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Discrepancy in perception of infertility and attitude towards treatment options: Indonesian urban and rural area.
Reproductive Health ( IF 3.4 ) Pub Date : 2019-08-19 , DOI: 10.1186/s12978-019-0792-8
Achmad Kemal Harzif 1 , Victor Prana Andika Santawi 1 , Stephanie Wijaya 1
Affiliation  

BACKGROUND In Indonesia infertility affects 10-15% of reproductive-age couples. In addition to medical problem, infertility in Indonesia poses significant social problem. Childlessness is often stigmatized as a failure which victimizes couples, moreover the females. Despite the high prevalence, there is no fertility awareness education which further passes down the common myth, misperception, and negative attitude towards infertility treatment in Indonesian society. OBJECTIVE This study aims to reveal the knowledge, myth, and attitude towards infertility, likewise acceptance towards infertility treatment options. METHOD Cross-sectional study using standardized questionnaire was done to 272 individuals consisted of two parallel groups: Jakarta and Sumba representing urban and rural population respectively. Participants were all outpatients above 18 years old who visited the healthcare centers from February 2017 to June 2017. RESULTS Knowledge on biological and lifestyle risk factors of infertility among Jakarta and Sumba groups were comparable. However, belief in supernatural causes of infertility is remarkable in Sumba population. There is a common misconception on the use of contraception as risk factors of infertility in both groups. Half respondents from both groups think infertility is a disease. In Jakarta 93.4% respondents consider both female and male should be investigated for infertility; in Sumba only 55.4% agree while 33.1% consider only female should be investigated. Infertility is an acceptable reason for polygamy for 41.3% respondents in Sumba, with 34.7% blaming maternal side for childlessness. Most respondents from both groups accept the use of Assisted Reproductive Technology and fertility enhancing drugs as treatment options. CONCLUSION Lack of understanding, misleading myths, and negative attitude towards infertility have been illustrated in the sample population.

中文翻译:

对不育症的看法和对治疗选择的态度上的差异:印度尼西亚的城市和农村地区。

背景技术在印度尼西亚,不育症影响了10-15%的育龄夫妇。除了医疗问题外,印度尼西亚的不孕症还带来了严重的社会问题。无子女通常被指责为失败的行为,使夫妇,尤其是女性遭受伤害。尽管患病率很高,但没有进行任何有关生育意识的教育,这种教育进一步淡化了印度尼西亚社会对不孕症治疗的普遍误解,误解和消极态度。目的本研究旨在揭示对不育症的知识,神话和态度,以及对不育症治疗方案的接受程度。方法采用标准化问卷调查横断面,对272名个人进行了调查,这两个平行小组分别由雅加达和Sumba组成,分别代表城市和农村人口。参加者均为18岁以上的门诊患者,他们于2017年2月至2017年6月访问了医疗中心。结果雅加达和Sumba组对不育的生物学和生活方式危险因素的知识具有可比性。但是,在Sumba人群中,人们对超自然的不育原因的信念非常明显。两组均将避孕作为不孕的危险因素,这是一个普遍的误解。两组中有一半的受访者认为不育是一种疾病。在雅加达,有93.4%的受访者认为女性和男性均应进行不育调查;在Sumba,只有55.4%的人同意,而33.1%的人认为只有女性应该接受调查。在Sumba,有41.3%的受访者认为不育是一夫多妻制的原因,其中有34.7%的人指责母亲一方没有孩子。两组的大多数受访者都接受使用辅助生殖技术和增强生育力的药物作为治疗选择。结论在样本人群中已经说明了缺乏理解,误导性神话以及对不育症的否定态度。
更新日期:2019-08-19
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