Psychosocial Health of Infertile Ghanaian Women and Their Infertility Beliefs

Purpose The purpose of this study was to describe infertile women's psychosocial health problems and their infertility‐related beliefs and examine the relationships between their beliefs about infertility and psychosocial health problems. Design The study was a descriptive correlational cross‐s...

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Veröffentlicht in:Journal of nursing scholarship 2013-06, Vol.45 (2), p.132-140
Hauptverfasser: Naab, Florence, Brown, Roger, Heidrich, Susan
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Heidrich, Susan
description Purpose The purpose of this study was to describe infertile women's psychosocial health problems and their infertility‐related beliefs and examine the relationships between their beliefs about infertility and psychosocial health problems. Design The study was a descriptive correlational cross‐sectional survey. Women (N = 203) who were receiving treatment for fertility problems in two public hospitals in Ghana were recruited. Methods Participants completed a Fertility Belief Questionnaire; measures of infertility‐related stress, anxiety, social isolation, perceived stigma, and depressive symptoms; and sociodemographic and infertility‐related health questions. Descriptive statistics, Pearson's correlations, and hierarchical regression analyses were performed. Findings The women reported high levels of infertility‐related stress, low levels of anxiety, some social isolation, low levels of perceived stigma, and high levels of depressive symptoms. Beliefs that infertility has negative consequences and that one has a poor understanding of infertility were significantly related to infertility‐related stress, social isolation, and depressive symptoms. Belief that infertility could be managed by personal control was significantly related to lower levels of anxiety and perceived stigma. Beliefs about consequences, illness coherence, and personal control explained significant proportions of the variances in anxiety, stress, social isolation, perceived stigma, and depressive symptoms. Conclusions Infertile women in Ghana have psychosocial health problems that are associated with their beliefs about infertility. Clinical Relevance Findings have implications for nursing care of infertile women in Ghana.
doi_str_mv 10.1111/jnu.12013
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Design The study was a descriptive correlational cross‐sectional survey. Women (N = 203) who were receiving treatment for fertility problems in two public hospitals in Ghana were recruited. Methods Participants completed a Fertility Belief Questionnaire; measures of infertility‐related stress, anxiety, social isolation, perceived stigma, and depressive symptoms; and sociodemographic and infertility‐related health questions. Descriptive statistics, Pearson's correlations, and hierarchical regression analyses were performed. Findings The women reported high levels of infertility‐related stress, low levels of anxiety, some social isolation, low levels of perceived stigma, and high levels of depressive symptoms. Beliefs that infertility has negative consequences and that one has a poor understanding of infertility were significantly related to infertility‐related stress, social isolation, and depressive symptoms. Belief that infertility could be managed by personal control was significantly related to lower levels of anxiety and perceived stigma. Beliefs about consequences, illness coherence, and personal control explained significant proportions of the variances in anxiety, stress, social isolation, perceived stigma, and depressive symptoms. Conclusions Infertile women in Ghana have psychosocial health problems that are associated with their beliefs about infertility. Clinical Relevance Findings have implications for nursing care of infertile women in Ghana.</description><identifier>ISSN: 1527-6546</identifier><identifier>EISSN: 1547-5069</identifier><identifier>DOI: 10.1111/jnu.12013</identifier><identifier>PMID: 23731032</identifier><identifier>CODEN: IMNSEP</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Anxiety ; Beliefs ; Cross-Sectional Studies ; Culture ; Depression ; Female ; Fertility ; Ghana ; Hospitals ; Humans ; Infertility ; Infertility, Female - psychology ; Isolation ; Middle Aged ; Nursing ; psychosocial ; Psychosocial factors ; Qualitative research ; Questionnaires ; Social Isolation ; Social Stigma ; Stigma ; Stigmatization ; Stress ; Stress, Psychological - psychology ; Women ; Womens health</subject><ispartof>Journal of nursing scholarship, 2013-06, Vol.45 (2), p.132-140</ispartof><rights>2013 Sigma Theta Tau International</rights><rights>2013 Sigma Theta Tau International.</rights><rights>Copyright Blackwell Publishing Ltd. 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Design The study was a descriptive correlational cross‐sectional survey. Women (N = 203) who were receiving treatment for fertility problems in two public hospitals in Ghana were recruited. Methods Participants completed a Fertility Belief Questionnaire; measures of infertility‐related stress, anxiety, social isolation, perceived stigma, and depressive symptoms; and sociodemographic and infertility‐related health questions. Descriptive statistics, Pearson's correlations, and hierarchical regression analyses were performed. Findings The women reported high levels of infertility‐related stress, low levels of anxiety, some social isolation, low levels of perceived stigma, and high levels of depressive symptoms. Beliefs that infertility has negative consequences and that one has a poor understanding of infertility were significantly related to infertility‐related stress, social isolation, and depressive symptoms. Belief that infertility could be managed by personal control was significantly related to lower levels of anxiety and perceived stigma. Beliefs about consequences, illness coherence, and personal control explained significant proportions of the variances in anxiety, stress, social isolation, perceived stigma, and depressive symptoms. Conclusions Infertile women in Ghana have psychosocial health problems that are associated with their beliefs about infertility. 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Belief that infertility could be managed by personal control was significantly related to lower levels of anxiety and perceived stigma. Beliefs about consequences, illness coherence, and personal control explained significant proportions of the variances in anxiety, stress, social isolation, perceived stigma, and depressive symptoms. Conclusions Infertile women in Ghana have psychosocial health problems that are associated with their beliefs about infertility. Clinical Relevance Findings have implications for nursing care of infertile women in Ghana.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23731032</pmid><doi>10.1111/jnu.12013</doi><tpages>9</tpages></addata></record>
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subjects Adolescent
Adult
Anxiety
Beliefs
Cross-Sectional Studies
Culture
Depression
Female
Fertility
Ghana
Hospitals
Humans
Infertility
Infertility, Female - psychology
Isolation
Middle Aged
Nursing
psychosocial
Psychosocial factors
Qualitative research
Questionnaires
Social Isolation
Social Stigma
Stigma
Stigmatization
Stress
Stress, Psychological - psychology
Women
Womens health
title Psychosocial Health of Infertile Ghanaian Women and Their Infertility Beliefs
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