Socio‐biological factors influencing infertility in a rural Nigerian community

Ebomoyi, E. William; Adetoro, Olalekan O.

doi:10.1016/0020-7292(90)90653-3

Cited by 19 publications

(6 citation statements)

References 7 publications

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“…In sub-Saharan Africa, the prevalence differs widely from 9% in the Gambia (Sundby et al ., 1998) and 11.8% in Ghana (Geelhoed et al ., 2002) compared with 21.2% in northwestern Ethiopia (Haile, 1990) and between 20 and 30% in Nigeria (Ebomoyi and Adetoro, 1990; Adetoro and Ebomyi, 1991; Okonofua, 1996; Larsen, 2000). Even less data are available from Asia and Latin-America, but a report compiled by the World Health Organization (WHO) indicated that the prevalence of infertility in these regions fell within the globally expected range 8–12% of couples of reproductive age and was thus lower when compared with African countries (World Health Organization, 1991).…”

Section: Prevalence Of Infertility In Developing Countriesmentioning

confidence: 96%

Infertility and the provision of infertility medical services in developing countries

Ombelet

Cooke²,

Dyer

et al. 2008

Human Reproduction Update

543

398

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BACKGROUNDWorldwide more than 70 million couples suffer from infertility, the majority being residents of developing countries. Negative consequences of childlessness are experienced to a greater degree in developing countries when compared with Western societies. Bilateral tubal occlusion due to sexually transmitted diseases and pregnancy-related infections is the most common cause of infertility in developing countries, a condition that is potentially treatable with assisted reproductive technologies (ART). New reproductive technologies are either unavailable or very costly in developing countries. This review provides a comprehensive survey of all important papers on the issue of infertility in developing countries.METHODSMedline, PubMed, Excerpta Medica and EMBASE searches identified relevant papers published between 1978 and 2007 and the keywords used were the combinations of ‘affordable, assisted reproduction, ART, developing countries, health services, infertility, IVF, simplified methods, traditional health care'.RESULTSThe exact prevalence of infertility in developing countries is unknown due to a lack of registration and well-performed studies. On the other hand, the implementation of appropriate infertility treatment is currently not a main goal for most international non-profit organizations. Keystones in the successful implementation of infertility care in low-resource settings include simplification of diagnostic and ART procedures, minimizing the complication rate of interventions, providing training-courses for health-care workers and incorporating infertility treatment into sexual and reproductive health-care programmes.CONCLUSIONSAlthough recognizing the importance of education and prevention, we believe that for the reasons of social justice, infertility treatment in developing countries requires greater attention at National and International levels.

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Section: Prevalence Of Infertility In Developing Countriesmentioning

confidence: 96%

Infertility and the provision of infertility medical services in developing countries

Ombelet

Cooke²,

Dyer

et al. 2008

Human Reproduction Update

543

398

View full text Add to dashboard Cite

show abstract

“…[5] In sub-Saharan Africa, the prevalence differs widely from 9% in Gambia to 11.8% in Ghana compared with 21.2% in northwestern Ethiopia and between 20% and 30% in Nigeria. [67891011] There is paucity of data from countries of Asia to Latin America. According to the WHO, the prevalence of infertility in these regions is between 8% and 12% in couples of reproductive age.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of primary infertility and its associated risk factors in urban population of central India: A community-based cross-sectional study

Katole¹,

Saoji²

2019

Indian J Community Med

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Background:Primary infertility is a serious health issue that has profound socioeconomic and health implications on both the individual and society. Despite the important consequences of infertility, estimation of its prevalence is limited.Objective:The objective of the study is (1) to estimate the prevalence of primary infertility among women of reproductive age group in urban population of Central India and (2) to study its associated risk factors.Material and Methods:In a community-based cross-sectional study, all married women between 15 and 49 years of age in urban field practice area were included. The data were collected by face-to-face interview with the help of predesigned and pretested questionnaire.Results:The majority of the women (39.3%) belonged to 25–29 years of age group. The overall prevalence of primary infertility among reproductive age group women was 8.9% (51/570). Sociodemographic factors that had statistically significant association with infertility were age at marriage more than 25 years (P < 0.05), nuclear family (P < 0.05), higher education level (P = 0.04), employed women (P < 0.05), high socioeconomic status (P = 0.01), and family history of infertility (P < 0.05). Physiological factors that had statistically significant association with infertility were obesity (P = 0.03), age at menarche more than 14 years (P < 0.05) and irregular menstruation pattern (P < 0.05). Depression (P = 0.01) and stress (P < 0.05) were the psychological factors significantly associated with infertility.Conclusion:The prevalence rate of primary infertility in urban population of Central India was lower than reported trends of infertility from developing countries. Sound knowledge about various factors related to infertility can help health-care providers and policymakers to design and implement various policies.

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“…5,6 Hence the psychological impact associated with infertility is likely to be greater in developing countries. 3,7 Existing literature suggests poor marital adjustment and quality of life in women with infertility as compared to normal couple. 8 Studies report a revisit of choice of spouse selection and constant attribution of spouse as a reason for infertility among couple when they undergo stress.…”

Section: Introductionmentioning

confidence: 99%

Quality of marital relationship, partner violence, psychological distress, and resilience in women with primary infertility

Satheesan¹,

Satyaranayana

2018

Int J Community Med Public Health

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Background: Primary infertility is an emerging public health problem associated with immense social stigma and adverse mental health consequence. The impact associated with infertility different from culture to culture. There is a paucity of qualitative research in Indian culture. Hence we aimed to explore the quality of marital relationship, psychological distress and resilience in a sample of women with primary infertility.Methods: A cross sectional single group mixed design was used. Sample comprised of 30 adult women, in their late twenties, diagnosed with primary infertility- female factor, by practicing gynaecologist; recruited from a renowned infertility hospital in Bangalore. The participants were assessed on marital quality scale, domestic violence questionnaire, depression anxiety stress scale-21, and Connor Davidson resilience scale after obtaining written informed consent. Data analysis was carried out using descriptive and inferential statistics.Results: Findings indicate high rates of intimate partner violence (47%) in the sample. Poorer quality of marital relationship was associated with higher levels of psychological distress and lower resilience. Women who experienced violence were more likely to report poor quality of marital relationship, higher levels of distress, and lower resilience than women who did not. Experience of at least one form of intimate partner violence emerged as a significant predictor of psychological distress.Conclusions:The need for prevention and intervention service for infertility is at its peak. The findings of the present research have implications in mental health assessment and intervention in this vulnerable group of women.

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Socio‐biological factors influencing infertility in a rural Nigerian community

Cited by 19 publications

References 7 publications

Infertility and the provision of infertility medical services in developing countries

Infertility and the provision of infertility medical services in developing countries

Prevalence of primary infertility and its associated risk factors in urban population of central India: A community-based cross-sectional study

Quality of marital relationship, partner violence, psychological distress, and resilience in women with primary infertility

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