Stigma and Influencing Factors in Infertile Patients with Polycystic Ovary Syndrome

doi:10.12280/gjszjk.20230452

Abstract

Abstract:

Objective: To investigate the status of stigma and influencing factors in infertile patients with polycystic ovary syndrome (PCOS). Methods: Using the convenience sampling method, infertile patients with PCOS diagnosed and treated in the Reproductive Medicine Center of Peking University Third Hospital were selected from January 2022 to March 2023. A cross-sectional study was conducted using the general information questionnaire, Infertility Stigma Scale (ISS) and Fertility Problem Inventory (FPI). Results: A total of 269 questionnaires were distributed on this occasion, in which 251 were deemed valid, resulting in an effectiveness rate of 93.3%. The total scores of ISS and FPI in infertility patients with PCOS were (61.49±23.25) and (148.32±31.02) respectively, with a positive correlation between ISS and FPI (r=0.719, P<0.001). Hierarchical multiple regression analysis showed that fertility stress was the influencing factor of stigma in infertile patients with PCOS, which explained 43.5% of the total variation. Conclusions: Stigma in infertile patients with PCOS is at the medium level. Clinical medical staff can focus on and identify patients with high fertility stress. Interventions should be developed according to the influencing factors to reduce the level of stigma.

Key words: Polycystic ovary syndrome, Infertility, female, Root cause analysis, Stigma, Psychological stress

LUO Li-yan, JIN Ye, SHI Li, HAN Mei, YU Ran, SONG Dong-hong. Stigma and Influencing Factors in Infertile Patients with Polycystic Ovary Syndrome[J]. Journal of International Reproductive Health/Family Planning, 2024, 43(1): 6-10.

Figures/Tables 4

References 23

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量表	项目	条目数	维度评分（分）	各条目平均分（分）
ISS	社会退缩	5	15.73±6.34	3.15±1.27
	自我贬损	7	17.92±8.29	2.56±1.18
	周围人群羞辱	9	19.30±10.04	2.15±1.12
	家庭成员羞辱	6	12.63±6.31	2.11±1.05
FPI	父母角色需求	10	40.29±9.16	4.03±0.92
	无子女压力	8	29.72±7.21	3.72±0.90
	社会压力	10	29.00±8.52	2.90±0.85
	性压力	8	21.93±7.68	2.74±0.96
	夫妻关系	10	27.38±7.84	2.74±0.78

量表	项目	条目数	维度评分（分）	各条目平均分（分）
ISS	社会退缩	5	15.73±6.34	3.15±1.27
	自我贬损	7	17.92±8.29	2.56±1.18
	周围人群羞辱	9	19.30±10.04	2.15±1.12
	家庭成员羞辱	6	12.63±6.31	2.11±1.05
FPI	父母角色需求	10	40.29±9.16	4.03±0.92
	无子女压力	8	29.72±7.21	3.72±0.90
	社会压力	10	29.00±8.52	2.90±0.85
	性压力	8	21.93±7.68	2.74±0.96
	夫妻关系	10	27.38±7.84	2.74±0.78

指标	n	ISS总分（分）	t或F	P	指标	n	ISS总分（分）	t或F	P
年龄（岁）					治疗时间（个月）
20~27	53	63.73±22.29	0.555	0.575	<6	128	58.34±22.32	3.138	0.045
28~35	177	60.49±22.77			6~12	15	58.20±17.68
36~45	21	64.24±29.55			>12	108	65.69±24.49
文化程度					BMI（kg/m²）
高中及以下	54	66.46±21.54	3.174	0.044	<18.5	10	52.40±20.30	7.247	0.001
中专、大专	85	63.47±26.02			18.5~23.9	85	54.78±22.39
本科及以上	112	57.59±21.29			≥24.0	156	65.73±22.99
职业状态					腰臀比
在职	208	60.29±23.58	-1.809	0.072	<0.85	191	59.84±24.05	-2.105	0.045
无业	43	67.30±20.91			≥0.85	60	66.73±19.77
居住地					痤疮
农村	83	66.35±22.55	2.348	0.020	是	38	64.84±18.17	-0.965	0.336
城市	168	59.09±23.28			否	213	60.89±24.03
家庭月收入（元）					多毛
<5 000	60	67.12±23.73	3.268	0.040	是	22	63.00±21.14	-0.318	0.751
5 000~10 000	92	62.07±23.08			否	229	61.35±23.48
>10 000	99	57.55±22.59			黑棘皮症
婚姻时长（年）					有	29	69.93±21.83	-2.093	0.037
<2	53	59.30±23.98	2.640	0.073	无	222	60.39±23.25
2~5	110	58.90±20.90			流产史
>5	88	66.05±25.10			有	53	59.79±23.88	-0.598	0.551
不孕时间（年）					无	198	61.94±23.12
<2	95	58.96±22.80	3.840	0.023	月经是否规律
2~5	97	59.57±21.56			是	29	59.03±24.91	-0.604	0.546
>5	59	68.73±25.47			否	222	61.81±23.07

指标	n	ISS总分（分）	t或F	P	指标	n	ISS总分（分）	t或F	P
年龄（岁）					治疗时间（个月）
20~27	53	63.73±22.29	0.555	0.575	<6	128	58.34±22.32	3.138	0.045
28~35	177	60.49±22.77			6~12	15	58.20±17.68
36~45	21	64.24±29.55			>12	108	65.69±24.49
文化程度					BMI（kg/m²）
高中及以下	54	66.46±21.54	3.174	0.044	<18.5	10	52.40±20.30	7.247	0.001
中专、大专	85	63.47±26.02			18.5~23.9	85	54.78±22.39
本科及以上	112	57.59±21.29			≥24.0	156	65.73±22.99
职业状态					腰臀比
在职	208	60.29±23.58	-1.809	0.072	<0.85	191	59.84±24.05	-2.105	0.045
无业	43	67.30±20.91			≥0.85	60	66.73±19.77
居住地					痤疮
农村	83	66.35±22.55	2.348	0.020	是	38	64.84±18.17	-0.965	0.336
城市	168	59.09±23.28			否	213	60.89±24.03
家庭月收入（元）					多毛
<5 000	60	67.12±23.73	3.268	0.040	是	22	63.00±21.14	-0.318	0.751
5 000~10 000	92	62.07±23.08			否	229	61.35±23.48
>10 000	99	57.55±22.59			黑棘皮症
婚姻时长（年）					有	29	69.93±21.83	-2.093	0.037
<2	53	59.30±23.98	2.640	0.073	无	222	60.39±23.25
2~5	110	58.90±20.90			流产史
>5	88	66.05±25.10			有	53	59.79±23.88	-0.598	0.551
不孕时间（年）					无	198	61.94±23.12
<2	95	58.96±22.80	3.840	0.023	月经是否规律
2~5	97	59.57±21.56			是	29	59.03±24.91	-0.604	0.546
>5	59	68.73±25.47			否	222	61.81±23.07

变量	具体赋值
文化程度	高中及以下=1，中专、大专=2，本科及以上=3
居住地	农村=1，城市=2
家庭月收入（元）	<5 000=1，5 000~10 000=2，>10 000=3
不孕时间（年）	<2=1，2~5=2，>5=3
治疗时间（个月）	<6=1，6~12=2，>12=3
BMI（kg/m²）	<18.5=1，18.5~23.9=2，≥24.0=3
腰臀比	<0.85=1，≥0.85=2
黑棘皮症	有=1，无=2