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20184972

Effect of socio demographic and personal factors on infertility and its association with mental health and social support in North Indian population

Neetu Singh, Jyotsna Singh

Abstract


Background: Motherhood is a bliss in women’s lives and thus infertility is considered as a social stigma. In present study, we measure the effect of socio-demographic and personal factors on infertility as well as the status of social support and mental health in infertile women.

Methods: This was a cross-sectional study comprising 90 infertile women and 90 women in the control group, conducted at Ram Prakash Gupta Memorial Mother and Child State Referral Centre of RMLIMS, Lucknow, India. The questionnaires used were Socio-demographic and personal characteristics, General Health Questionnaire (GHQ-12) to assess mental health, Perceived Social Support Questionnaire (PSSQ). To determine the relationship between socio-demographic characteristics, personal characters, mental health, and social support with infertility, Chi-square test was used.

Results: Age, education, and occupation had statistically significant (p<0.05) relation with infertility, high BMI, and caffeine intake also had the significant adverse effect on fertility outcomes (p<0.05). Infertility patients had poor mental health status (higher mean GHQ-12 score 20.8±4.2) and poor perceived social support (lower mean PSSQ score 29.7±7.0).

Conclusions: In present study, the socio-demographic factors, lifestyle factors, social support and mental health status is associated with fertility outcomes. Their modifications have the potential to improve reproductive performances. A structured programme of education, social support, and counselling by specialist health professionals should be formulated to improve the quality of life as well as fertility outcomes in infertile patients.


Keywords


Infertility, Mental health, Social support, Socio-demographic factors

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References


Lakatos E, Szigeti JF, Ujma PP, Sexty R, Balog P. Anxiety and depression among infertile women: a cross-sectional survey from Hungary. BMC Women’s Health. 2017;17(1):48.

Peterson B D, Pirritano M, Tucker L, Lampic C. Fertility awareness and parenting attitudes among American male and female undergraduate university students. Hum Reprod. 2012;27(5):1375-82.

Dunson DB, Baird DD, Colombo B. Increased Infertility with Age in Men and Women. Obstet Gynecol. 2004;103(1):51-6.

The Committee on Gynecologic Practice of the American College of Obstetrics and Gynecologists and the Practice Committee of the American Society for Reproductive Medicine. Age-related fertility decline: a committee opinion. Fertil Steril. 2008;90: 486-7.

Noorbala AA, Bagheri Yazdi SA, Mohammad K. The validation of general health questionnaire- 28 as a psychiatric screening tool. Hakim Res J. 2009; 11(4):47-53.

Bahrami N, Sattarzadeh N, Ranjbar Koochaksariie F, Ghojazadeh M. Comparing depression and sexual satisfaction in fertile and infertile couples. Medical J Reproduct Infertil. 2007;8(1):52-9.

Fisher J. Infertility and assisted reproduction. In: Astbury J, Mello MC, Cottingham J, Fisher J, Izutsu T, Pinel A, Saxena S, editors. Mental health aspects of women's reproductive health: a global review of the literature. Geneva: World Health Organization; 2009. p. 128-46.

Amponsah MO. Workstress and marital relations. Educational Res 2010;2(1):757-64.

Hassan MA and Killick SR. Negative lifestyle is associated with a significant reduction in fecundity. Fertil Steril. 2004;81(2):384-92.

Norman RJ, Noakes M, Wu R, Davies MJ, Moran L and Wang JX. Improving reproductive performance in overweight/obese women with effective weight management. Hum Reprod Update 2004;10(3):267–80.

Klonoff-Chohen H, Bleha J and Lam-Kruglick P. A prospective study of the effects of female and male caffeine consumption on the reproductive endpoints of IVF and gamete intra-Fallopian trnasfer. Hum Reprod 2002;17(7):1746-54.

Lucero J, Harlow BL, Barbieri RL, Sluss P and Cramer DW. Early follicular phase hormone levels in relation to patterns of alcohol, tobacco, and coffee use. Fertil Steril 2001;76(4):723-9.

Ardekani ZB, Akhondi MM, Kamali K, Khalaf ZF, Eskandari S, Ghorbani B. Mental health status of patients attending avicenna infertility clinic. J Reproduct Infertil. 2010;11(4).

Khodakarami N, Seddig S, Hashemi S, Hamdieh M, Taheripanah R. The disregarded rights of infertility: a phenomenological study. Iranian J Med Ethics History Med 2009;2(3):39-50.

Peyravi H, Hajebi A, Panaghi L. A survey on the relation between social support and mental health in students of Tehran University. J Health System Res. 2010;6(2):301-7.

Riahi ME, Aliverdinia A, Pourhossein Z. Relationship between social support and mental health. Social Welfare (Quarterly). 2011;10(39):85-122.

Bakhshani N, Birashk B, Atefvahid M, Bolhari J. Relationship between perceived social support and stressful life events with depression. Andishe va Rafter. 2003;9(2):49-55