There are known gender differences in the impacts infertility has on quality of life and well-being. Less is known about how infertile couples spend time on fertility-related tasks and associations with quality of life. The purpose of this study is to evaluate whether time spent on tasks related to family-building decision-making (including research, reflection, discussions with partner, discussions with others, and logistics) were associated with fertility-specific quality of life or anxiety among new patients. Couples or individuals (N = 156) with upcoming initial consultations with a reproductive specialist completed the Fertility Quality of Life (FertiQoL) tool, which produces a Core (total) score and four subscales: Emotional, Relational, Social, and Mind-Body. We developed questions to measure time spent in the previous 24 h on tasks related to family-building. We tested for differences by gender in time use (McNemar’s Test) and used ordinary least squares regression to analyze the relationship between time use and FertiQoL scores. In the week before a new consultation, a higher percentage of women reported time spent in the past 24 h in research, reflecting, discussion with others, and logistics compared to male partners (all p < 0.05). In adjusted models, more time spent reflecting was associated with worse FertiQoL scores for both men and women, as well as with higher anxiety for men. Time spent in discussion with others was associated with higher anxiety for women but better Social FertiQoL scores for men. Couples seeking infertility consultation with a specialist reported spending time on tasks related to family-building before the initial visit. There were gender differences in the amount of time spent on these tasks, and time was associated with fertility-specific quality of life and anxiety.

中文翻译：

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太多时间？寻求不育治疗的男性和女性的时间使用和特定于生育力的生活质量

不育对生活质量和幸福感的影响存在性别差异。对不育夫妇如何花费时间进行与生育有关的任务以及与生活质量的联系的了解较少。这项研究的目的是评估花费在与家庭建设决策相关的任务上的时间（包括研究，反思，与伴侣的讨论，与他人的讨论以及后勤）是否与特定于生育力的生活质量或焦虑有关新病人。即将与生殖专家进行初步咨询的夫妇或个人（N = 156）完成了生育力生活质量（FertiQoL）工具，该工具产生了核心（总）得分和四个分量表：情感，关系，社会和心理身体。我们提出了一些问题，以衡量过去24小时在与家庭建设有关的任务上花费的时间。我们测试了时间使用中的性别差异（McNemar测试），并使用普通最小二乘回归分析时间使用和FertiQoL得分之间的关​​系。在进行新咨询之前的一周，与男性伴侣相比，有更高比例的女性表示在过去24小时内花费在研究上的时间反映了与他人的讨论，与他人的讨论和后勤工作（所有p <0.05）。在调整后的模型中，花费更多的时间进行反思与男性和女性的FertiQoL评分较差以及男性的焦虑较高有关。与他人进行讨论所花费的时间与女性的焦虑较高有关，而男性的社会交往质量得分较高。寻求专家咨询不育症的夫妇报告说，在初次探访之前，他们花费了一些时间与家庭建设有关的任务。在完成这些任务的时间上存在性别差异，并且时间与特定于生育力的生活质量和焦虑程度相关。