Infertility: Pathways and Psychosocial Outcomes

不孕不育：途径和心理社会结果

• 批准号: 6872471
• 负责人: LYNN K WHITE
• 金额: $ 51.06万
• 依托单位: UNIVERSITY OF NEBRASKA LINCOLN
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-03-15 至 2005-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6872471
• 关键词: behavioral /social science research tag; belief; biotechnology; clinical research; cues; data collection methodology /evaluation; ethics; fertility; health behavior; health care service utilization; health services research tag; human subject; in vitro fertilization; interview; longitudinal human study; outcomes research; psychological values; quality of life; racial /ethnic difference; social class; social psychology; social support network; women' s health

DESCRIPTION (provided by applicant): The proposed research applies a general help-seeking model to the study of human infertility with a focus on pathways to treatment and outcomes of infertility. At least one-third of American women experience biomedical barriers to fertility sometime in their lives, and the numbers may rise with the trend toward delayed childbearing. Less than half of those with bio-medical barriers seek medical treatment. This five-year research project begins with telephone interviews with a sample of 5,700 women and their partners, including an over-sample of women of color. Three years later, all childless women and women who intend additional children plus a sub-sample of other women (again, and their partners) will be reinterviewed. The reinterview is critical for two reasons. First, it allows us to use time 1 characteristics to predict pathways and outcomes for those who newly experience fertility problems and those who have already experienced fertility barriers but have not pursued treatment or, in many cases, even recognized their infertility. Second, because infertility resolution is not a single decision but a complex process with many alternative routes, the reinterview will allow examination of reciprocal effects, including the effect of time 1 distress on help seeking. The study has four aims: 1) Test a general model of medical help-seeking applied to infertility; 2) Identify the consequences of infertility for individual social psychological outcomes, identities, and social relationships; 3) Assess prevalence of concerns about the ethics of assisted reproductive technologies, including the extent to which ethical concerns act as a barrier to treatment; and 4) Provide a public use data set for other researchers who are interested in issues of fertility, infertility, helpseeking, and well being among adults. Documenting and explaining disparities by race/ethnicity and social class in helpseeking, in behavioral outcomes of helpseeking, and in psychosocial responses will be a concern at every stage.

描述（由申请人提供）：拟议的研究将寻求帮助模型应用于人类不育的研究，重点是治疗和不育的结果。至少有三分之一的美国妇女在生活中的某个时候经历了生育能力的生物医学障碍，而且数量可能随着延迟生育的趋势而增加。在生物医学障碍的患者中，只有不到一半的人寻求医疗治疗。这个为期五年的研究项目始于对5700名妇女及其伴侣的样本进行电话采访，包括有色女性的过度样本。三年后，所有打算其他孩子的无子女妇女以及其他妇女（再次及其伴侣）的子样本都将被重新浏览。重新介绍至关重要，原因有两个。首先，它使我们能够使用时间1特征来预测那些新遇到生育问题的人以及已经经历过生育障碍但没有采取治疗的人，或者在许多情况下甚至认识到他们的不孕症的人。其次，由于不育解决不是一个决定，而是一个具有许多替代路线的复杂过程，因此，重新介绍将允许检查相互影响，包括时间1遇险对寻求帮助的影响。该研究的目的四个：1）测试应用于不育的医疗寻求帮助的一般模型； 2）确定不育对个别社会心理结果，身份和社会关系的后果； 3）评估对辅助生殖技术伦理的关注率，包括道德问题在多大程度上充当治疗障碍的程度； 4）为其他对生育能力，不育，帮助努力以及成人福祉感兴趣的研究人员提供公共用途数据集。 通过种族/种族和社会阶层记录和解释差距，在帮助之路，帮助寻求的行为结果以及在社会心理反应中的行为成果将在每个阶段都关注。