Prevalence and Correlates of Perceived Infertility in Ghana

Polis, Chelsea B.; Otupiri, Easmon; Hindin, Michelle J.; Chiu, Doris W.; Keogh, Sarah C.; Aidoo, Cara; Larsen-Reindorf, Roderick; Bell, Suzanne O.

doi:10.1111/sifp.12136

Cited by 6 publications

(7 citation statements)

References 39 publications

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“…We note that the prevalence of individuals perceiving a fertility problem may be underestimated because the question asks whether the perception of the respondent is based on medical advice, so it may have excluded individuals who perceived that they were infertile but who did not consult a physician. Moreover, because the question is rooted in medical diagnosis of difficulties conceiving, results may be less comparable to previous studies on perceived subfecundity based on survey questions that did not condition on medical advice (Gemmill 2018;Polis et al 2020;Polis and Zabin 2012;Passet-Wittig et al 2020;White et al 2006;Johnson et al 2020).…”

Section: Dependent Variablescontrasting

confidence: 59%

“…Relationship status is an important situational factor that can also influence the ability to recognise the symptoms of infertility. Research has found that individuals are more likely to perceive difficulty in conceiving if they are in a union (Passet-Wittig et al 2020;Polis et al 2020;Gemmil and Cowan 2021) and that partnership stability and the partner's attitude toward childbearing can also affect people's ability to recognise the symptoms of infertility (Gemmil, Sedlander, and Bornstein 2021;Passet-Wittig et al 2020). These findings point to the inherently dyadic nature of the experience of infertility and confirm the importance of analysing subfecundity perceptions as a couple-level phenomenon.…”

Section: Previous Researchmentioning

confidence: 99%

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A dyadic approach to the study of perceived subfecundity and contraceptive use

Lazzari¹,

Gray²,

Baffour³

2022

DemRes

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BACKGROUNDThere is an increasing literature on women's perception of subfecundity and contraceptive use, with studies showing that women with perceived difficulties conceiving are more likely to have an unintended pregnancy because of a lower reliance on contraception. T he re is l ittle research investigating the correlates of perceived subfecundity, and quantitative investigation of couple-level perceived subfecundity appears absent from the literature, which is somewhat surprising, as the inability to have a child is a couple-level outcome. Furthermore, most studies that relate to perceived subfecundity and the use of contraception, or lack thereof, are typically limited to young adults. OBJECTIVEThe aim of this study is to explore the couple-level correlates of perceived subfecundity and to investigate the relationship between perceived subfecundity and contraceptive use among a nationally representative sample of couples. METHODDrawing on data from the Household Income and Labour Dynamics in Australia (HILDA) survey, binary and multinomial logistic regression models are estimated using the couple-dyad as the unit of analysis. RESULTSBoth biological and life-course interference factors are strong predictors of perceived subfecundity at the couple level, with women's characteristics more influential than their partner's characteristics. Additionally, couples in which at least one partner perceives subfecundity are less likely to use contraception, regardless of their short-term intentions or desire to have a child. https://www.demographic-research.org CONTRIBUTION Men's and women's characteristics differently influence the likelihood of perceiving subfecundity at the couple level and the perception of subfecundity is a relevant reason why couples do not use contraception.

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Section: Dependent Variablescontrasting

confidence: 59%

Section: Previous Researchmentioning

confidence: 99%

A dyadic approach to the study of perceived subfecundity and contraceptive use

Lazzari¹,

Gray²,

Baffour³

2022

DemRes

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“…Our survey design and sampling have been described in detail elsewhere. 42 Briefly, data for this analysis were drawn from a nationally representative, community-based survey of reproductiveaged (15-49 years) women in Ghana (N=4,722), conducted in 2018 as part of a larger study on abortion incidence in Ghana. 43 The survey was a collaborative effort between the Guttmacher Institute, the Kwame Nkrumah University of Science and Technology (KNUST), and the Performance Monitoring and Accountability 2020 team at the Johns Hopkins Bloomberg School of Public Health.…”

Section: Survey Design and Implementationmentioning

confidence: 99%

Use of Fertility Awareness-Based Methods for Pregnancy Prevention Among Ghanaian Women: A Nationally Representative Cross-Sectional Survey

Polis

Otupiri

Bell

et al. 2021

Glob Health Sci Pract

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Standard approaches underestimate fertility awareness-based method (FABM) use; we posit that at least 18% of contracepting Ghanaian women likely use an FABM.n Economically and educationally advantaged women had higher odds of current FABM use (versus intrauterine device/hormonal method), which may suggest deliberateness of method selection (as opposed to limited access to alternatives).n Most (92%) rhythm users wish to improve the effectiveness of their method, and many are willing to track additional biomarkers, but only 17% ever discussed their method with a health professional.

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“…However, we argued in favor of the latter rather than for the former reasons, because other studies conducted in the same year as our study had reported a relatively poor instead of better inexpression of knowledge on the de nition of infertility. For example, in 2020, Polis et al reported that 66% of women in Ghana and 98% of women and men in Malawi expressed poor knowledge on infertility [19]. Furthermore, in 2021, a Nigerian study showed that approximately 51.3% of men expressed poor knowledge [20].…”

Section: Discussionmentioning

confidence: 99%

Correlations between Gender and Knowledge on Definition Causes, and acts of stigmatization towards Infertility in Ghana: A Prospective Cross-sectional Study at Ho Municipality in Volta Region of Ghana.

Mwini-Nyaledzigbor,

Offeibea,

Bawa-Ayamga

et al. 2023

Preprint

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Background: The inability to achieve pregnancy within one year of unprotected intercourse attracts stigmatisation and emotional challenges for couples. This study sought to study the correlations between sociodemographic, sex factors, and knowledge of infertility in Ghana. Methodology: This was a prospective cross-sectional survey, designed to determine sociodemographic and gender factors associated with knowledge about infertility in Ho Municipality in Volta Region of Ghana in 2021. 1, 821 participants were recruited using simple randomization and nonprobability sampling techniques. Inferential and regression statistics were used to determine host-gender trends and predictors of poor to excellent knowledge on definition, causes, and acts of stigmatisation towards infertility among study participants. Results of 1,821 participants, a proportion of 32%, 49% and 50% expressed ‘good to excellent’ knowledge on ‘definition’, ‘causes’ and ‘acts of stigmatisation’ toward infertility, respectively. However, a higher proportion of 68.4%, 51% and 50.4% of participants expressed ‘poor’ knowledge of ‘definition’, ‘causes’ and ‘acts of stigmatization’ toward infertility. Conclusion: Significant intra-variations between expression of ‘poor’ and ‘good to excellent’ knowledge on infertility among participants were observed. Furthermore, the predictable expression of poor knowledge among female participants depicts that inequality exists between sexes in accessing public health education on ‘definition’, ‘causes’ and acts of stigmatisation towards infertility. These findings have national policy and programmatic implications on national health strategies on infertility toward the 2030 deadline for Sustainable Development Goals 3, 10, and 15.

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Prevalence and Correlates of Perceived Infertility in Ghana

Cited by 6 publications

References 39 publications

A dyadic approach to the study of perceived subfecundity and contraceptive use

A dyadic approach to the study of perceived subfecundity and contraceptive use

Use of Fertility Awareness-Based Methods for Pregnancy Prevention Among Ghanaian Women: A Nationally Representative Cross-Sectional Survey

Correlations between Gender and Knowledge on Definition Causes, and acts of stigmatization towards Infertility in Ghana: A Prospective Cross-sectional Study at Ho Municipality in Volta Region of Ghana.

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